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        <RelatedOrExemptFuncIncomeAmt>5773</RelatedOrExemptFuncIncomeAmt>
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        <ProgramServicesAmt>7465628</ProgramServicesAmt>
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        <ProgramServicesAmt>304177</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>64129</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>225</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1694388</ProgramServicesAmt>
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        <Desc>LICENSE FEES AND DUES</Desc>
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      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
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        <CurrentTaxYearMinus2YearsAmt>91456</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearAmt>64024</CurrentTaxYearAmt>
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        <CurrentTaxYearAmt>5773</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>33791721</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearMinus3YearsAmt>1303080</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1748437</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2078370</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus2YearsAmt>1748437</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2078370</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3864638</CurrentTaxYearAmt>
        <TotalAmt>10879242</TotalAmt>
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        <CurrentTaxYearMinus4YearsAmt>35682557</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>34339004</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>35540158</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>34464103</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>38431357</CurrentTaxYearAmt>
        <TotalAmt>178457179</TotalAmt>
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      <PublicSupportCY509Pct>0.93900</PublicSupportCY509Pct>
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      <InvestmentIncomePYPct>0.04720</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <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>
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      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>4051214</OtherCostOrOtherBasisAmt>
        <BookValueAmt>4051214</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>42600024</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>21530407</DepreciationAmt>
        <BookValueAmt>21069617</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>4207154</DepreciationAmt>
        <BookValueAmt>1185942</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>875403</DepreciationAmt>
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      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>27673357</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>CASH EQUIVALENTS</Desc>
        <BookValueAmt>7152977</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>COMMINGLED FUNDS</Desc>
        <BookValueAmt>11367054</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>EQUITY</Desc>
        <BookValueAmt>15448343</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>AGENCY</Desc>
        <BookValueAmt>14320</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>ASSET BACKED</Desc>
        <BookValueAmt>1030837</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
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      <OtherSecuritiesGrp>
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        <MethodValuationCd>C</MethodValuationCd>
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      <OtherSecuritiesGrp>
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        <BookValueAmt>2190463</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
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      <OtherSecuritiesGrp>
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        <MethodValuationCd>C</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>MUNICIPAL BONDS</Desc>
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        <MethodValuationCd>C</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>US TREASURY</Desc>
        <BookValueAmt>2347245</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>YANKEE</Desc>
        <BookValueAmt>284389</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>PRIVATE EQUITY</Desc>
        <BookValueAmt>262417</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>PRIVATE REAL ESTATE</Desc>
        <BookValueAmt>1441293</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>HEDGE FUNDS</Desc>
        <BookValueAmt>10070763</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
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        <BookValueAmt>-1743293</BookValueAmt>
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        <Desc>ESCROW ENTRANCE FEES ASSET</Desc>
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      <RevenueNotReportedFinclStmtAmt>3509877</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ESCROW ACCOUNT LIABILITY IS REFUNDABLE RESIDENT DEPOSITS. THESE DEPOSITS CONSIST OF INTEREST-BEARING INVESTMENTS HELD BY OAKWOOD HEALTH PROMOTIONS, INC. (OHP) IN ESCROW FOR CURRENT AND PROSPECTIVE RESIDENTS. INTEREST EARNED ON RESIDENT FUNDS IS AVAILABLE TO OHP; INTEREST EARNED ON FUNDS OF PROSPECTIVE RESIDENTS IS NOT CREDITED TO THEM UNTIL THEY ENTER THE FACILITY OR WITHDRAW THEIR APPLICATION. DEPOSITS ARE REFUNDED NO LATER THAN 90 DAYS FROM THE DATE THE RESIDENTS PROVIDE NOTICE THAT THEY ARE LEAVING THE FACILITY, IN ACCORDANCE WITH DISCLOSURE STATEMENT CONTRACT.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>GAIN/LOSS ON DISPOSAL OF ASSETS 288,304. PROVISION FOR DOUBTFUL ACCOUNTS 354,761.</ExplanationTxt>
