<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2021v4.2">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2022-11-15T20:46:53-06:00</ReturnTs>
    <TaxPeriodEndDt>2021-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>861065772</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>DELOITTE TAX LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>1001 WOODWARD SUITE 700</AddressLine1Txt>
        <CityNm>DETROIT</CityNm>
        <StateAbbreviationCd>MI</StateAbbreviationCd>
        <ZIPCd>48226</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2021-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>381405141</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>OAKWOOD HEALTHCARE INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>OAKW</BusinessNameControlTxt>
      <PhoneNum>6163912022</PhoneNum>
      <USAddress>
        <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
        <CityNm>SOUTHFIELD</CityNm>
        <StateAbbreviationCd>MI</StateAbbreviationCd>
        <ZIPCd>48033</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>MATTHEW E COX</PersonNm>
      <PersonTitleTxt>CFO</PersonTitleTxt>
      <PhoneNum>6163912022</PhoneNum>
      <SignatureDt>2022-11-15</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>MATTHEW</PersonFirstNm>
        <PersonLastNm>COX</PersonLastNm>
      </PersonFullName>
      <SSN>999009999</SSN>
    </SigningOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>ALICIA JANISCH</PreparerPersonNm>
      <PTIN>P00741382</PTIN>
      <PhoneNum>3133963000</PhoneNum>
    </PreparerPersonGrp>
    <AdditionalFilerInformation>
      <TrustedCustomerGrp>
        <TrustedCustomerCd>3</TrustedCustomerCd>
        <AuthenticationAssuranceLevelCd>AAL1</AuthenticationAssuranceLevelCd>
        <IdentityAssuranceLevelCd>IAL1</IdentityAssuranceLevelCd>
      </TrustedCustomerGrp>
    </AdditionalFilerInformation>
    <TaxYr>2021</TaxYr>
    <BuildTS>2022-09-23 18:48:47Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="11">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <DoingBusinessAsName>
        <BusinessNameLine1Txt>BEAUMONT HOSPITAL DEARBORN</BusinessNameLine1Txt>
      </DoingBusinessAsName>
      <PrincipalOfficerNm>CHRISTINA FREESE DECKER</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
        <CityNm>SOUTHFIELD</CityNm>
        <StateAbbreviationCd>MI</StateAbbreviationCd>
        <ZIPCd>48033</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>1346019587</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.BEAUMONT.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1948</FormationYr>
      <LegalDomicileStateCd>MI</LegalDomicileStateCd>
      <ActivityOrMissionDesc>PROVIDE EXCELLENCE IN CARE, HEALING AND HEALTH TO THE INDIVIDUALS AND COMMUNITIES WE SERVE.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>16</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>11</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>12445</TotalEmployeeCnt>
      <TotalVolunteersCnt>294</TotalVolunteersCnt>
      <TotalGrossUBIAmt>20312467</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>304907</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>82687277</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>19786155</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>1206280297</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>1273274617</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>-625247</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>22807</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>52601790</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>52807751</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>1340944117</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>1345891330</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>13900945</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>13869357</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>649133181</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>653916121</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>612125317</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>624201957</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>1275159443</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>1291987435</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>65784674</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>53903895</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>1130298707</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>1208336161</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>634100772</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>478052255</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>496197935</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>730283906</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>PROVIDE EXCELLENCE IN CARE, HEALING AND HEALTH TO THE INDIVIDUALS AND COMMUNITIES WE SERVE.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>560096966</ExpenseAmt>
      <GrantAmt>6473199</GrantAmt>
      <RevenueAmt>607713303</RevenueAmt>
      <Desc>INPATIENT SERVICES:OAKWOOD HEALTHCARE, INC., ("OAKWOOD SYSTEM"), A WHOLLY OWNED SUBSIDIARY OF BEAUMONT HEALTH, IS A MICHIGAN NON-PROFIT CORPORATION ORIGINALLY INCORPORATED IN 1948.BEAUMONT HOSPITAL, DEARBORN (FORMERLY OAKWOOD HOSPITAL - DEARBORN) HAS PROUDLY SERVED RESIDENTS ACROSS SOUTHEASTERN MICHIGAN SINCE 1953. WITH 632 BEDS, BEAUMONT HOSPITAL, DEARBORN IS A MAJOR TEACHING AND RESEARCH HOSPITAL AND HOME TO THREE MEDICAL RESIDENCY PROGRAMS IN PARTNERSHIP WITH WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE. BEAUMONT HOSPITAL, DEARBORN IS VERIFIED AS A LEVEL II TRAUMA CENTER AND HAS BEEN ACCREDITED BY THE JOINT COMMISSION AS A PRIMARY STROKE CENTER. THE HOSPITAL IS ALSO KNOWN FOR CLINICAL EXCELLENCE AND INNOVATION IN THE FIELDS OF ORTHOPEDICS, NEUROSCIENCES, WOMEN'S HEALTH, AND HEART AND VASCULAR AS WELL AS CANCER CARE.BEAUMONT HOSPITAL, WAYNE (FORMERLY OAKWOOD ANNAPOLIS HOSPITAL) OPENED ITS DOORS TO WESTERN WAYNE COMMUNITIES IN 1957. THIS 99-BED, FULL-SERVICE HOSPITAL IS THE ONLY HOSPITAL IN THE WAYNE, WESTLAND, GARDEN CITY, CANTON, INKSTER AND ROMULUS AREA VERIFIED BY THE AMERICAN COLLEGE OF SURGEONS AS A LEVEL III TRAUMA CENTER. THE HOSPITAL HAS A LONG-STANDING PARTNERSHIP WITH DETROIT METRO AIRPORT AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION TO HANDLE A WIDE VARIETY OF HEALTH AND COMMUNICABLE DISEASE CONCERNS INCLUDING MASS TRAUMA AND EMERGENCY PATIENTS.BEAUMONT HOSPITAL, TRENTON (FORMERLY OAKWOOD HOSPITAL - SOUTHSHORE) IS A 193-BED ACUTE CARE TEACHING HOSPITAL THAT SPONSORS NINE UNIVERSITY-AFFILIATED RESIDENCY PROGRAMS. THE HOSPITAL OPENED ITS DOORS TO TRENTON AND ITS SURROUNDING COMMUNITIES IN 1961.BEAUMONT HOSPITAL, TAYLOR (FORMERLY OAKWOOD HERITAGE HOSPITAL), IS A 180-BED HOSPITAL THAT IS A RECOGNIZED HEALTH CARE LEADER IN THE DETROIT METRO REGION. IT HAS PROUDLY SERVED TAYLOR AND SURROUNDING COMMUNITIES SINCE 1977 WITH SPECIALTY SERVICES THAT INCLUDE 24-HOUR EMERGENCY CARE, HYPERBARIC AND WOUND CARE, A SURGICAL PAVILION, A PAIN MANAGEMENT CLINIC, ORTHOPEDIC SURGERY, A MENTAL HEALTH FACILITY, INPATIENT PHYSICAL MEDICINE AND REHABILITATION AND FULL-SERVICE RADIOLOGY, INCLUDING ADVANCED CT AND MRI. OAKWOOD ALSO INCLUDES OVER 60 OUTPATIENT SITES, AND A RETIREMENT COMMUNITY AND REHABILITATION SKILLED NURSING CENTER KNOWN AS OAKWOOD COMMON, TO SERVE THE PEOPLE AND DIVERSE COMMUNITIES OF WESTERN WAYNE COUNTY.AT ITS CORE, THE OAKWOOD SYSTEM'S FOCUS IS TO PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES SAFELY, EFFECTIVELY AND COMPASSIONATELY TO ALL PATIENTS IRRESPECTIVE OF THEIR ABILITY TO PAY. THE SYSTEM'S FOUR HOSPITALS HAVE 1,104 LICENSED BEDS. IN 2021, THE OAKWOOD SYSTEM REGISTERED 48,559 ADMISSIONS AND 30,506 TOTAL SURGERIES.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.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>535239887</ExpenseAmt>
        <GrantAmt>6185919</GrantAmt>
        <RevenueAmt>601055481</RevenueAmt>
        <Desc>OUTPATIENT AND OTHER SERVICES:THE OAKWOOD SYSTEM'S MISSION EXTENDS BEYOND ITS CAMPUSES WHERE IT IS A LEADER IN PROVIDING OUTPATIENT HEALTH CARE SERVICES TO ALL MEMBERS OF THE COMMUNITY, INCLUDING MEDICAID PATIENTS, UNDERINSURED PATIENTS AND PATIENTS WITH NO INSURANCE AT ALL. THE OAKWOOD SYSTEM ALSO INCLUDES NUMEROUS COMMUNITY-BASED MEDICAL CENTERS IN THE COMMUNITIES. ALL OF THESE OUTPATIENT SERVICES ARE PROVIDED TO PATIENTS ON A NON-DISCRIMINATORY BASIS AND IRRESPECTIVE OF ABILITY TO PAY.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.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>104716549</ExpenseAmt>
        <GrantAmt>1210239</GrantAmt>
        <RevenueAmt>113618969</RevenueAmt>
        <Desc>EMERGENCY SERVICES:THE EMERGENCY CARE CENTERS AT THE FOUR HOSPITALS IN THE OAKWOOD SYSTEM ARE STAFFED AND EQUIPPED TO HANDLE THE MOST SEVERE ILLNESSES AND INJURIES AS WELL AS MINOR TRAUMAS THAT REQUIRE MEDICAL ATTENTION. BEAUMONT HOSPITAL, DEARBORN IS A VERIFIED LEVEL II TRAUMA CENTER THAT ENSURES ADVANCED LIFE-SAVING PROCEDURES ARE READILY AVAILABLE 24/7 FOR PATIENTS WITH TRAUMATIC INJURIES. AN 89-BED FULL-SERVICE EMERGENCY CENTER PROVIDES RAPID ASSESSMENT AND EMERGENCY CARE WITH RESPONSE TIMES BELOW THE NATIONAL AVERAGE FOR THOSE REQUIRING A HEART OR STROKE INTERVENTION.BEAUMONT HOSPITAL, WAYNE HAS BOARD-CERTIFIED EMERGENCY MEDICINE PHYSICIANS, FAST TRACK SERVICE FOR RAPID ASSESSMENT AND CARE FOR LESS URGENT CONDITIONS, AND ADVANCED LIFE-SAVING PROCEDURES.BEAUMONT HOSPITAL, TRENTON HAS ACHIEVED TWO-MINUTE "DOOR-TO-EVALUATION AND A "DOOR-TO-BALLOON" TIME OF LESS THAN 56 MINUTES FOR THOSE REQUIRING A HEART INTERVENTION WHICH IS WELL BELOW THE NATIONAL AVERAGE. BEAUMONT HOSPITAL, TRENTON IS THE ONLY VERIFIED LEVEL II TRAUMA CENTER SERVING THE DOWNRIVER COMMUNITY. THIS IMPORTANT DISTINCTION MEANS THAT ADVANCED LIFE-SAVING PROCEDURES ARE READILY AVAILABLE 24/7 FOR PATIENTS WITH TRAUMATIC INJURIES.BEAUMONT HOSPITAL, TAYLOR IS THE ONLY EMERGENCY ROOM IN TAYLOR OFFERING 24/7 CARE.THE OAKWOOD SYSTEM TREATED 182,675 INDIVIDUALS IN ITS EMERGENCY CENTERS IN 2021. THE OAKWOOD SYSTEM PROVIDES THESE MEDICAL SERVICES REGARDLESS OF THE PATIENT'S ABILITY TO PAY AND PROVIDES MEDICAL TREATMENT TO EVERYONE ENTERING THE OAKWOOD SYSTEM REGARDLESS OF THEIR FINANCIAL CIRCUMSTANCES.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.</Desc>
      </ProgSrvcAccomActy3Grp>
      <TotalProgramServiceExpensesAmt>1200053402</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc1039700001">0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc1039700001">1</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc1039700001">0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>1</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">1</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">1</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">0</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>0</FundraisingActivitiesInd>
      <GamingActivitiesInd>0</GamingActivitiesInd>
      <OperateHospitalInd referenceDocumentId="RetDoc1041500001">1</OperateHospitalInd>
      <AuditedFinancialStmtAttInd referenceDocumentId="RetDoc2317200001">1</AuditedFinancialStmtAttInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc1041900001">1</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc1041900001">1</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd referenceDocumentId="RetDoc1053100001">1</TaxExemptBondsInd>
      <InvestTaxExemptBondsInd>0</InvestTaxExemptBondsInd>
      <EscrowAccountInd>1</EscrowAccountInd>
      <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>0</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc1043400001">1</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc1043400001">1</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>1</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="RetDoc1043400001">1</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc1043400001">0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>0</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>12445</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>1</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>1</Form990TFiledInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>0</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>16</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>11</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>1</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>1</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>1</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>1</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>1</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>1</InvestmentInJointVentureInd>
      <WrittenPolicyOrProcedureInd>1</WrittenPolicyOrProcedureInd>
      <StatesWhereCopyOfReturnIsFldCd>MI</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>JOSEPH STOKES</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>9475221529</PhoneNum>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <InfoInScheduleOPartVIIInd>X</InfoInScheduleOPartVIIInd>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN FOX</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>58.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>3993442</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2176694</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID WOOD MD</PersonNm>
        <TitleTxt>DIRECTOR (END 8/21)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>4468665</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>397959</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT WELSH MD</PersonNm>
        <TitleTxt>DIRECTOR (EFF 1/1/21)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>48.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>428838</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>57035</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ASHOK JAIN MD</PersonNm>
        <TitleTxt>DIRECTOR (EFF 1/1/21)</TitleTxt>
        <AverageHoursPerWeekRt>42.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>222148</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>90536</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ABEDELRAHIM ASFOUR MD</PersonNm>
        <TitleTxt>DIRECTOR (EFF 1/1/21)</TitleTxt>
        <AverageHoursPerWeekRt>42.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>170550</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HARRIS MAINSTER DO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>33005</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN NEMES</PersonNm>
        <TitleTxt>SECRETARY / TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER BLAKE</PersonNm>
        <TitleTxt>VICE-CHAIRMAN (EFF 6/21)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GEOFFREY HOCKMAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GERSON COOPER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN LEWIS</PersonNm>
        <TitleTxt>CHAIRMAN (END 6/21)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE FREAM</PersonNm>
        <TitleTxt>CHAIRPERSON (EFF 6/21)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARTHA QUAY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT WILLIAMS MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RONALD HALL JR</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN HOWARD</PersonNm>
        <TitleTxt>VICE-CHAIRMAN (END 8/21)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS SAELI</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIMOTHY O'BRIEN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM GOLDSMITH</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DIANE ROTH</PersonNm>
        <TitleTxt>EVP &amp; CFO (EFF 4/21)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>30.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>524858</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>203481</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN KERNDL</PersonNm>
        <TitleTxt>EVP &amp; CFO (END 3/21)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>29.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>538804</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25364</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID CLAEYS</PersonNm>
        <TitleTxt>PRESIDENT - DEARBORN &amp; FH</TitleTxt>
        <AverageHoursPerWeekRt>22.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>28.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>790595</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>363380</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TAMMY SCARBOROUGH</PersonNm>
        <TitleTxt>PRES-TRENTON,TAYLOR,WAYNE</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>446149</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>183031</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KASSEM CHARARA</PersonNm>
        <TitleTxt>CMO - TAYLOR</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>223828</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>75677</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAOLO MARCIANO MD</PersonNm>
        <TitleTxt>CMO-DEARBORN</TitleTxt>
        <AverageHoursPerWeekRt>44.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>6.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>256857</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10415</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JONATHAN KAPER</PersonNm>
        <TitleTxt>CMO-TRENTON</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>180132</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34057</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SAMIR DABBOUS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>1221839</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20533</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MOHAMMED ALSAIDI-DONOVAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>1069191</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>43218</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FAISAL MUSA</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>977776</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38136</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AREF ALRAYES</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>803166</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>49411</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MUHAMMAD AZRAK</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>774756</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>61987</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LEE ANN ODOM</PersonNm>
        <TitleTxt>FMR PRES-TRENTON,TAYLOR,WAYNE</TitleTxt>
        <AverageHoursPerWeekRt>46.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>4.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>501538</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>226754</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>7638525</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>9987612</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>4057668</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>857</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>4144313</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>15641842</GovernmentGrantsAmt>
      <TotalContributionsAmt>19786155</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>INPATIENT</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>594271076</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>594271076</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OUTPATIENT</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>567897351</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>547584884</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>20312467</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>EMERGENCY</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>111105790</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>111105790</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>TEACHING REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>400</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>400</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>1273274617</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>2022</TotalRevenueColumnAmt>
        <ExclusionAmt>2022</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>3694615</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>3694615</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>3694615</TotalRevenueColumnAmt>
        <ExclusionAmt>3694615</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>149042</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>128257</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>20785</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>20785</TotalRevenueColumnAmt>
        <ExclusionAmt>20785</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>OP PHARMACY REVENUE</Desc>
        <BusinessCd>446110</BusinessCd>
        <TotalRevenueColumnAmt>40750576</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>40750576</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>PHYS. QUALITY REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2435102</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2435102</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEDICAID HER REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1362544</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1362544</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>4564914</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4564914</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>49113136</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>1345891330</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1302075286</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>20312467</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>3717422</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>32500</TotalAmt>
        <ProgramServicesAmt>32500</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>13836857</TotalAmt>
        <ProgramServicesAmt>13836857</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>3778481</TotalAmt>
        <ProgramServicesAmt>1526388</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2252093</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>475160496</TotalAmt>
        <ProgramServicesAmt>433727291</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41433205</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>21780749</TotalAmt>
        <ProgramServicesAmt>16647370</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5133379</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>117316068</TotalAmt>
        <ProgramServicesAmt>105637092</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11678976</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>35880327</TotalAmt>
        <ProgramServicesAmt>32204517</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3675810</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>61356</TotalAmt>
        <ManagementAndGeneralAmt>61356</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>44120074</TotalAmt>
        <ProgramServicesAmt>33394976</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10725098</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>423839</TotalAmt>
        <ProgramServicesAmt>226084</ProgramServicesAmt>
        <ManagementAndGeneralAmt>197755</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>10990181</TotalAmt>
        <ProgramServicesAmt>8953586</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2036595</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>520188</TotalAmt>
        <ProgramServicesAmt>77417</ProgramServicesAmt>
        <ManagementAndGeneralAmt>442771</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>35365316</TotalAmt>
        <ProgramServicesAmt>32712918</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2652398</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>203362</TotalAmt>
        <ProgramServicesAmt>113902</ProgramServicesAmt>
        <ManagementAndGeneralAmt>89460</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>586275</TotalAmt>
        <ProgramServicesAmt>578272</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8003</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>7089413</TotalAmt>
        <ProgramServicesAmt>7089413</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>36755234</TotalAmt>
        <ProgramServicesAmt>33445248</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3309986</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>20966645</TotalAmt>
        <ProgramServicesAmt>20337659</ProgramServicesAmt>
        <ManagementAndGeneralAmt>628986</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>244339985</TotalAmt>
        <ProgramServicesAmt>244339985</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CORPORATE ALLOCATION</Desc>
        <TotalAmt>105218206</TotalAmt>
        <ProgramServicesAmt>105218206</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROVIDER QAAP</Desc>
        <TotalAmt>38049330</TotalAmt>
        <ProgramServicesAmt>38049330</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>INCOME TAX EXPENSE</Desc>
        <TotalAmt>50000</TotalAmt>
        <ProgramServicesAmt>50000</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>79462553</TotalAmt>
        <ProgramServicesAmt>71854391</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7608162</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>1291987435</TotalAmt>
        <ProgramServicesAmt>1200053402</ProgramServicesAmt>
        <ManagementAndGeneralAmt>91934033</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>20588</BOYAmt>
        <EOYAmt>20909</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>2928793</BOYAmt>
        <EOYAmt>2038432</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>161430003</BOYAmt>
        <EOYAmt>174922603</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>23939850</BOYAmt>
        <EOYAmt>29222275</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>2296654</BOYAmt>
        <EOYAmt>2432803</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>1272547865</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>965955716</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>322916384</BOYAmt>
        <EOYAmt>306592149</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>483620406</BOYAmt>
        <EOYAmt>540194892</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>8716209</BOYAmt>
        <EOYAmt>8716209</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>124429820</BOYAmt>
        <EOYAmt>144195889</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>1130298707</BOYAmt>
        <EOYAmt>1208336161</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>24162024</BOYAmt>
        <EOYAmt>28162774</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>5572789</BOYAmt>
        <EOYAmt>5448766</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>227642279</BOYAmt>
        <EOYAmt>217301297</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>376723680</BOYAmt>
        <EOYAmt>227139418</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>634100772</BOYAmt>
        <EOYAmt>478052255</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>496084116</BOYAmt>
        <EOYAmt>730170087</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>113819</BOYAmt>
        <EOYAmt>113819</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>496197935</BOYAmt>
        <EOYAmt>730283906</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1130298707</BOYAmt>
        <EOYAmt>1208336161</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>53903895</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>180182076</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>61356</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>61356</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>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, AND TO THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF WHICH PERTAINS TO LOBBYING ACTIVITIES CONDUCTED BY THAT ORGANIZATION. DUES PAID TO MICHIGAN HOSPITAL ASSOCIATION FOR 2021 AMOUNT TO $213,988. PER MICHIGAN HOSPITAL ASSOCIATION, 14.56% OF THEIR BUDGET SUPPORTS LOBBYING ACTIVITIES. TOTAL OF $31,157. DUES PAID TO AMERICAN HOSPITAL ASSOCIATION FOR 2021 AMOUNT TO $114,087. PER AMERICAN HOSPITAL ASSOCIATION, 26.47% OF THEIR BUDGET SUPPORTS LOBBYING ACTIVITIES. TOTAL OF $30,199.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>50393337</BeginningYearBalanceAmt>
        <ContributionsAmt>545738</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>4310276</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>160872</OtherExpendituresAmt>
        <EndYearBalanceAmt>55088479</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>47359063</BeginningYearBalanceAmt>
        <ContributionsAmt>48310</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>3062418</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>76454</OtherExpendituresAmt>
        <EndYearBalanceAmt>50393337</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>43932435</BeginningYearBalanceAmt>
        <ContributionsAmt>867751</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>2643203</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>84326</OtherExpendituresAmt>
        <EndYearBalanceAmt>47359063</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>44432780</BeginningYearBalanceAmt>
        <ContributionsAmt>3610435</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-977328</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>74470</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>3058982</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>43932435</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>41749949</BeginningYearBalanceAmt>
        <ContributionsAmt>3898416</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>532473</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>1748058</OtherExpendituresAmt>