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        <PersonNm>LIGHTNER MARGARET</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>237992</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KULEK DAVID</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationRltdOrgsAmt>199475</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CAMPBELL DAVID J</PersonNm>
        <TitleTxt>FORMER OFFICER (END 2015)</TitleTxt>
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        <OtherCompensationRltdOrgsAmt>487406</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>716</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>750516</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MEDVEC BARBARA RN</PersonNm>
        <TitleTxt>FORMER OFFICER (END 2015)</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>BEAUMONT HEALTH, THE PARENT CORPORATION AND SOLE MEMBER OF OAKWOOD HEALTHCARE, INC., WHICH IS THE SOLE MEMBER OF OAKWOOD HEALTH PROMOTIONS, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR SOME INDIVIDUALS, THE EMPLOYMENT AGREEMENT MAY PROVIDE THAT IF THE EMPLOYER TERMINATES THE AGREEMENT AND THE PARTIES SEPARATE OTHER THAN FOR CAUSE, THE EMPLOYEE MAY BE ENTITLED TO SEVERANCE PAY. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION FROM THE COMPANY. SEVERANCE PAYMENTS WERE MADE DURING THE TAX YEAR TO THE FOLLOWING INDIVIDUALS LISTED IN PART VII: BARBARA MEDVEC, SEVERANCE PAYMENT, $248,768 DAVID J. CAMPBELL, SEVERANCE PAYMENT, $487,406</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 5A:</FormAndLineReferenceDesc>
        <ExplanationTxt>OAKWOOD HEALTHCARE, INC. IS THE CORPORATE MEMBER OF OAKWOOD HEALTH PROMOTIONS, INC. OAKWOOD HEALTHCARE, INC. PAYS COMPENSATION ON BEHALF OF OAKWOOD HEALTH PROMOTIONS, INC. OAKWOOD HEALTHCARE, INC. HAS SHORT-TERM AND LONG-TERM INCENTIVE PLANS FOR EXECUTIVES, INCENTIVE AWARDS ARE CALCULATED BASED ON THE ACHIEVEMENT OF MULTIPLE TARGETS, INCLUDING THE ATTAINMENT OF OPERATING REVENUE TARGETS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 5B:</FormAndLineReferenceDesc>
        <ExplanationTxt>OAKWOOD HEALTHCARE, INC. IS THE CORPORATE MEMBER OF OAKWOOD HEALTH PROMOTIONS, INC. OAKWOOD HEALTHCARE, INC.'S OPERATING REVENUE TARGETS, USED FOR PURPOSES OF DETERMINING SHORT-TERM AND LONG-TERM INCENTIVE AWARDS FOR EXECUTIVES, INCLUDE THE REVENUES OF OAKWOOD HEALTHCARE, INC. AND ITS AFFILIATE ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>OAKWOOD HEALTHCARE, INC., ON BEHALF OF OAKWOOD HEALTH PROMOTIONS, INC., HAS OUTSOURCED THE MANAGEMENT DUTIES OF DIETARY SERVICES, CLINICAL ENGINEERING, FACILITY SERVICES, ENVIRONMENTAL SERVICES AND LAUNDRY SERVICES. 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>OAKWOOD HEALTHCARE, INC., A WHOLLY-OWNED SUBSIDIARY OF BEAUMONT HEALTH, IS THE CORPORATE MEMBER OF OAKWOOD HEALTH PROMOTIONS, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>BEAUMONT HEALTH IS THE PARENT CORPORATION AND SOLE MEMBER OF OAKWOOD HEALTHCARE, INC., WHICH IS THE SOLE MEMBER OF OAKWOOD HEALTH PROMOTIONS, INC. OAKWOOD HEALTHCARE, INC., ACTING SOLELY AT THE DIRECTION OF THE PARENT, HAS THE RIGHT TO ELECT ONE OR MORE MEMBERS OF OAKWOOD HEALTH PROMOTIONS, INC.'S GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>BEAUMONT HEALTH, AS THE PARENT OF OAKWOOD HEALTHCARE, INC., AND OAKWOOD HEALTHCARE, INC., AS THE CORPORATE MEMBER OF OAKWOOD HEALTH PROMOTIONS, INC., HAVE DESIGNATED RESERVED POWERS OVER OAKWOOD HEALTH PROMOTIONS, 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 TREASURY ADMINISTRATION, REVIEWED BY THAT DEPARTMENT'S 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., WHICH IS THE SOLE MEMBER OF OAKWOOD HEALTH PROMOTIONS, 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 HEALTH PROMOTIONS, INC. IS AFFILATED THROUGH ITS PARENT CORPORATION, OAKWOOD HEALTHCARE, INC., 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 IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACT LABOR: PROGRAM SERVICE EXPENSES 7,213,279. MANAGEMENT AND GENERAL EXPENSES 116,447. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,329,726. CONSULTING OTHER: PROGRAM SERVICE EXPENSES 124,863. MANAGEMENT AND GENERAL EXPENSES 180,273. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 305,136. TEMPORARY LABOR NON CLINICAL: PROGRAM SERVICE EXPENSES 547. MANAGEMENT AND GENERAL EXPENSES 398,775. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 399,322. TRANSPORTATION SERVICES: PROGRAM SERVICE EXPENSES 79,716. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 79,716. ALL OTHER, NET: PROGRAM SERVICE EXPENSES 47,223. MANAGEMENT AND GENERAL EXPENSES 144,899. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 192,122.</ExplanationTxt>
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    </IRS990ScheduleO>
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          <AddressLine1Txt>16500 WEST TWELVE MILE ROAD</AddressLine1Txt>
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          <AddressLine1Txt>950 W MAPLE SUITE C</AddressLine1Txt>
          <CityNm>TROY</CityNm>
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          <ZIPCd>48084</ZIPCd>
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          <BusinessNameLine1Txt>WILLIAM BEAUMONT HOSPITAL</BusinessNameLine1Txt>