        <EndYearBalanceAmt>44432780</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.38660</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.41500</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.19840</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>1</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>1</RelatedOrgListSchRInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>9640275</OtherCostOrOtherBasisAmt>
        <BookValueAmt>9640275</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>658248305</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>553527566</DepreciationAmt>
        <BookValueAmt>104720739</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>17821259</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>15717874</DepreciationAmt>
        <BookValueAmt>2103385</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>373609574</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>331401510</DepreciationAmt>
        <BookValueAmt>42208064</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>213228452</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>65308766</DepreciationAmt>
        <BookValueAmt>147919686</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>306592149</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>CASH EQUIVALENT</Desc>
        <BookValueAmt>26118747</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>EQUITY</Desc>
        <BookValueAmt>58375832</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>AGENCY</Desc>
        <BookValueAmt>305027</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>ASSET BACKED</Desc>
        <BookValueAmt>5635428</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>CMO</Desc>
        <BookValueAmt>4044030</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>CORPORATE</Desc>
        <BookValueAmt>15076374</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>MORTGAGE PASS-THROUGH</Desc>
        <BookValueAmt>4782580</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>MUNICIPAL</Desc>
        <BookValueAmt>2095472</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>US TREASURY</Desc>
        <BookValueAmt>7586121</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>YANKEE</Desc>
        <BookValueAmt>4333999</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>COMMINGLED FUND</Desc>
        <BookValueAmt>215250736</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>HEDGE FUNDS</Desc>
        <BookValueAmt>100754149</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>REAL ESTATE</Desc>
        <BookValueAmt>10022229</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>PRIVATE CAPITAL</Desc>
        <BookValueAmt>78506979</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>MUTUAL FUND</Desc>
        <BookValueAmt>7307189</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>540194892</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>INSURANCE RECOVERABLES</Desc>
        <BookValueAmt>81350915</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AFFILIATES</Desc>
        <BookValueAmt>62438379</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ALL OTHER</Desc>
        <BookValueAmt>406595</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>144195889</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO THIRD PARTY PAYORS</Desc>
        <Amt>43929698</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CLAIMS LIABILITY</Desc>
        <Amt>111838619</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED PENSION</Desc>
        <Amt>41422922</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>INTERCOMPANY DEBT TO WILLIAM BEAUMONT HOSPITAL</Desc>
        <Amt>29467392</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ASSET RETIREMENT OBLIGATION</Desc>
        <Amt>480787</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>227139418</TotalLiabilityAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 1E:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RESTRICTED ASSETS THAT WERE RECEIVED AND MAINTAINED BY OAKWOOD HEALTHCARE, INC. HAVE BEEN TRANSFERRED TO BEAUMONT HEALTH FOUNDATION, A RELATED PARTY, AS PART OF THE CENTRALIZATION OF THE HEALTH SYSTEM'S ENDOWMENT INTO A SINGLE FOUNDATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INTENDED USE OF BEAUMONT HEALTH FOUNDATION'S ENDOWMENT FUNDS IS TO PROVIDE FUNDS TO SUPPORT THE MISSION AND VISION OF BEAUMONT HEALTH SYSTEM. BEAUMONT HEALTH FOUNDATION PROVIDES FUNDING FOR ONGOING CAPITAL AND OPERATIONAL NEEDS, COMMUNITY OUTREACH PROGRAMS, AND SCHOLARSHIPS AND EDUCATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <FinancialAssistancePolicyInd>1</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>1</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>1</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>1</FPGReferenceDiscountedCareInd>
      <Percent300Ind>X</Percent300Ind>
      <FreeCareMedicallyIndigentInd>1</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>1</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>0</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>1</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>1</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>7540860</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>7540860</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00580</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>314218505</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>247316261</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>66902244</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.05180</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <UnreimbursedCostsGrp>
        <TotalCommunityBenefitExpnsAmt>0</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
      </UnreimbursedCostsGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>321759365</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>247316261</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>74443104</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.05760</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>3807824</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>3807824</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00290</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>45677699</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>24648915</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>21028784</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01630</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>25892567</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>4278435</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>21614132</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01670</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <ResearchGrp>
        <TotalCommunityBenefitExpnsAmt>1047311</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>300675</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>746636</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00060</TotalExpensePct>
      </ResearchGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>365009</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>365009</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00030</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>76790410</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>29228025</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>47562385</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03680</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>398549775</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>276544286</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>122005489</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.09440</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>1</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>82337000</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>0</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>474225839</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>501783354</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-27557515</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>1 OAKWOOD ACCOUNTABLE CARE ORGANIZATION LLC</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>REDUCE HEALTHCARE COSTS AND MANAGE POPULATION WELL</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.49000</OrgProfitOrOwnershipPct>
        <OfcrEtcProfitOrOwnershipPct>0.00580</OfcrEtcProfitOrOwnershipPct>
        <PhysiciansProfitOrOwnershipPct>0.50000</PhysiciansProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <HospitalFacilitiesCnt>4</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>BEAUMONT HOSPITAL DEARBORN</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>18101 OAKWOOD BLVD</AddressLine1Txt>
          <CityNm>DEARBORN</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>481244089</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.BEAUMONT.ORG</WebsiteAddressTxt>
        <StateLicenseNum>L2280773</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <ResearchFacilityInd>X</ResearchFacilityInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>2</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>BEAUMONT HOSPITAL TRENTON</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>5450 FORT STREET</AddressLine1Txt>
          <CityNm>TRENTON</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>481834625</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.BEAUMONT.ORG</WebsiteAddressTxt>
        <StateLicenseNum>L2307184</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>3</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>BEAUMONT HOSPITAL TAYLOR</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>10000 TELEGRAPH</AddressLine1Txt>
          <CityNm>TAYLOR</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>481803349</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.BEAUMONT.ORG</WebsiteAddressTxt>
        <StateLicenseNum>L2558464</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>4</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>BEAUMONT HOSPITAL WAYNE</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>33155 ANNAPOLIS</AddressLine1Txt>
          <CityNm>WAYNE</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>481842493</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.BEAUMONT.ORG</WebsiteAddressTxt>
        <StateLicenseNum>L2554579</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>FACILITY REPORTING GROUP - A</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>19</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>1</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>0</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE PART V, SECTION C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>19</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V, SECTION C</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>300.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>HTTPS://WWW.BEAUMONT.ORG/PATIENTS-FAMILIES/BILLING/FINANCIAL-ASSISTANCE</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>HTTPS://WWW.BEAUMONT.ORG/PATIENTS-FAMILIES/BILLING/FINANCIAL-ASSISTANCE</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>HTTPS://WWW.BEAUMONT.ORG/PATIENTS-FAMILIES/BILLING/FINANCIAL-ASSISTANCE</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B</FormAndLineReferenceDesc>
        <ExplanationTxt>FACILITY REPORTING GROUP A</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY REPORTING GROUP A CONSISTS OF:</FormAndLineReferenceDesc>
        <ExplanationTxt>- FACILITY 1: BEAUMONT HOSPITAL, DEARBORN, - FACILITY 2: BEAUMONT HOSPITAL, TRENTON, - FACILITY 3: BEAUMONT HOSPITAL, TAYLOR, - FACILITY 4: BEAUMONT HOSPITAL, WAYNE</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 1 -- BEAUMONT HOSPITAL, DEARBORN PART V, SECTION B, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 1 -- BEAUMONT HOSPITAL, DEARBORN PART V, SECTION B, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>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).</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 1 -- BEAUMONT HOSPITAL, DEARBORN PART V, SECTION B, LINE 7D:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 2 -- BEAUMONT HOSPITAL, TRENTON PART V, SECTION B, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 2 -- BEAUMONT HOSPITAL, TRENTON PART V, SECTION B, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>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).</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 2 -- BEAUMONT HOSPITAL, TRENTON PART V, SECTION B, LINE 7D:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 2 -- BEAUMONT HOSPITAL, TRENTON PART V, SECTION B, LINE 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BEAUMONT HOSPITAL TRENTON 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 MANAGEMENTBEAUMONT HEALTH STAFF IMPLEMENTS SEVERAL PROGRAMS TO SUPPORT CHRONIC DISEASE PREVENTION AND MANAGEMENT OF LIFESTYLE RISK FACTORS. TO BEST ADDRESS THE CONDITIONS, BEHAVIORS, AND SOCIOECONOMIC AND ENVIRONMENTAL FACTORS THAT DRIVE HEALTH, BEAUMONT HEALTHY TRENTON COMBINED WITH TRENTON TRAIL TOWN, A MULTI-SECTOR COALITION THAT CURRENTLY HAS 15 INDIVIDUALS PARTICIPATING TO PROMOTE HEALTHY EATING AND ACTIVE LIVING TO ADDRESS CARDIOVASCULAR DISEASE, DIABETES, AND OBESITY. COALITION MEMBERS INCLUDE LOCAL GOVERNMENT LEADERSHIP, COMMUNITY RESIDENTS, THE LOCAL SCHOOL SYSTEM, BUSINESSES, NONPROFIT ORGANIZATIONS, FAITH-BASED ORGANIZATIONS, MEDICAL PROVIDERS, INSURANCE PROVIDERS, AND THOSE REPRESENTING CHRONIC DISEASE ORGANIZATIONS. BEAUMONT PROVIDES "BACKBONE SUPPORT" TO THIS COALITION - PROVIDING STAFF, CONSULTANTS, AND ACCESS TO A WIDE RANGE OF RESOURCES INCLUDING EVIDENCE-BASED PROGRAMMING AND DATA COLLECTION.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 TRENTON. 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 BASIC OF HYPERTENSION, STRESS MANAGEMENT, 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 TRENTON. 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.IN 2021 200 INDIVIDUALS PARTICIPATED IN NUTRITION EDUCATION.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. THREE MEMBERS WERE HIRED TO PROVIDE SUPPORT FOR BEAUMONT TRENTON, TAYLOR, AND WAYNE 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/FIND HELP 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 TRENTON AND LOCAL LAW ENFORCEMENT AGENCIES HOSTED A MEDICATION DROP OFF DAY IN OCTOBER 2021 FOR UNUSED OR EXPIRED MEDICATION. A TOTAL OF 10.7 POUNDS OF MEDICATION WAS COLLECTED.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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 3 -- BEAUMONT HOSPITAL, TAYLOR PART V, SECTION B, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 3 -- BEAUMONT HOSPITAL, TAYLOR PART V, SECTION B, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>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).</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 3 -- BEAUMONT HOSPITAL, TAYLOR PART V, SECTION B, LINE 7D:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 3 -- BEAUMONT HOSPITAL, TAYLOR PART V, SECTION B, LINE 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BEAUMONT HOSPITAL TAYLOR 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. 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 TAYLOR. 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 BASIC OF HYPERTENSION, STRESS MANAGEMENT, 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 TAYLOR. 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. THREE MEMBERS WERE HIRED TO PROVIDE SUPPORT FOR BEAUMONT TRENTON, TAYLOR, AND WAYNE 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/FIND HELP 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 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.BEAUMONT CHILD AND ADOLESCENT HEALTH CENTERS/TEEN HEALTH CENTERS PROMOTE THE HEALTH OF CHILDREN, ADOLESCENTS, AND THEIR FAMILIES BY PROVIDING IMPORTANT PRIMARY, PREVENTATIVE, AND EARLY INTERVENTION HEALTH CARE SERVICES. SERVICES PROVIDED THROUGH THE CHILD AND ADOLESCENT HEALTH CENTER PROGRAMS ARE DESIGNED SPECIFICALLY FOR CHILDREN AND ADOLESCENTS AGES 5 THROUGH 21 AND ARE AIMED AT ACHIEVING THE BEST POSSIBLE PHYSICAL, INTELLECTUAL, AND EMOTIONAL HEALTH STATUS. EXAMPLES OF MENTAL HEALTH PROGRAMS OFFERED TO THE TAYLOR COMMUNITY BY THE ADOLESCENT HEALTH CENTERS INCLUDE VIRTUAL AND IN-PERSON SOCIAL WORKER MENTAL HEALTH VISITS TO OVER 4,000 STUDENTS.A SIX-WEEK SUMMER ARTS &amp; PREVENTION ACADEMY ON SUBSTANCE ABUSE -RELATED PRESSURES, PROBLEMS, AND REFUSAL SKILLS TO TAYLOR ELEMENTARY AND MIDDLE AND HIGH SCHOOL STUDENTS, USING DIFFERENT ART MODALITIES (FINE ART, DANCE, DRAMA, AND MUSIC). TAYLOR SUMMER ARTS &amp; PREVENTION ACADEMY WAS HELD IN PERSON WITH A VIRTUAL OPTION IN 2021 REACHING 55 HIGH RISK YOUTH.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 4 -- BEAUMONT HOSPITAL, WAYNE PART V, SECTION B, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 4 -- BEAUMONT HOSPITAL, WAYNE PART V, SECTION B, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>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).</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 4 -- BEAUMONT HOSPITAL, WAYNE PART V, SECTION B, LINE 7D:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 4 -- BEAUMONT HOSPITAL, WAYNE PART V, SECTION B, LINE 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BEAUMONT HOSPITAL WAYNE 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. TO BEST ADDRESS THE CONDITIONS, BEHAVIORS, AND SOCIOECONOMIC AND ENVIRONMENTAL FACTORS THAT DRIVE HEALTH, BEAUMONT HOSPITAL WAYNE LED HEALTHY WAYNE AND WESTLAND MULTI-SECTOR COALITION THAT WITH 15 INDIVIDUALS ADDRESSING CHRONIC DISEASE MANAGEMENT AND MENTAL HEALTH. COALITION MEMBERS INCLUDE LOCAL GOVERNMENT LEADERSHIP, COMMUNITY RESIDENTS, THE LOCAL SCHOOL SYSTEM, NONPROFIT ORGANIZATIONS, FAITH-BASED ORGANIZATIONS, MEDICAL PROVIDERS, INSURANCE PROVIDERS, AND THOSE REPRESENTING CHRONIC DISEASE ORGANIZATIONS. BEAUMONT PROVIDES BACKBONE SUPPORT TO THIS COALITION - PROVIDING STAFF, CONSULTANTS, AND ACCESS TO A WIDE RANGE OF RESOURCES INCLUDING EVIDENCE-BASED PROGRAMMING AND DATA COLLECTION.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 WAYNE. 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 BASIC OF HYPERTENSION, STRESS MANAGEMENT, 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 WAYNE. 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. THREE MEMBERS WERE HIRED TO PROVIDE SUPPORT FOR BEAUMONT TRENTON, TAYLOR, AND WAYNE 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/FIND HELP 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 HEALTH BEAUMONT HOSPITAL WAYNE AND LOCAL LAW ENFORCEMENT AGENCIES HOSTED A MEDICATION DROP OFF DAY IN OCTOBER 2021 FOR UNUSED OR EXPIRED MEDICATION. A TOTAL OF 7.5 POUNDS OF MEDICATION WAS COLLECTED.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.ADAMS MIDDLE SCHOOL SAW 5,836 STUDENTS FOR PRIMARY AND OUTREACH SERVICES IN 2021. ROMULUS MIDDLE &amp; HIGH SCHOOL SAW COMBINED 13,170 STUDENTS FOR PRIMARY CARE AND OUTREACH WORK IN 2021. WESTWOOD MIDDLE SCHOOL &amp; ANNAPOLIS HS SAW 2,611 STUDENTS FOR MENTAL HEALTH, PRIMARY AND OUTREACH SERVICES IN 2021. THE TEEN CENTER (WAYNE MEMORIAL) ALSO SAW OVER 100 STUDENTS FOR PREGNANCY PREVENTION.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINES 7 &amp; 10:</FormAndLineReferenceDesc>
        <ExplanationTxt>BEAUMONT HOSPITAL, DEARBORN'S 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-ASSESSMENTBEAUMONT HOSPITAL, TRENTON'S 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-ASSESSMENTBEAUMONT HOSPITAL, WAYNE'S 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-ASSESSMENTBEAUMONT HOSPITAL, TAYLOR'S 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</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINES 16A, B, &amp; C</FormAndLineReferenceDesc>
        <ExplanationTxt>BEAUMONT HOSPITAL, DEARBORN'S FAP, FAP APPLICATION FORM AND PLAIN LANGUAGE SUMMARY OF THE FAP CAN BE FOUND AT THE FOLLOWING URL ON THE HOSPITAL SYSTEM'S WEBSITE:HTTPS://WWW.BEAUMONT.ORG/PATIENTS-FAMILIES/BILLING/FINANCIAL-ASSISTANCEBEAUMONT HOSPITAL, TRENTON'S FAP, FAP APPLICATION FORM AND PLAIN LANGUAGE SUMMARY OF THE FAP CAN BE FOUND AT THE FOLLOWING URL ON THE HOSPITAL SYSTEM'S WEBSITE:HTTPS://WWW.BEAUMONT.ORG/PATIENTS-FAMILIES/BILLING/FINANCIAL-ASSISTANCEBEAUMONT HOSPITAL, WAYNE'S FAP, FAP APPLICATION FORM AND PLAIN LANGUAGE SUMMARY OF THE FAP CAN BE FOUND AT THE FOLLOWING URL ON THE HOSPITAL SYSTEM'S WEBSITE:HTTPS://WWW.BEAUMONT.ORG/PATIENTS-FAMILIES/BILLING/FINANCIAL-ASSISTANCEBEAUMONT HOSPITAL, TAYLOR'S FAP, FAP APPLICATION FORM AND PLAIN LANGUAGE SUMMARY OF THE FAP CAN BE FOUND AT THE FOLLOWING URL ON THE HOSPITAL SYSTEM'S WEBSITE:HTTPS://WWW.BEAUMONT.ORG/PATIENTS-FAMILIES/BILLING/FINANCIAL-ASSISTANCE</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY GROUP A, FACILITY 1 BEAUMONT HOSPITAL DEARBORN</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11 THE BEAUMONT HOSPITAL DEARBORN 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. TO BEST ADDRESS THE CONDITIONS, BEHAVIORS, AND SOCIOECONOMIC AND ENVIRONMENTAL FACTORS THAT DRIVE HEALTH, BEAUMONT DEARBORN LEADS A MULTI-SECTOR COALITION, HEALTHY DEARBORN, TO PROMOTE HEALTHY EATING AND ACTIVE LIVING TO ADDRESS CARDIOVASCULAR DISEASE, DIABETES, AND OBESITY. COALITION MEMBERS INCLUDE BEAUMONT DEARBORN, DEARBORN PUBLIC SCHOOLS, NONPROFITS, ACADEMIA, AND COMMUNITY MEMBERS. BEAUMONT PROVIDES "BACKBONE SUPPORT" TO THIS COALITION - PROVIDING STAFF, CONSULTANTS, AND ACCESS TO A WIDE RANGE OF RESOURCES INCLUDING EVIDENCE-BASED PROGRAMMING AND DATA COLLECTION. THE COALITION MAINTAINS FIVE ACTIVE WORKGROUPS.BEAUMONT DEARBORN STAFF PROVIDED EDUCATION ON CARDIOVASCULAR HEALTH TO COMMUNITY GROUPS THROUGH THE BEAUMONT SPEAKERS BUREAU AND AT ADDITIONAL EVENTS THROUGHOUT THE DEARBORN SERVICE AREA. HEALTH PROFESSIONALS PROVIDED A TOTAL OF 12 HOURS OF HEALTH-RELATED INFORMATION ON CHRONIC DISEASE MANAGEMENT AND OTHER PREVENTION TOPICS EDUCATION WAS PROVIDED TO 640 ATTENDEES.ACTIVITIES OF BEAUMONT HEALTHY DEARBORN IN 2021 INCLUDED A WEEKLY "WALK 'N ROLL" WALKING AND BICYCLING PROGRAM WITH 59 WALKERS AND 525 BICYCLISTS MAY THROUGH OCTOBER. ADDITIONALLY, HEALTHY DEARBORN DIRECTED THE CITY OF DEARBORN'S MULTIMODAL TRANSPORTATION PLAN (MMTP) TO IMPROVE CONNECTIVITY OF PEOPLE AND RESOURCES THROUGHOUT THE CITY. THE MMTP SUPPORTED THE LAUNCH OF A SHARED STREETS FOR COMMUNITY PILOT. THIS PILOT REDUCED SPEED LIMITS ON FOUR DEARBORN STREETS. IN SEPTEMBER 2021, THE SAFE ROUTES TO SCHOOL'S PROGRAM LAUNCHED THROUGH HEALTHY DEARBORN. 8,387 DEARBORN STUDENTS HAVE PARTICIPATED IN THE SRTS PROGRAM ACROSS 10 ELEMENTARY SCHOOLS. ADDITIONALLY, 2 BIKES WERE AWARDED TO STUDENTS, 4 BIKE RACKS WERE INSTALLED AT SCHOOLS, AND HUNDREDS OF WATER BOTTLES AND T-SHIRTS WERE AWARDED TO STUDENTS FOR PARTICIPATING. BEAUMONT HOSPITAL DEARBORN SPONSORS THE DEARBORN FARMERS MARKET, PROVIDING ACCESS TO FRESH FRUITS AND VEGETABLES TO THE COMMUNITY. BEAUMONT PROVIDED STAFF SUPPORT, MARKETING AND OUTREACH FOR THE MARKET. IN 2021, HEALTHY DEARBORN PARTNERED WITH GLEANERS, THE CITY OF DEARBORN, UNIVERSITY OF MICHIGAN-DEARBORN AND DEARBORN COMMUNITY LIBRARY TO DISTRIBUTE 16 POUNDS OF SEEDS FOR DEARBORN RESIDENTS TO GROW GARDENS. FORMALLY KNOWN AS THE "SEED LIBRARY", HEALTHY DEARBORN PROVIDED MONTHLY VIRTUAL GARDENING LESSONS FROM MAY TO OCTOBER. ALL PARTICIPANTS WERE PROVIDED WITH ADDITIONAL GARDENING INFORMATION AND HEALTHY RECIPE IDEAS. HEALTHY DEARBORN RECEIVED A MICHIGAN HEALTH ENDOWMENT FUND GRANT TO CREATE ACCESSIBLE OPPORTUNITIES FOR DEARBORN YOUTH WITH COGNITIVE AND DEVELOPMENTAL DISABILITIES TO PARTICIPATE IN SPORTS AND/OR GROUP PHYSICAL ACTIVITY PROGRAMS. BEAUMONT HEALTH PROVIDED STAFF TO HELP FACILITATE THE PROJECT, GRANT WRITING ASSISTANCE AND MANAGEMENT OF THE INITIATIVE (PROGRAM FOR INCLUSIVE PHYSICAL EXERCISE AND RECREATION STRATEGIES ((PIPERS)). IN 2021, PIPERS SUSTAINED ATTITUDINAL AND BEHAVIORAL HEALTH CHANGES AMONG DEARBORN YOUTH WITH PHYSICAL, COGNITIVE, AND LEARNING DISABILITIES AGED 5-18 YEARS BY IMPLEMENTING AN ACCESSIBLE ADAPTED SPORTS PROGRAM. 48 FAMILIES AND 25 YOUTH WITH DISABILITIES PARTICIPATED IN THE FALL T-BALL AND WERE COACHED BY 12 TRAINED PARENT-COACHES ASSISTING WITH PROGRAM ACTIVITIES. PIPERS PROVIDED 11 PRESENTATIONS THROUGHOUT THE YEAR TO CAREGIVERS AND DISABILITY ADVOCATES ENCOURAGING THEM TO MODEL AND REINFORCE PHYSICAL ACTIVITY BEHAVIORS FOR IMPROVED FITNESS AND WELLNESS. 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 DEARBORN. 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 BASIC OF HYPERTENSION, STRESS MANAGEMENT, 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 DEARBORN. 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 DEARBORN 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/FIND HELP 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</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY GROUP A, FACILITY 1 BEAUMONT HOSPITAL DEARBORN</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11 (CONTINUATION)PRIORITY 2: MENTAL HEALTHBEAUMONT 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.BEAUMONT HOSPITAL DEARBORN PROVIDES PHYSICAL AND MENTAL HEALTH SERVICES TO YOUTH IN THE COMMUNITY AT THE TAYLOR RIVER ROUGE TEEN HEALTH CENTERS AND THROUGH A WELLNESS PROGRAM AT TRUMAN HIGH SCHOOL. AT TAYLOR TEEN HEALTH CENTER, 18,141 STUDENTS RECEIVED SERVICES, 7,593 STUDENTS AT RIVER ROUGE TEEN HEALTH CENTER, AND AT TRUMAN HIGH SCHOOL 4,962 STUDENTS RECEIVED SERVICES (PRIMARY CARE AND/OR BEHAVIORAL HEALTH SERVICES). MENTAL AND BEHAVIORAL HEALTH EDUCATION PROGRAMMING WAS PROVIDED TO 7,206 STUDENTS. TAKING PRIDE IN PREVENTION PROGRAMMING WAS PROVIDED TO 2,392 STUDENTS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>42</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - BEAUMONT MEDICAL PARK-DEARBORN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>18100 OAKWOOD BOULEVARD</AddressLine1Txt>
            <CityNm>DEARBORN</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481244085</ZIPCd>
          </USAddress>
          <FacilityTxt>ASC/ GENERAL MEDICAL</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - INTERNAL MEDICINE RESIDENT-MIDWEST DBRN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4700 SCHAEFER ROAD</AddressLine1Txt>
            <CityNm>DEARBORN</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481263698</ZIPCd>
          </USAddress>
          <FacilityTxt>ASC/ GENERAL MEDICAL</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - BEAUMONT COMMONS-DEARBORN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>16351 AND 16391 ROTUNDA DRIVE</AddressLine1Txt>
            <CityNm>DEARBORN</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48120</ZIPCd>
          </USAddress>
          <FacilityTxt>ASSISTED LIVING, SKILLED NURSING FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - BEAUMONT MEDICAL CENTER-SOUTHGATE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>15777 NORTHLINE ROAD</AddressLine1Txt>
            <CityNm>SOUTHGATE</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481952385</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - BEAUMONT MEDICAL CENTER-CANTON</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7300 AND 7330 NORTH CANTON CENTER</AddressLine1Txt>
            <AddressLine2Txt>ROAD</AddressLine2Txt>
            <CityNm>CANTON</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48187</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - BEAUMONT MEDICAL CENTER-DEARBORN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>17000 HUBBARD DRIVE</AddressLine1Txt>
            <CityNm>DEARBORN</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481264258</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - BEAUMONT MEDICAL CENTER-WESTLAND</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2001 SOUTH MERRIMAN ROAD</AddressLine1Txt>
            <CityNm>WESTLAND</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481865539</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>8 - BEAUMONT MEDICAL BLDG-WAYNE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>33000 ANNAPOLIS STREET</AddressLine1Txt>
            <CityNm>WAYNE</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481842917</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>9 - BEAUMONT HEART &amp; VASCULAR-DEARBORN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>22060 BEECH STREET</AddressLine1Txt>
            <CityNm>DEARBORN</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481242847</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>10 - BEAUMONT MEDICAL SERV-DEARBORN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4900 MERCURY DRIVE</AddressLine1Txt>
            <CityNm>DEARBORN</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481262947</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>11 - BEAUMONT MEDICAL BUILDING-WYANDOTTE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1700 BIDDLE AVENUE</AddressLine1Txt>
            <CityNm>WYANDOTTE</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481927205</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>12 - BEAUMONT MEDICAL CENTER-BELLEVILLE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>201 3RD STREET</AddressLine1Txt>
            <CityNm>BELLEVILLE</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481112605</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>13 - BEAUMONT WEIGHT CONTROL CENTER-CANTON</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6300 NORTH HAGGERTY ROAD</AddressLine1Txt>
            <CityNm>CANTON</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481874472</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>14 - BEAUMONT MEDICAL BLDG-DEARBORN WEST</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>25045 FORD ROAD</AddressLine1Txt>
            <CityNm>DEARBORN</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481281088</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>15 - BEAUMONT MEDICAL CENTER-GARDEN CITY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>29150 FORD ROAD</AddressLine1Txt>
            <CityNm>GARDEN CITY</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481352848</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>16 - BEAUMONT IMAGING CENTER-CANTON</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2050 NORTH HAGGERTY ROAD</AddressLine1Txt>