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          <CityNm>FARMINGTON HILLS</CityNm>
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          <CityNm>TAYLOR</CityNm>
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          <AddressLine1Txt>15500 LUNDY PARKWAY</AddressLine1Txt>
          <CityNm>DEARBORN</CityNm>
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          <ZIPCd>48126</ZIPCd>
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        </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>1633 FAIRLANE CIRCLE NO 100</AddressLine1Txt>
          <CityNm>ALLEN PARK</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48101</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>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OAKWOOD HEALTHCARE FOUNDATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>15500 LUNDY PARKWAY</AddressLine1Txt>
          <CityNm>DEARBORN</CityNm>
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        </USAddress>
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        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>OAKWOOD HEALTHCARE INC</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WILLIAM BEAUMONT HOSPITAL</BusinessNameLine1Txt>
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          <AddressLine1Txt>16500 WEST TWELVE MILE ROAD</AddressLine1Txt>
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        </USAddress>
        <EIN>381459362</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BEAUMONT HEALTH</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BEAUMONT HEALTH FOUNDATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>3711 WEST THIRTEEN MILE ROAD</AddressLine1Txt>
          <CityNm>ROYAL OAK</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48073</ZIPCd>
        </USAddress>
        <EIN>364852171</EIN>
        <PrimaryActivitiesTxt>FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BEAUMONT HEALTH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BEAUMONT KIDNEY SPECIALTY SERVICES LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>26400 WEST TWELVE MILE ROAD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48034</ZIPCd>
        </USAddress>
        <EIN>262200439</EIN>
        <PrimaryActivitiesTxt>DIALYSIS SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BOTSFORD CARE PARTNERS LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>28050 GRAND RIVER AVENUE</AddressLine1Txt>
          <CityNm>FARMINGTON HILLS</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48336</ZIPCd>
        </USAddress>
        <EIN>454854213</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>DEARBORN SCHAEFFER OFFICE COMPANY LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>ONE TOWNE SQUARE SUITE 1600</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48076</ZIPCd>
        </USAddress>
        <EIN>262448025</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </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>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BEAUMONT HEALTH POOLED INVESTMENT PARTNERSHIP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>16500 WEST TWELVE MILE ROAD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48076</ZIPCd>
        </USAddress>
        <EIN>611775558</EIN>
        <PrimaryActivitiesTxt>INVESTMENT MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </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>16500 WEST TWELVE MILE ROAD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48076</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>16500 WEST TWELVE MILE ROAD</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48076</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 ASSOCIATION</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>28050 GRAND RIVER AVENUE</AddressLine1Txt>
          <CityNm>FARMINGTON HILLS</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48336</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>15500 LUNDY PARKWAY</AddressLine1Txt>
          <CityNm>DEARBORN</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48126</ZIPCd>
        </USAddress>
        <EIN>371753159</EIN>
        <PrimaryActivitiesTxt>OFFICE OF PHYSICIANS/NON-RESIDENTIAL RENTAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OAKWOOD ASSURANCE COMPANY LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>BARCLAYS HOUSE 3RD FLOOR SHEDDEN</AddressLine1Txt>
          <CityNm>GEORGETOWN</CityNm>
          <ProvinceOrStateNm>GRAND CAYMAN</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
        </ForeignAddress>
        <EIN>980128325</EIN>
        <PrimaryActivitiesTxt>REINSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PARASTAR EMERGENCY SYSTEMS INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>28050 GRAND RIVER AVENUE</AddressLine1Txt>
          <CityNm>FARMINGTON HILLS</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48336</ZIPCd>
        </USAddress>
        <EIN>382755982</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT AND 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>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>OAKWOOD HEALTHCARE FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>64024</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BEAUMONT HEALTH</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>E</TransactionTypeTxt>
        <InvolvedAmt>24252446</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>