            <CityNm>CANTON</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481873795</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>17 - BEAUMONT BLANZY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>14319 DIX TOLEDO ROAD</AddressLine1Txt>
            <CityNm>SOUTHGATE</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481952592</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>18 - BEAUMONT ATHENS CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>15100 SOUTH PLAZA DRIVE</AddressLine1Txt>
            <CityNm>TAYLOR</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481805203</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>19 - MIDWEST TAYLOR</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>8790 TELEGRAPH ROAD</AddressLine1Txt>
            <CityNm>TAYLOR</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481802491</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>20 - BEAUMONT FAMILY MEDICINE-NEWPORT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3132 NEWPORT ROAD</AddressLine1Txt>
            <CityNm>NEWPORT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481666100</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>21 - BEAUMONT OBGYN WEST</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2142 MONROE STREET</AddressLine1Txt>
            <CityNm>DEARBORN</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481243057</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>22 - BEAUMONT PHYSICAL THERAPY-CANTON</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4121 SOUTH CANTON CENTER ROAD</AddressLine1Txt>
            <CityNm>CANTON</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481882489</ZIPCd>
          </USAddress>
          <FacilityTxt>REHAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>23 - BEAUMONT EVERINGHAM FAMILY MEDICINE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>12100 SOUTH HURON RIVER DRIVE</AddressLine1Txt>
            <CityNm>ROMULUS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481741119</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>24 - BEAUMONT SLEEP APNEA CENTER-RIVERVIEW</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>14031 PENNSYLVANIA ROAD</AddressLine1Txt>
            <CityNm>RIVERVIEW</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48193</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>25 - BEAUMONT FAMILY MEDICINE CTR-TAYLOR</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9340 TELEGRAPH ROAD</AddressLine1Txt>
            <CityNm>TAYLOR</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481803362</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>26 - BEAUMONT PHYSICAL THERAPY-TAYLOR</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>8850 TELEGRAPH ROAD</AddressLine1Txt>
            <CityNm>TAYLOR</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481802316</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>27 - BEAUMONT SLEEP APNEA CENTER-CANTON</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>42180 FORD ROAD</AddressLine1Txt>
            <CityNm>CANTON</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481873673</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>28 - BEAUMONT IMAGING CENTER-TRENTON</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1676 FORT STREET</AddressLine1Txt>
            <CityNm>TRENTON</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481832003</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>29 - BEAUMONT MEDICAL CENTER-BROWNSTOWN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>19725 ALLEN ROAD</AddressLine1Txt>
            <CityNm>BROWNSTOWN TWP</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481831090</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>30 - BEAUMONT BREAST CARE CENTER-WAYNE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4491 VENOY ROAD</AddressLine1Txt>
            <CityNm>WAYNE</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481842530</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>31 - BEAUMONT LAB-HAMLET</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1331 MONROE STREET</AddressLine1Txt>
            <CityNm>DEARBORN</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481242888</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>32 - BEAUMONT TEEN HEALTH CENTER-WESTWOOD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>25912 ANNAPOLIS STREET</AddressLine1Txt>
            <CityNm>INKSTER</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481413201</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>33 - BEAUMONT GERIATRIC CTR-HENRY FORD VILL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>15101 FORD ROAD</AddressLine1Txt>
            <CityNm>DEARBORN</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481264611</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>34 - BEAUMONT ALLIED MEDICAL GROUP</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>35180 NANKIN BOULEVARD</AddressLine1Txt>
            <CityNm>WESTLAND</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481852092</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>35 - BEAUMONT TEEN HEALTH CTR-ROMULUS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9650 WAYNE ROAD</AddressLine1Txt>
            <CityNm>ROMULUS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481741500</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>36 - ADULT MEDICAL CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>35330 NANKIN BOULEVARD</AddressLine1Txt>
            <CityNm>WESTLAND</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481857223</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>37 - BEAUMONT TEEN HEALTH CENTER-RIVER ROUGE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1460 COOLIDGE HIGHWAY</AddressLine1Txt>
            <CityNm>RIVER ROUGE</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>482181118</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL &amp; NON-MEDICAL</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>38 - PATIENT SERVICES CENTER-ALLEN PARK</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>15101 SOUTHFIELD ROAD</AddressLine1Txt>
            <CityNm>ALLEN PARK</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481012697</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>39 - BEAUMONT MAIN STREET INT MED-WOODHAVEN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>25000 HALL ROAD</AddressLine1Txt>
            <CityNm>WOODHAVEN</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481835112</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>40 - BEAUMONT SCHOOL WELLNESS PROGRAM-TRUMAN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>11211 BEECH DALY ROAD</AddressLine1Txt>
            <CityNm>TAYLOR</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481803942</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>41 - BEAUMONT CHILD &amp; ADOLESCENT HEALTH CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>33475 PALMER ROAD</AddressLine1Txt>
            <CityNm>WESTLAND</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481864614</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL/ PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>42 - BEAUMONT CHILDRENS CENTER-DEARBORN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>18501 ROTUNDA DRIVE</AddressLine1Txt>
            <CityNm>DEARBORN</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481243882</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL MEDICAL &amp; NON-MEDICAL</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>OAKWOOD HEALTHCARE, INC. 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, OAKWOOD HEALTHCARE, INC. USES ASSET LEVEL AND RESIDENCY TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>BEAUMONT HEALTH - 46-5718220</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>OAKWOOD HEALTHCARE, INC. CALCULATED THE COST OF CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2 "RATIO OF PATIENT CARE COST-TO-CHARGES". OTHER BENEFIT AMOUNTS REPORTED ON LINE 7 WERE CALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM, AN INDIRECT COST ALLOCATION FACTOR FOR SHARED SERVICES IS ALSO CALCULATED AND INCLUDED IN APPLICABLE PROGRAMS LISTED IN OTHER BENEFITS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE PAGES 11-14 OF THE AUDITED FINANCIAL STATEMENTS FOR YEAR-END 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.THE ORGANIZATION TREATS ITS MEDICARE SHORTFALL AS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: 1) SINCE THERE IS AN EXCESS OF EXPENSES OVER MEDICARE REIMBURSEMENT THE HOSPITAL MUST COVER THE SHORTFALL, AS A RESULT THE AMOUNT NEEDED TO COVER THE SHORTFALL IS NOT AVAILABLE FOR OTHER CHARITY CARE AND COMMUNITY BENEFIT SERVICES; 2) A SIGNIFICANT PORTION OF SERVICES PROVIDED TO MEDICARE BENEFICIARIES WOULD LIKELY QUALIFY FOR CHARITY CARE ABSENT INSURANCE COVERAGE UNDER THE MEDICARE PROGRAM; AND 3) THE PROVISION UNDER COMPENSATED PATIENT CARE TO MEDICARE BENEFICIARIES POSITIVELY IMPACTS THE HEALTH OF THE MICHIGAN COMMUNITY IN WHICH WE SERVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 MAY BE 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, BEAUMONT HEALTH, THE SOLE MEMBER OF OAKWOOD HEALTHCARE, INC., 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>BEAUMONT HEALTH'S (BEAUMONT'S), THE SOLE MEMBER OF OAKWOOD HEALTHCARE, INC., MISSION IS TO PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES TO ALL 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 UNDER INSURED PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND CHARITY CARE FOR HEALTH CARE SERVICES THROUGHOUT THE COURSE OF THEIR TREATMENT AND BEYOND. THEREFORE, WHEN A PATIENT SCHEDULES OR REGISTERS FOR AN APPOINTMENT OR PRESENTS THEMSELVES FOR CARE AT A BEAUMONT FACILITY, ALL UNINSURED INDIVIDUALS ARE APPRAISED OF OPTIONS AVAILABLE FOR GOVERNMENT MEDICAL COVERAGE, THE AVAILABILITY OF FINANCIAL ASSISTANCE, NO-INTEREST PAYMENT PLANS AND THE EXISTENCE OF CHARITY CARE IN A NUMBER OF WAYS. INTERPRETATIVE SERVICES ARE ALSO MADE AVAILABLE FOR ANY PATIENT FOR WHOM ENGLISH IS A SECOND LANGUAGE, INFORMATION MADE AVAILABLE TO PATIENTS INCLUDES:- INFORMATION AND AN APPLICATION FROM THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES (DHS) RELATED TO MEDICAID.- ACCESS TO AN ONLINE APPLICATION SERVICE WITH THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH.- PAMPHLETS IN PATIENT WAITING AREAS IN VARIOUS LOCATIONS DESCRIBING THE AVAILABILITY OF FREE OR DISCOUNTED CARE FOR THE UNINSURED AND UNDER INSURED.- 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>BEAUMONT HOSPITAL DEARBORN IS DEFINED AS THE CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF INPATIENT DISCHARGES. THE AREAS SERVED INCLUDE OAKLAND, MACOMB AND WAYNE COUNTIES. THE POPULATION IN THE COMMUNITIES SERVED BY BEAUMONT DEARBORN IS EXPECTED TO DECREASE BY 1.7 PERCENT OVER THE NEXT FIVE YEARS. THE DECREASE WILL IMPACT ALL CITIES EXCEPT ROMULUS, FLAT ROCK, AND NEW BOSTON WHICH EXPECT SMALL INCREASES. THE AGE COMPOSITION OF DEARBORN IS REPRESENTATIVE OF THAT IN THE STATE OF MICHIGAN AND THE COUNTY. THE COHORT AGED 65 YEARS AND OLDER MAKES UP THE SMALLEST SEGMENT OF THE POPULATION (16.2 PERCENT) BUT IS EXPECTED TO EXPERIENCE THE MOST GROWTH OVER THE NEXT FIVE YEARS. THIS AGE GROUP IS EXPECTED TO INCREASE 12.7 PERCENT WHILE THE OTHER AGE GROUPS ARE EXPECTED TO DECREASE 3 TO 6 PERCENT. THE COMMUNITY IS PRIMARILY WHITE (71.7 PERCENT) AND BLACK (18.3 PERCENT). THE CITY OF DEARBORN ALSO HAS THE HIGHEST PROPORTION OF ARAB AMERICANS IN THE COUNTRY. PERSONS OF ARAB ANCESTRY MAKE UP 8.5 PERCENT OF THE BEAUMONT DEARBORN POPULATION. THE ARAB POPULATION IS MOST HIGHLY CONCENTRATED IN DEARBORN (ZIP CODES 48126 AND 48120) AND DEARBORN HEIGHTS (ZIP CODE 48127), WITH MORE THAN 76 PERCENT OF THE ARAB POPULATION RESIDING IN THESE THREE ZIP CODES. THE COMMUNITY IS EXPECTED TO BECOME INCREASINGLY DIVERSE OVER THE NEXT FIVE YEARS.BEAUMONT HOSPITAL TRENTON IS DEFINED AS THE CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF INPATIENT DISCHARGES. IN THE NEXT FIVE YEARS, BEAUMONT TRENTON'S POPULATION IS EXPECTED TO DECREASE BY 0.1 PERCENT. ROMULUS, FLAT ROCK, ROCKWOOD, NEWPORT, AND NEW BOSTON ARE EXPECTED TO GROW SLIGHTLY. THE AGE COMPOSITION OF THE COMMUNITY IS SIMILAR TO THE STATE OF MICHIGAN AND THE COUNTRY. THE COHORT AGED 65+ MAKES UP THE SMALLEST SEGMENT OF THE POPULATION (19.7 PERCENT) BUT IS THE ONLY AGE GROUP EXPECTED TO GROW OVER THE NEXT FIVE YEARS. THIS GROUP IS EXPECTED TO INCREASE BY 16.1 PERCENT WHILE THE OTHER AGE GROUPS ARE EXPECTED TO DECREASE 7 PERCENT OR LESS. BEAUMONT TRENTON HAS A MUCH HIGHER CONCENTRATION OF WHITES COMPARED TO STATE AND NATIONAL LEVELS, AS WELL AS OTHER AREAS IN THE OVERALL BEAUMONT COMMUNITY. BEAUMONT TRENTON'S POPULATION IS 86.1 PERCENT WHITE, HOWEVER, THIS NUMBER IS EXPECTED TO DECREASE SLIGHTLY IN THE UPCOMING YEARS. THE OTHER, ASIAN PACIFIC ISLANDER AND THE MULTIRACIAL GROUPS WILL EXPERIENCE SLIGHT GROWTH BY 2023.BEAUMONT HOSPITAL WAYNE IS DEFINED AS THE CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF INPATIENT DISCHARGES. IN CONTRAST TO OTHER AREAS IN BEAUMONT'S OVERALL COMMUNITY, BEAUMONT WAYNE'S POPULATION WILL DECREASE LESS THAN 1 PERCENT OVER THE NEXT FIVE YEARS. THE COMMUNITY HAS A LOWER PERCENTAGE OF PEOPLE WHO ARE 65+ COMPARED TO THE STATE AND NATIONAL LEVELS, HOWEVER, THIS GROUP IS THE ONLY ONE WHICH IS EXPECTED TO GROW IN THE NEXT FIVE YEARS (+17.2 PERCENT). THE MAJORITY OF BEAUMONT WAYNE'S POPULATION IS WHITE (67.6 PERCENT). COMPARED TO THE STATE AND NATIONAL LEVERS AND OTHER BEAUMONT COMMUNITIES, THIS POPULATION IS MORE DIVERSE. TWENTY PERCENT OF BEAUMONT WAYNE'S POPULATION IS BLACK AND 7.5 PERCENT IS ASIAN PACIFIC ISLANDER. THE OTHER, ASISAN PACIFIC ISLANDER AND MULTIRACIAL COMMUNITIES IN WAYNE ARE PROJECTED TO INCREASE IN THE NEXT FIVE YEARS. BEAUMONT WAYNE IS LARGELY NON-HISPANIC WITH APPROXIMATELY 4 PERCENT OF THE COMMUNITY'S POPULATION BEING HISPANIC. THIS POPULATION IS EXPECTED TO GROW SLIGHTLY OVER THE NEXT FIVE YEARS.BEAUMONT HOSPITAL TAYLOR IS DEFINED AS THE CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF INPATIENT DISCHARGES. THE POPULATION SERVED BY BEAUMONT HOSPITAL TAYLOR IS PROJECTED TO DECREASE BY 1.2 PERCENT IN FIVE YEARS. LINCOLN PARK ZIP CODE 48146 AND TAYLOR ZIP CODE 48180 ARE THE TWO MOST POPULATED AREAS SERVED AND WILL EXPERIENCE THE GREATEST DECREASE IN POPULATION, WHILE FLAT ROCK, ROCKWOOD AND ROMULUS WILL INCREASE SLIGHTLY. THE 65 AND OLDER COHORT MAKES UP THE SMALLEST SEGMENT OF THE TAYLOR POPULATION (17.9 PERCENT); HOWEVER, IT IS THE ONLY AGE GROUP EXPECTED TO EXPERIENCE AN INCREASE IN THE NEXT FIVE YEARS. BEAUMONT TAYLOR'S POPULATION IS PRIMARILY WHITE (79.5 PERCENT) AND BLACK (12.9 PERCENT). THE COMMUNITY SERVED ALSO INCLUDES THE CITY OF DEARBORN, WHICH HAS THE HIGHEST CONCENTRATION OF ARAB AMERICANS IN THE COUNTRY. THE OVERALL RACIAL COMPOSITION OF THE COMMUNITY WILL REMAIN RELATIVELY STABLE OVER THE NEXT FIVE YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>OAKWOOD HEALTHCARE SYSTEM AND ITS EMPLOYEES, BOARD MEMBERS, PHYSICIANS, AND VOLUNTEERS ARE PROUD TO BE INVOLVED IN MAKING OUR COMMUNITY A HEALTHIER PLACE TO LIVE, WORK, AND PLAY. OUR GOVERNING AND ADVISORY BOARDS ARE COMPRISED OF BUSINESS, CIVIC, AND COMMUNITY LEADERS WHO WORK AND 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 STRUCTURES IN ALIGNMENT WITH THE ACA TO PROMOTE HEALTH IN THE COMMUNITIES AND ADDRESS THE IDENTIFIED HEALTH PRIORITIES IN THE COMMUNITY. OAKWOOD LAUNCHED A HEALTHY COMMUNITIES INITIATIVE IN PARTNERSHIP WITH THE CITIES AND SCHOOL DISTRICTS OF DEARBORN, TRENTON, TAYLOR, WAYNE, AND WESTLAND ALONG WITH A LEADERSHIP COALITION. TO SUPPORT THE WORK, COMMUNITY COALITIONS WERE FORMED THAT CONSIST OF OVER 600 COMMUNITY MEMBERS FROM VARIOUS SECTORS ALONG WITH COMMUNITY RESIDENTS. HEALTH COMMUNITIES IS AN INTEGRATED FRAMEWORK WHICH COORDINATES PRIMARY HEALTHCARE, PUBLIC HEALTH, AND COMMUNITY INTERVENTIONS. HEALTH COMMUNITIES ALSO EMPHASIZES A SHARED RESPONSIBILITY FOR COMMUNITY HEALTH WHILE ENCOURAGING RESIDENTS TO TAKE ACTIVE ROLES IN THEIR OWN HEALTH. THE COORDINATED COLLECTIVE APPROACH TAKEN BY EACH COALITION ALLOWS INDIVIDUAL MEMBERS TO HAVE A GREATER INFLUENCE ON THE HEALTH OF THEIR COMMUNITY THAN THEY WOULD ACHIEVE BY ACTING INDIVIDUALLY. PROGRAMS AND SERVICES ARE PROVIDED AT NO COST TO THE COMMUNITY AND INCLUDE AFTER SCHOOL NUTRITION AND PHYSICAL EDUCATION IN 23 AREA SCHOOLS. SOME INCLUDE: 1) A SCHOOL WELLNESS PROGRAM IN TAYLOR, AND 2) A SCHOOL-BASED HEALTH CLINIC IN WESTLAND, RIVER ROUGE, ROMULUS, TAYLOR, AND INKSTER. OTHER COMMUNITY BENEFIT PROGRAMS OFFERED INCLUDE COMMUNITY HEALTH SCREENINGS INCLUDING BLOOD PRESSURE, CHOLESTEROL, (TOTAL AND HDL) GLUCOSE TESTING, HEALTH EDUCATION, AND NUTRITIONAL SEMINARS. FITNESS PROGRAMS ARE OFFERED IN THE COMMUNITY FOR THOSE OF ALL AGES INCLUDING WALKING PROGRAMS AND A BIKE SHARING INITIATIVE WHICH WAS IMPLEMENTED IN THE DEARBORN COMMUNITY. COMMUNITY-BASED HEALTH INSURANCE ASSISTORS ARE AVAILABLE FOR ENROLLMENT SERVICES INTO THE HEALTH INSURANCE MARKETPLACE AND MEDICAID. DIABETES PREVENTION PROGRAMS, CHRONIC DISEASE MANAGEMENT, NUTRITION, AND HEALTHY COOKING CLASSES ARE ALSO CONDUCTED. GROCERY STORE TOURS ARE PROVIDED BY A REGISTERED DIETITIAN FOR NUTRITION EDUCATION. SMOKING CESSATION HOTLINE AND INFORMATION ARE PROVIDED TO ASSIST COMMUNITY MEMBERS IN THEIR EFFORTS TO STOP SMOKING. OAKWOOD ALSO OPERATES AN HIV/AIDS PROGRAM AND TB CLINIC FOR THOSE IN NEED OF THESE SPECIALIZED SERVICES. A PRESCRIPTION FOR HEALTH PROGRAM WAS INITIATED IN 2017 FOR FOOD INSECURE PATIENTS WITH CHRONIC DISEASES TO OBTAIN $20.00 WORTH OF FRESH FRUITS AND VEGETABLES WEEKLY AT LOCAL GROCERY STORES.THE CENTER FOR EXCEPTIONAL FAMILIES AND THE UNIVERSITY OF MICHIGAN-DEARBORN COLLABORATED TO BRING A NEW AUTISM CENTER TO THE COMMUNITY WHICH INCLUDES AN AUTISM-FOCUSED CROSS TRAINING PROGRAM FOR STUDENTS, HEALTH PROVIDERS, AND EDUCATORS. A SIGNIFICANT PORTION OF THE OAKWOOD HEALTHCARE SYSTEM SERVICE AREA CONSISTS OF FEDERAL MEDICALLY UNDERSERVED AREAS AS DESIGNATED BY HRSA (HEALTH RESOURCES AND SERVICES ADMINISTRATION). MULTI-LEVEL PARTNERSHIPS AND COLLABORATIONS WITH FEDERALLY QUALIFIED HEALTH CENTERS AND OTHER COMMUNITY-BASED CLINICS ARE IN PLACE. OAKWOOD MAINTAINS STRONG COLLABORATIVE RELATIONSHIPS WITH LOCAL FQHC'S AND OTHER LOW COST AND FREE HEALTH CLINICS THAT SERVE OUR UNINSURED AND UNDERINSURED COMMUNITY MEMBERS. OAKWOOD ALSO PARTNERED WITH WAYNE COUNTY TO OPEN A FQHC IN WAYNE. OAKWOOD PROVIDES PHYSICIANS AND SUPPLIES TO THE FQHC AND ALSO ACTIVELY PARTICIPATE IN WORK GROUPS COMMITTEES AND BOARDS ASSOCIATED WITH COMMUNITY PROGRAMS.MANY OF OUR EXECUTIVES, MANAGERS, AND OTHER EMPLOYEES SERVE AS LEAD VOLUNTEERS OR BOARD DIRECTORS AND OFFICERS FOR KEY NON-PROFIT AGENCIES AND GOVERNMENT COMMISSIONS IN THE REGION. THESE INCLUDE ORGANIZATIONS AND AUTHORITIES ASSOCIATED WITH HEALTH CARE SOCIAL SERVICES, EDUCATION, MUNICIPAL GOVERNANCE, INDUSTRY, AND TRADE GROUPS, AS WELL AS SERVICE ORGANIZATIONS AND CHAMBERS OF COMMERCE. MANY OAKWOOD EMPLOYEES ALSO OFFER AD-HOC CONSULTING ADVICE. OAKWOOD HAS ALSO MAINTAINED LONG STANDING 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. OAKWOOD ALSO COLLABORATES IN VARIOUS GRANT APPLICATIONS AND OTHER COLLABORATIVE PROGRAMS. PARTNERSHIPS ARE ALSO IN PLACE FOR REGIONAL WORKFORCE DEVELOPMENT AND HEALTH INFORMATION TECHNOLOGY. OAKWOOD STAFF ASSISTS IN COMMUNITY JOB FAIRS GIVING JOB ADVICE, REVIEWING RESUMES, AND CONDUCTING MOCK INTERVIEWS ALONG WITH PROVIDING INTERNSHIPS FOR STUDENTS ATTENDING COLLEGES AND UNIVERSITIES. THE COMMUNITY HEALTH DEPARTMENT PARTNERS WITH U OF M PUBLIC HEALTH AND WAYNE STATE OFFERING LARGE NUMBERS OF INTERNSHIPS EACH YEAR. OTHER EXAMPLES INCLUDE OUR FOCUSED WORK AND COOPERATION WITH GIFT OF LIFE-MICHIGAN TO RAISE AWARENESS AND SUPPORT RECRUITMENT OF ORGAN AND TISSUE DONORS AND A WELL-DEVELOPED SPEAKER'S BUREAU THAT OFFERS VOLUNTEER OAKWOOD SPEAKERS TO TALK TO COMMUNITY AND OTHER GROUPS ABOUT 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 COMMUNITIES WITH SHARED VISION OF CREATING HEALTH AND WELLNESS FOR ALL AND CONTINUING TO EXPAND THAT OUTREACH WITH EVERY PASSING YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>BEAUMONT HEALTH 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 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 MORE THAN 900 RESIDENTS AND FELLOWS AND HAD 78 RESIDENCY AND FELLOWSHIP PROGRAMS.BEAUMONT HAS EIGHT TRAUMA CENTERS CONSISTING OF BEAUMONT HOSPITAL FARMINGTON HILLS (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) AND BEAUMONT TROY (LEVEL 2). 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 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 MOST EFFECTIVELY.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 SIT 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 OAKWOOD HEALTHCARE INC. IN ADDITION TO THE ACTIVITIES ABOVE, THE FOUR HOSPITALS AS PART OF BEAUMONT HEALTH (FORMERLY OAKWOOD HEALTHCARE INC) PROVIDE A WEALTH OF PROGRAMS AND SERVICES THAT SUPPORT COMMUNITY HEALTH. COMMUNITY HEALTH STAFF CONDUCT THEIR HEALTH PROMOTION ACTIVITIES COMMUNITY COALITIONS TO ENSURE COMMUNITY ENGAGEMENT AND INVOLVEMENT IN SERVICES, PROGRAMS AND EVENTS THAT 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. A TB CLINIC AND RYAN WHITE CLINIC ALSO PROVIDE VALUABLE SERVICES TO COMMUNITY MEMBERS THAT NEED THIS ACCESS TO CARE. SEVEN CHILD AND ADOLESCENT HEALTH CLINICS LOCATED RIGHT IN THE COMMUNITY AND IN SCHOOLS PROVIDE PHYSICAL AND MENTAL HEALTH CARE TO YOUTH WHO WOULD OTHERWISE HAVE DIFFICULTIES IN ACCESSING CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>MI</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MICHIGAN STATE UNIVERSITY FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>325 E GRAND RIVER AVE STE 275</AddressLine1Txt>
          <CityNm>EAST LANSING</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>488234378</ZIPCd>
        </USAddress>
        <RecipientEIN>237326030</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COLLEGE OF OSTEOPATHIC MEDICINE DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ARAB COMMUNITY CENTER FOR ECONOMIC &amp; SOCIAL SERVICES ACCESS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2651 SAULINO CT</AddressLine1Txt>
          <CityNm>DEARBORN</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48120</ZIPCd>
        </USAddress>
        <RecipientEIN>237444497</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ARAB HEALTH SUMMIT DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DEARBORN COMMUNITY FUND</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>15801 MICHIGAN AVE</AddressLine1Txt>
          <CityNm>DEARBORN</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48126</ZIPCd>
        </USAddress>
        <RecipientEIN>383507205</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>CONCERT SERIES SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>3</Total501c3OrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>RESIDENT STIPENDS</GrantTypeTxt>
        <RecipientCnt>237</RecipientCnt>
        <CashGrantAmt>13836857</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>OAKWOOD HEALTHCARE SYSTEM MAKES CONTRIBUTIONS PRIMARILY TO ORGANIZATIONS THAT HAVE BEEN RECOGNIZED BY THE IRS AS TAX-EXEMPT CHARITABLE ORGANIZATIONS UNDER IRC SECTION 501(C)(3). GOVERNMENT GRANTS RECEIVED BY OAKWOOD HEALTHCARE SYSTEM ARE MONITORED BY THEIR RESPECTIVE DEPARTMENTS. OAKWOOD HEALTHCARE, INC. FOLLOWS THESE GUIDELINES AND IS SUBJECT TO AN A-133 AUDIT ANNUALLY UPON MEETING THE EXPENDITURE THRESHOLD. OAKWOOD HEALTHCARE SYSTEM AWARDS SCHOLARSHIPS ANNUALLY TO EMPLOYEES, FAMILY MEMBERS AND STUDENT VOLUNTEERS. THE EMPLOYEES APPLY AND APPLICATIONS ARE REVIEWED BY AN IMPARTIAL SELECTION COMMITTEE. THE COMMITTEE IS COMPRISED OF REPRESENTATIVES FROM HUMAN RESOURCES, NURSING/ALLIED HEALTH, VOLUNTEER SERVICES, FINANCE, AND THE FOUNDATION. APPLICANTS ARE SCORED USING SEVERAL KEY CRITERIA, THEN RANKED ACCORDINGLY. 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 $13,836,857 DURING 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>1</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN FOX</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>1902424</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>1247878</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>843140</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>2143120</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>33574</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>6170136</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>668900</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID WOOD MD</PersonNm>
        <TitleTxt>DIRECTOR (END 8/21)</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>570636</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>392284</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>3505745</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>374685</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>23274</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>4866624</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>236400</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SAMIR DABBOUS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>1211353</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>10486</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14250</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6283</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1242372</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID CLAEYS</PersonNm>
        <TitleTxt>PRESIDENT - DEARBORN &amp; FH</TitleTxt>
        <BaseCompensationFilingOrgAmt>533303</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>254745</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2547</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>340208</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23172</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1153975</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>115700</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MOHAMMED ALSAIDI-DONOVAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>1015702</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>51749</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1740</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8550</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>34668</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1112409</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FAISAL MUSA</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>195331</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>769116</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>13329</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14250</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23886</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1015912</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AREF ALRAYES</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>552257</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>232833</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>18076</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14250</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>35161</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>852577</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MUHAMMAD AZRAK</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>599949</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>145528</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>29279</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20156</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>41831</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>836743</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DIANE ROTH</PersonNm>
        <TitleTxt>EVP &amp; CFO (EFF 4/21)</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>441552</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>83306</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>200906</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>2575</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>728339</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LEE ANN ODOM</PersonNm>
        <TitleTxt>FMR PRES-TRENTON,TAYLOR,WAYNE</TitleTxt>
        <BaseCompensationFilingOrgAmt>400068</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>100100</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1370</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>209736</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17018</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>728292</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>100100</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TAMMY SCARBOROUGH</PersonNm>
        <TitleTxt>PRES-TRENTON,TAYLOR,WAYNE</TitleTxt>
        <BaseCompensationFilingOrgAmt>342476</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>80900</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>22773</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>157735</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25296</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>629180</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>80900</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN KERNDL</PersonNm>
        <TitleTxt>EVP &amp; CFO (END 3/21)</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>156738</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>380508</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>1558</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>14250</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>11114</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>564168</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>229300</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT WELSH MD</PersonNm>
        <TitleTxt>DIRECTOR (EFF 1/1/21)</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>410207</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>18631</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>20200</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>36835</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>485873</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>40114</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ASHOK JAIN MD</PersonNm>
        <TitleTxt>DIRECTOR (EFF 1/1/21)</TitleTxt>
        <BaseCompensationFilingOrgAmt>172214</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>47100</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2834</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>61259</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29277</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>312684</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>47100</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KASSEM CHARARA</PersonNm>
        <TitleTxt>CMO - TAYLOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>145002</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>77500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1326</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>43097</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>32580</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>299505</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>23300</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAOLO MARCIANO MD</PersonNm>
        <TitleTxt>CMO-DEARBORN</TitleTxt>
        <BaseCompensationFilingOrgAmt>206052</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>50200</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>605</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7511</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2904</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>267272</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>50200</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JONATHAN KAPER</PersonNm>
        <TitleTxt>CMO-TRENTON</TitleTxt>
        <BaseCompensationFilingOrgAmt>155760</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>23900</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>472</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>33033</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1024</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>214189</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>23900</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ABEDELRAHIM ASFOUR MD</PersonNm>
        <TitleTxt>DIRECTOR (EFF 1/1/21)</TitleTxt>
        <BaseCompensationFilingOrgAmt>2692</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>147524</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>20334</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>170550</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE J, PART I, LINE 7, IS ANSWERED "YES" BECAUSE CERTAIN INDIVIDUALS, WHOSE SALARY AND BENEFITS ARE PAID BY THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION, RECEIVED A NONFIXED PAYMENT DURING THE YEAR. THE NON-FIXED PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN C.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPANY HAS A SEVERANCE PROGRAM UNDER WHICH DEPARTING EMPLOYEES MAY BE OFFERED SEVERANCE PAY AND BENEFITS FOR A PERIOD OF TIME FOLLOWING THEIR SEPARATION OF EMPLOYMENT. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE BENEFITS REQUIRE THE EMPLOYEE TO SIGN A SEPARATION AGREEMENT CONTAINING A RELEASE OF CLAIMS COVERING ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION FROM THE COMPANY. SEVERANCE PAYMENTS MADE BY BEAUMONT HEALTH DURING 2021 INCLUDE PAYMENTS TO THE FOLLOWING INDIVIDUALS: DAVID WOOD, MD, SEVERANCE PAYMENT: $2,802,521</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B:</FormAndLineReferenceDesc>
        <ExplanationTxt>OAKWOOD HEALTHCARE, INC. AND ITS RELATED ORGANIZATIONS (THE SYSTEM) PROVIDE CERTAIN SUPPLEMENTAL RETIREMENT BENEFITS TO CERTAIN OFFICERS, KEY EMPLOYEES AND PHYSICIANS. THESE BENEFITS ARE PROVIDED THROUGH A NON-QUALIFIED DEFERRED COMPENSATION PLAN, UNDER WHICH THE BENEFITS BEING EARNED ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. TO BECOME ENTITLED TO THE BENEFITS BEING PROVIDED, EACH COVERED EMPLOYEE MUST MEET SPECIFIED REQUIREMENTS RELATING TO FURTHER EMPLOYMENT. UNTIL THOSE REQUIREMENTS ARE SATISFIED, THE EMPLOYEE IS NOT ENTITLED TO THESE AMOUNTS. IF THE EMPLOYEE WERE TO HAVE TERMINATED EMPLOYMENT VOLUNTARILY IN THE YEAR TO WHICH THIS RETURN APPLIES, THOSE SUPPLEMENTAL RETIREMENT BENEFITS WOULD NOT HAVE BEEN PAID OUT. IT SHOULD BE NOTED THAT THESE SUPPLEMENTAL RETIREMENT BENEFITS ARE PART OF A RETIREMENT PROGRAM THAT PROVIDES RETIREMENT INCOME FOR ALL YEARS OF SERVICE THAT THE EMPLOYEE PROVIDES TO THE ORGANIZATION. ANY RETIREMENT BENEFITS SHOULD BE VIEWED AS APPLYING TO THE ENTIRE LENGTH OF THE EMPLOYEE'S SERVICE TO THE ORGANIZATION. THE FOLLOWING INDIVIDUAL(S) LISTED ON PART VII RECEIVED SUPPLEMENTAL NON-QUALIFIED PLAN PAYMENTS DURING THE CALENDAR YEAR: JOHN FOX, NON-QUALIFIED PLAN DISTRIBUTION, SERP 457(F): $772,350 DAVID WOOD, MD, NON-QUALIFIED PLAN DISTRIBUTION, SERP 457(F): $681,649</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE COMPENSATION AT BEAUMONT HEALTH BACKGROUND BEAUMONT HEALTH'S EXECUTIVE COMPENSATION PHILOSOPHY AND PROGRAM ALIGNS WITH OUR STRATEGIC OBJECTIVES, WHICH CONTRIBUTE TO THE HEALTH AND WELL-BEING OF THE RESIDENTS THROUGHOUT THE COMMUNITIES WE SERVE. AS BEAUMONT LOOKS TO RETAIN STRONG TALENT IN BOTH EXECUTIVE AND NON-EXECUTIVE POSITIONS ACROSS THE ORGANIZATION, SIMILAR PHILOSOPHIES ARE UTILIZED, WHICH ALIGN WITH OUR ORGANIZATIONAL VALUES OF COMPASSION, RESPECT, INTEGRITY, TEAMWORK, AND EXCELLENCE. TO SUCCESSFULLY LEAD SUCH A LARGE, COMPLEX ORGANIZATION LIKE BEAUMONT HEALTH, HIGHLY TALENTED EXECUTIVE LEADERSHIP IS ESSENTIAL. SUCCESSFUL RECRUITING, RETENTION AND MOTIVATION OF LEADERS REQUIRES NATIONALLY COMPETITIVE COMPENSATION AND BENEFITS. BEAUMONT ALSO CONSIDERS RECRUITING EXECUTIVE LEADERS WHO COULD CHOOSE POSITIONS IN INDUSTRY SECTORS OTHER THAN HEALTH CARE. BASED ON A RIGOROUS OBJECTIVE METHODOLOGY, INCLUDING REVIEW OF AN INDEPENDENT CONSULTANT'S WRITTEN REASONABLENESS ASSESSMENT OPINION AND THEIR NATIONAL MARKET DATA FROM OTHER HEALTH SYSTEMS, ASSESSMENT OF JOB RESPONSIBILITIES, EVALUATION OF QUALIFICATIONS, AND REVIEW AND APPROVAL BY A BOARD COMMITTEE COMPRISED OF INDEPENDENT AND DISINTERESTED DIRECTORS, BEAUMONT HEALTH IS CONFIDENT THAT OUR EXECUTIVES' 2021 COMPENSATION IS BOTH COMPETITIVE AND REASONABLE. PHILOSOPHY OUR EXECUTIVE COMPENSATION PROGRAMS ARE BASED ON THE FOLLOWING KEY ATTRIBUTES: - BEAUMONT PROVIDES MARKET COMPETITIVE COMPENSATION AND BENEFITS THAT ARE COMMONLY PROVIDED BY HEALTH SYSTEMS OF OUR SIZE AND COMPLEXITY. BEAUMONT EXECUTIVE COMPENSATION IS ALSO ALIGNED WITH THE PERFORMANCE OF THE ORGANIZATION. - PERFORMANCE METRICS ARE TIED TO KEY STRATEGIC OBJECTIVES - MOST OF AN EXECUTIVE'S COMPENSATION AT BEAUMONT IS DEPENDENT ON HOW THE ORGANIZATION PERFORMS ON KEY GOALS AND METRICS INCLUDING PATIENT SAFETY, QUALITY OF CARE, AND PATIENT EXPERIENCE AND SATISFACTION. AS SUCH, A SUBSTANTIAL PORTION OF AN EXECUTIVE'S INCENTIVE PAY IS 'AT-RISK' (NOT GUARANTEED) BASED ON ORGANIZATIONAL PERFORMANCE. SOME OF THE 'AT RISK' PAY IS AWARDED OVER A MULTI-YEAR PERIOD AND THERE ARE NO GUARANTEES THE ENTIRE AMOUNT WILL BE PAID. THE EXECUTIVE'S ACTUAL TAKE HOME PAY IN ANY GIVEN YEAR MIGHT BE LESS THAN THE TOTAL COMPENSATION AS REPORTED ON THE 990 IF THE ORGANIZATION'S OBJECTIVES OVER MULTIPLE YEARS ARE NOT ACHIEVED. FURTHER, COLUMN E OF SCHEDULE J OF THE 990 CAN BE EASILY MISINTERPRETED AND IS OFTEN OVERSTATED DUE TO COUNTING COMPENSATION ACCRUED IN A GIVEN YEAR, BUT NOT YET VESTED. TO AVOID INADVERTENTLY "DOUBLE COUNTING" COMPENSATION, THE BEST REFLECTION OF A SINGLE YEAR'S COMPENSATION IS SCHEDULE J COLUMN B TOTALING COLUMNS (I) THROUGH (III) FOR 2021, WHICH CONTAINS THE MOST ACCURATE SOURCE OF INFORMATION RELATED TO AN EXECUTIVE'S PAID COMPENSATION IN ANY GIVEN YEAR. YEAR TO YEAR, AN EXECUTIVE'S TOTAL COMPENSATION WILL VARY BASED ON ORGANIZATIONAL PERFORMANCE AS WELL AS THE SCHEDULED TIMING OF PAYMENTS OF AMOUNTS EARNED BUT NOT YET VESTED IN EARLIER YEARS. GOVERNANCE OF EXECUTIVE COMPENSATION BEAUMONT IS COMMITTED TO MAINTAINING HIGH STANDARDS OF CORPORATE GOVERNANCE. OUR CORPORATE GOVERNANCE PROCESS IS COMPLIANT, TRANSPARENT AND ENSURES COMPENSATION IS ADMINISTERED IN A FAIR AND EQUITABLE MANNER. EXECUTIVE COMPENSATION IS GOVERNED BY THE ORGANIZATION AND COMPENSATION COMMITTEE (OCC) OF THE BOARD OF DIRECTORS OF BEAUMONT HEALTH, THE PARENT ORGANIZATION OF A MULTI-ENTITY HEALTH SYSTEM. THE COMMITTEE IS COMPRISED OF INDEPENDENT BOARD MEMBERS WHO HAVE NO CONFLICTS OF INTEREST AS IT RELATES TO THE ORGANIZATION'S EXECUTIVE COMPENSATION. THE COMMITTEE IS RESPONSIBLE FOR: - REVIEWING, VALIDATING AND APPROVING PERFORMANCE GOALS AND METRICS RELATED TO THE EXECUTIVE'S AT-RISK COMPENSATION PLANS. - REVIEWING, VALIDATING AND APPROVING PERFORMANCE ACHIEVED ON THE EXECUTIVE AT-RISK COMPENSATION PLANS. - REVIEWING AND APPROVING COMPENSATION FOR EACH MEMBER OF THE ORGANIZATION'S SENIOR LEADERSHIP TEAM. - ENSURING COMPENSATION IS REASONABLE AND APPROPRIATE BASED ON PERFORMANCE ACHIEVED AND THE ORGANIZATION'S MISSION. THE INDEPENDENT COMMITTEE ALSO RECEIVES SUPPORT FROM OUTSIDE ADVISORS WITH EXPERTISE IN HEALTH CARE ORGANIZATIONS AND EXECUTIVE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>MICHIGAN FINANCE AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>800596186</BondIssuerEIN>
        <CUSIPNum>59447PLJ8</CUSIPNum>
        <BondIssuedDt>2012-05-01</BondIssuedDt>
        <IssuePriceAmt>161691656</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>MICHIGAN FINANCE AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>800596186</BondIssuerEIN>
        <CUSIPNum>59447PUT6</CUSIPNum>
        <BondIssuedDt>2013-04-25</BondIssuedDt>
        <IssuePriceAmt>53999789</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>43045000</RetiredAmt>
        <TotalProceedsAmt>161691855</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>1687398</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>25289969</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>134714488</OtherSpentProceedsAmt>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>1</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <TotalProceedsAmt>53999789</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>667921</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>53331869</OtherSpentProceedsAmt>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>1</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>1</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE A, COLUMN F:</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF PURPOSE: FINANCE HOSPITAL/PARTIAL REFUND OF BONDS ISSUED 4/7/1998, 12/10/2002, AND 11/13/2003.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE B, COLUMN F:</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF PURPOSE: REFUNDING OF BONDS ISSUED 4/7/1998.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 6, COLUMN A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, ITEM C</FormAndLineReferenceDesc>
        <ExplanationTxt>DBA: BEAUMONT HOSPITAL, TRENTON DBA: BEAUMONT HOSPITAL, WAYNE DBA: BEAUMONT HOSPITAL, TAYLOR</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IV, LINE 10:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TAXPAYER IS A MEMBER OF A HEALTH SYSTEM, THE PARENT OF WHICH IS BEAUMONT HEALTH. DURING THE YEAR, BEAUMONT HEALTH FOUNDATION RECEIVED FUNDS FROM OTHER ENTITIES IN THE SYSTEM, OF WHICH A PORTION IS ATTRIBUTABLE TO RESTRICTED CONTRIBUTIONS. PLEASE SEE THE FORM 990, SCHEDULE D OF BEAUMONT HEALTH FOUNDATION FOR INFORMATION REGARDING THIS ENDOWMENT FUND.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING INDIVIDUALS HAVE A BUSINESS RELATIONSHIP BECAUSE THEY ARE BOARD MEMBERS OR SHARED OFFICERS OF A TAXABLE ENTITY WITHIN OR OUTSIDE OF THE BEAUMONT HEALTH SYSTEM: JOHN FOX JOHN KERNDL GERSON COOPER JOHN NEMES DAVID WOOD, MD ASHOK JAIN, MD DIANE ROTH</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>BEAUMONT HEALTH IS THE SOLE CORPORATE MEMBER OF OAKWOOD HEALTHCARE, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>BEAUMONT HEALTH, THE PARENT CORPORATION AND SOLE MEMBER OF OAKWOOD HEALTHCARE, INC., HAS THE RIGHT TO ELECT ONE OR MORE MEMBERS OF OAKWOOD HEALTHCARE, INC.'S GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>BEAUMONT HEALTH, AS THE CORPORATE MEMBER OF OAKWOOD HEALTHCARE, INC., HAS DESIGNATED RESERVED POWERS OVER OAKWOOD HEALTHCARE, INC.'S OPERATIONS, INCLUDING BUT NOT LIMITED TO BUDGET, ACQUISITIONS, CAPITAL PROJECTS AND PARTICIPATION IN JOINT VENTURES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 WAS SUBJECTED TO A MULTI-STEP REVIEW PROCESS PRIOR TO FILING WITH THE GOVERNMENT BY THE STATUTORY DUE DATE. FORM 990 IS PREPARED BY BEAUMONT HEALTH'S INTERNAL TAX DEPARTMENT, REVIEWED BY ITS MANAGEMENT, AND SUBSEQUENTLY REVIEWED BY THE FILING ENTITY'S PAID PREPARER. AS THE FINAL STEP IN THIS REVIEW PROCESS, A COPY OF THE FINAL FILING VERSION OF FORM 990 IS PROVIDED TO EACH VOTING MEMBER OF THE FILING ENTITY'S GOVERNING BODY FOR THEIR REVIEW PRIOR TO THE FORM BEING FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BEAUMONT HEALTH, THE PARENT CORPORATION AND SOLE MEMBER OF OAKWOOD HEALTHCARE, INC., RECOGNIZES THAT IT HAS AN OBLIGATION TO ITS PATIENTS, ITS PAYORS, ITS DESIGNEES AND THE COMMUNITIES IT SERVES TO OBSERVE THE HIGHEST LEVEL OF INTEGRITY TO ENSURE CLINICAL, BUSINESS AND ACADEMIC DECISION MAKING IS NOT COMPROMISED BY FINANCIAL OR OTHER RELATIONSHIPS WITH INDUSTRY. THE CORPORATE COMPLIANCE OFFICE, WITH THE ASSISTANCE OF HUMAN RESOURCES AND SPECIFIC INDIVIDUAL DEPARTMENTS, WILL COORDINATE UPON HIRE AND EACH CALENDAR YEAR THEREAFTER, A PROCESS OF OBTAINING CONFLICT OF INTEREST/DISCLOSURE OF REMUNERATION STATEMENTS. ALL AREAS OF THE INSTITUTION WILL FOLLOW THE HUMAN RESOURCES HIRING PROCESS PROTOCOL TO ASSURE COMPLIANCE WITH THE CONFLICT OF INTEREST PROGRAM. AT ANY TIME WHEN A DESIGNEE BECOMES INVOLVED IN A RELATIONSHIP THAT IS OR MAY BE PERCEIVED TO BE A CONFLICT OF INTEREST, THE DESIGNEE MUST COMPLETE THE CONFLICT OF INTEREST/DISCLOSURE OF REMUNERATION STATEMENT AND FORWARD TO THE CORPORATE COMPLIANCE OFFICER. A CONFLICT OF INTEREST OR NEED TO DISCLOSE REMUNERATION MAY EXIST IF A BEAUMONT DESIGNEE OR ANY MEMBER OF THEIR IMMEDIATE FAMILY RECEIVES COMPENSATION IN ANY FORM FOR SERVICES RENDERED IN ANY CAPACITY TO ANY ORGANIZATION OR INDIVIDUAL THAT HAS ANY PAST, PRESENT OR PROSPECTIVE BUSINESS DEALINGS WITH BEAUMONT, IF SUCH COMPENSATION MIGHT BE REASONABLY CONSTRUED AS TENDING TO PREVENT THE DESIGNEE FROM ACTING SOLELY AND WHOLLY IN THE BEST INTEREST OF BEAUMONT HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>BEAUMONT HEALTH'S BOARD OF DIRECTORS, OF WHICH OAKWOOD HEALTHCARE, INC. IS AFFILIATED, HAS DULY APPOINTED AN ORGANIZATION AND COMPENSATION COMMITTEE (THE "COMMITTEE"), WHICH IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF COMPENSATION AND BENEFITS PROVIDED TO BEAUMONT AND ITS AFFILIATED MEMBERS' EXECUTIVE MANAGEMENT TEAMS. THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT GOVERNING THE WORK AND REVIEW PROCESS OF THE COMMITTEE. THE COMMITTEE FOLLOWS THE PROCEDURES DESCRIBED IN THE PHILOSOPHY STATEMENT WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND EMPLOYEE BENEFITS PROVIDED TO SENIOR MANAGEMENT, INCLUDING THE CHIEF EXECUTIVE OFFICER AND OTHER OFFICERS. THE COMMITTEE REVIEWS ALL ASPECTS OF COMPENSATION, INCLUDING CURRENT AND DEFERRED COMPENSATION, AND BENEFITS, INCLUDING QUALIFIED AND NON-QUALIFIED BENEFITS. THE COMMITTEE MEETS FOUR TIMES A YEAR, AND APPROVES COMPENSATION AND BENEFITS ONLY TO THE EXTENT THAT THE COMMITTEE HAS CONCLUDED THAT THE COMPENSATION AND BENEFITS CONSTITUTE NO MORE THAN REASONABLE COMPENSATION FOR EACH EXECUTIVE. THE COMMITTEE CONSISTS OF SIX MEMBERS, ALL OF WHOM ARE DISINTERESTED MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE WORKS WITH AN INDEPENDENT COMPENSATION CONSULTANT TO PREPARE AND REVIEW IN ADVANCE COMPREHENSIVE DATA SHOWING THE COMPENSATION PROVIDED BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS. THE COMMITTEE ALSO PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS DELIBERATIONS AND CONCLUSIONS. AS A RESULT, THE COMMITTEE'S REVIEW PROCESS IS DESIGNED TO SATISFY THE PROCEDURAL CRITERIA NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES. THE COMMITTEE HAS EXPRESSLY DETERMINED THAT THE TOTAL COMPENSATION PROVIDED IS REASONABLE, BASED ON THE REVIEW OF THE MARKET DATA PRESENTED BY THE INDEPENDENT COMPENSATION CONSULTANT AND ON THE REVIEW OF ALL OTHER RELEVANT FACTS AND CIRCUMSTANCES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 16B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION EXERCISES DUE DILIGENCE IN THE OVERSIGHT OF ANY NEW JOINT VENTURES AND ROUTINELY CONSULTS WITH TAX CONSULTANTS ON THE MATTER, IF APPLICABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HEALTH SYSTEM HAS A CENTRALIZED ACCOUNTS PAYABLE FUNCTION AND, AS SUCH, ALL 1099'S ARE ISSUED BY BEAUMONT HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>PENSION AND SUPPLEMENTAL PENSION ADJUSTMENT 37,849,919. NET ASSETS RELEASED FROM RESTRICTION 4,297,462. OTHER TRANSFERS TO AFFILIATES 138,034,695.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>DEARBORN REAL ESTATE DEVELOPMENT LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>801206830</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE - MEDICAL FACILITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <TotalIncomeAmt>1342344</TotalIncomeAmt>
        <EndOfYearAssetsAmt>13808000</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OAKWOOD HEALTHCARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SOUTHSHORE REAL ESTATE DEVELOPMENT LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>801206958</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE - MEDICAL FACILITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OAKWOOD HEALTHCARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OAKWOOD SOUTHSHORE SURGERY CENTER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>141839341</EIN>
        <PrimaryActivitiesTxt>OUTPATIENT SURGERY CENTER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OAKWOOD HEALTHCARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OAKWOOD INFUSION SERVICES LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>311552387</EIN>
        <PrimaryActivitiesTxt>HOME INFUSION SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OAKWOOD HEALTHCARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OAKWOOD GROUP VII LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>300326800</EIN>
        <PrimaryActivitiesTxt>AMBULATORY MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OAKWOOD HEALTHCARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OAKWOOD GROUP VIII LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>300326803</EIN>
        <PrimaryActivitiesTxt>AMBULATORY MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OAKWOOD HEALTHCARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OAKWOOD GROUP X LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>23400 MICHIGAN AVE</AddressLine1Txt>
          <CityNm>DEARBORN</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48124</ZIPCd>
        </USAddress>
        <EIN>801338329</EIN>
        <PrimaryActivitiesTxt>AMBULATORY MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OAKWOOD HEALTHCARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OAKWOOD GROUP IX LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>383593302</EIN>
        <PrimaryActivitiesTxt>AMBULATORY MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OAKWOOD HEALTHCARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OAKWOOD HEALTHCARE GROUP I LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>383513232</EIN>
        <PrimaryActivitiesTxt>AMBULATORY MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OAKWOOD HEALTHCARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OAKWOOD HEALTHCARE GROUP III LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>383513234</EIN>
        <PrimaryActivitiesTxt>AMBULATORY MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OAKWOOD HEALTHCARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OAKWOOD YOUTH PROGRAMS LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>383532225</EIN>
        <PrimaryActivitiesTxt>AMBULATORY MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OAKWOOD HEALTHCARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OAKWOOD AMBULATORY LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>383593303</EIN>
        <PrimaryActivitiesTxt>AMBULATORY MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OAKWOOD HEALTHCARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OAKWOOD TEEN CENTERS LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>383513233</EIN>
        <PrimaryActivitiesTxt>AMBULATORY MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OAKWOOD HEALTHCARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OAKWOOD PROFESSIONAL BILLING LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>383532227</EIN>
        <PrimaryActivitiesTxt>AMBULATORY MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OAKWOOD HEALTHCARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NEUROSCIENCE LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>383532220</EIN>
        <PrimaryActivitiesTxt>AMBULATORY MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OAKWOOD HEALTHCARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MIDWEST SURGERY CENTER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 PARKLANE BLVD SUITE 1000E</AddressLine1Txt>
          <CityNm>DEARBORN</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48126</ZIPCd>
        </USAddress>
        <EIN>453771730</EIN>
        <PrimaryActivitiesTxt>AMBULATORY MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OAKWOOD HEALTHCARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MICHIGAN BONE &amp; JOINT-OAKWOOD SOUTHSHORE MEDICAL CENTER PLLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>383582590</EIN>
        <PrimaryActivitiesTxt>AMBULATORY MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OAKWOOD HEALTHCARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BEAUMONT HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>465718220</EIN>
        <PrimaryActivitiesTxt>PARENT COMPANY OF THE HEALTH SYSTEM</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12C, III-FI</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BEAUMONT MEDICAL TRANSPORTATION SERVICE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>950 W MAPLE SUITE C</AddressLine1Txt>
          <CityNm>TROY</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48084</ZIPCd>
        </USAddress>
        <EIN>260203703</EIN>
        <PrimaryActivitiesTxt>MEDICAL TRANSPORTATION SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BEAUMONT HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BOTSFORD CONTINUING CARE CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>382549505</EIN>
        <PrimaryActivitiesTxt>LONG TERM NURSING CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BOTSFORD GENERAL HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BOTSFORD GENERAL HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>381426919</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BEAUMONT HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BH GRAND RIVER SOUTHFIELD INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>25400 W EIGHT MILE ROAD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>382410823</EIN>
        <PrimaryActivitiesTxt>EMERGENCY MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BOTSFORD GENERAL HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MICHIGAN MOBILE PET IMAGING</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>331086165</EIN>
        <PrimaryActivitiesTxt>MOBILE PET SCANNING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OAKWOOD HEALTHCARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OAKWOOD UNITED HOSPITALS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>382837961</EIN>
        <PrimaryActivitiesTxt>FACILITY LEASING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OAKWOOD HEALTHCARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OAKWOOD HOME CARE SERVICES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>382877338</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OAKWOOD HEALTHCARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OAKWOOD HEALTH PROMOTIONS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>382601965</EIN>
        <PrimaryActivitiesTxt>ASSISTED AND RESIDENT CARE FACILITIES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OAKWOOD HEALTHCARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WILLIAM BEAUMONT HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>381459362</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BEAUMONT HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BEAUMONT HEALTH FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>364852171</EIN>
        <PrimaryActivitiesTxt>FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BEAUMONT HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BEAUMONT MEDICAL GROUP-HOSPITAL BASED SERVICES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>822768899</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN SUPPORT SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BEAUMONT HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BEAUMONT MEDICAL GROUP-PRIMARY CARE SERVICES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>822796539</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN SUPPORT SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BEAUMONT HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BEAUMONT MEDICAL GROUP-SPECIALTY SERVICES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>822784244</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN SUPPORT SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BEAUMONT HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>DEARBORN SCHAEFFER OFFICE COMPANY LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BOULEVARD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>262448025</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>1245924</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>28236917</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <UBICodeVAmt>1245924</UBICodeVAmt>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.99000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OAKMED LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1938 WOODSLEE DRIVE</AddressLine1Txt>
          <CityNm>TROY</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48083</ZIPCd>
        </USAddress>
        <EIN>461459737</EIN>
        <PrimaryActivitiesTxt>PRIVATE DUTY NURSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>-44051</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>388660</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.60000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BEAUMONT INDEMNITY COMPANY LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>23 LIME TREE BAY AVENUE</AddressLine1Txt>
          <CityNm>GRAND CAYMAN</CityNm>
          <ProvinceOrStateNm>GRAND CAYMAN</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
        </ForeignAddress>
        <EIN>980512415</EIN>
        <PrimaryActivitiesTxt>PREMIUM DEPOSITS</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BEAUMONT NURSING HOME SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>382799842</EIN>
        <PrimaryActivitiesTxt>ASSISTED CARE LIVING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BEAUMONT PHYSICIANS INSURANCE COMPANY INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>274261262</EIN>
        <PrimaryActivitiesTxt>PROFESSIONAL INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BOTSFORD COMMONS PROPERTY ASSOCATION</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>383203663</EIN>
        <PrimaryActivitiesTxt>PROPERTY MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OAKWOOD AFFILIATED VENTURES INC AND SUBSIDIARIES</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>371753159</EIN>
        <PrimaryActivitiesTxt>OFFICE OF PHYSICIANS/NON-RESIDENTAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OAKWOOD HEALTHCARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>18233232</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>109903051</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BH SOUTHFIELD BILLING INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>26901 BEAUMONT BLVD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>382755982</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT DISPATCH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BEAUMONT HEALTH</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>1360755178</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WILLIAM BEAUMONT HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>1563782923</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BOTSFORD CONTINUING CARE CORPORATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>5092029</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BEAUMONT MEDICAL GROUP-SPECIALTY SERVICES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>45827815</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BEAUMONT MEDICAL GROUP-HOSPITAL BASED SERVICES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>3401584</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BEAUMONT HEALTH FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>12826427</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>OAKWOOD UNITED HOSPITALS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>2491561</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BEAUMONT HEALTH FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>4144313</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BEAUMONT HEALTH</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>E</TransactionTypeTxt>
        <InvolvedAmt>56076388</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WILLIAM BEAUMONT HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>E</TransactionTypeTxt>
        <InvolvedAmt>29467392</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
