2012-11-12T12:23:12-06:00 2011-12-31 861065772 DELOITTE TAX LLP 200 RENAISSANCE CENTER STE 3900 DETROIT MI 482431895 990 2011-01-01 381459362 WILLIAM BEAUMONT HOSPITAL WILL 2484232459 16500 WEST TWELVE MILE ROAD SOUTHFIELD MI 480762975 NICKOLAS A VITALE 2484232459 2012-11-12 1 LORI BOYCE P00121981 3133963000 2011 2016-02-24 21:20:13Z EUGENE MICHALSKI 16500 WEST TWELVE MILE ROAD SOUTHFIELD MI 480762975 2769487136 0 X WWW.BEAUMONT.EDU X 1956 MI TO PROVIDE INDIVIDUALS AND THE COMMUNITY WE SERVE THE HIGHEST QUALITY HEALTH CARE SERVICES - DELIVERED EFFICIENTLY, EFFECTIVELY AND COMPASSIONATELY - REGARDLESS OF SITUATION. 25 19 21462 2500 2157201 1709426 28657089 28259973 2005082723 2045486106 64196532 34854163 66893556 84864336 2164829900 2193464578 23148247 23733390 0 0 1138261793 1146595855 125152 46220 5928823 898422811 951687922 2059958003 2122063387 104871897 71401191 2695974182 2704700180 1757436435 1767133983 938537747 937566197 X WILLIAM BEAUMONT HOSPITAL WILL PROVIDE THE HIGHEST QUALITY HEALTHCARE SERVICES TO ALL ITS PATIENTS SAFELY, EFFECTIVELY AND COMPASSIONATELY, REGARDLESS OF WHERE THEY LIVE OR THEIR FINANCIAL CIRCUMSTANCES. 0 0 985511963 11964558 1031177473 WILLIAM BEAUMONT HOSPITAL IS A 1,070-BED MAJOR ACADEMIC AND REFERRAL CENTER WITH LEVEL 1 TRAUMA STATUS AND MICHIGAN'S FIRST MAGNET-DESIGNATED HOSPITAL FOR NURSING EXCELLENCE. AT ITS CORE, BEAUMONT'S FOCUS IS TO PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES SAFELY, EFFECTIVELY AND COMPASSIONATELY TO ALL PATIENTS IRRESPECTIVE OF THEIR ABILITY TO PAY. IN ADDITION TO ITS MAIN CAMPUS IN ROYAL OAK, MICHIGAN, BEAUMONT OPERATES TWO COMMUNITY HOSPITALS IN TROY, MICHIGAN (394-BED ACUTE CARE COMMUNITY TEACHING HOSPITAL) AND GROSSE POINTE, MICHIGAN (250-BED COMMUNITY HOSPITAL). THE MEDICAL STAFFS AT THE BEAUMONT HOSPITALS INCLUDE MORE THAN 3,700 PHYSICIANS IN MORE THAN 90 SPECIALTY AREAS AS WELL AS OVER 425 MEDICAL RESIDENTS AND FELLOWS IN 37 ACCREDITED PROGRAMS. IN 2011, BEAUMONT RECORDED 94,956 PATIENT CARE ADMISSIONS, PERFORMED 30,632 INPATIENT SURGERIES AND PROCEDURES AND 9,051 DELIVERIES. AMONG OTHER RECOGNIZED INPATIENT DIVISIONS, BEAUMONT OPERATES NATIONALLY-RECOGNIZED HEART, CANCER AND UROLOGY CENTERS WHERE PATIENTS IN THE COMMUNITY AND PATIENTS FROM AROUND THE WORLD MAY RECEIVE STATE OF THE ART TREATMENT IRRESPECTIVE OF THEIR FINANCIAL CIRCUMSTANCES. AS PART OF ITS COMMITMENT TO THE COMMUNITY AND SURROUNDING AREAS, BEAUMONT OPERATES A HIGHLY-REGARDED NEONATAL INTENSIVE CARE UNIT, WHICH CARES FOR THE SICKEST BABIES. REGARDING CARE FOR SENIORS IN ITS COMMUNITY, BEAUMONT IS THIRD IN AMERICA FOR THE NUMBER OF MEDICARE INPATIENTS SERVED.WILLIAM BEAUMONT HOSPITAL ALSO RECEIVED $558,923 OF IN-KIND DONATIONS AND THE DONATION OF SERVICES DURING 2011 THAT HAVE NOT BEEN REPORTED AS CONTRIBUTIONS ON FORM 990, PART VIII. 831636330 10096439 870171729 BEAUMONT'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. IN 2011 ALONE, BEAUMONT RECORDED 1,937,659 OUTPATIENT VISITS IN ITS HOSPITAL OUTPATIENT AND COMMUNITY FACILITIES. OUTPATIENT MEDICAL CARE IS PROVIDED BOTH IN BEAUMONT'S HOSPITAL FACILITIES AND THROUGHOUT SOUTHEAST MICHIGAN THROUGH A NETWORK OF COMMUNITY-BASED MEDICAL CENTERS (SOME OF WHICH ARE OPEN 365 DAYS A YEAR), INCLUDING FAMILY PRACTICE AND INTERNAL MEDICINE PRACTICES; FIVE NURSING CENTERS (LOCATED IN DIFFERENT MICHIGAN COMMUNITIES); AND AN ASSISTED-LIVING FACILITY. BEAUMONT ALSO PROVIDES HOME CARE SERVICES TO THE COMMUNITY INCLUDING NURSING CARE, INFUSION, MEDICAL EQUIPMENT AND A HOSPICE. ALL OF THE ABOVE OUTPATIENT SERVICES ARE PROVIDED TO PATIENTS ON A NON DISCRIMINATORY BASIS AND IRRESPECTIVE OF ABILITY TO PAY. 137753828 1672393 144136904 THE EMERGENCY CARE CENTERS AT BEAUMONT HOSPITALS ARE STAFFED AND EQUIPPED TO HANDLE THE MOST SEVERE ILLNESSES AND INJURIES AS WELL AS MINOR TRAUMAS THAT REQUIRE MEDICAL ATTENTION. BEAUMONT, ROYAL OAK IS A LEVEL 1 TRAUMA CENTER DESIGNATED BY THE AMERICAN COLLEGE OF SURGEONS. BEAUMONT'S EMERGENCY CENTERS TREATED 227,268 PATIENTS IN 2011 WITH 61,942 ADMISSIONS FROM EMERGENCY VISITS. BEAUMONT PROVIDES THESE MEDICAL SERVICES REGARDLESS OF THE PATIENT'S ABILITY TO PAY AND TREATS EVERYONE WHO COMES TO US FOR CARE REGARDLESS OF THEIR FINANCIAL CIRCUMSTANCES. 1954902121 1 1 0 1 0 0 0 0 1 1 1 0 0 1 1 0 0 1 0 0 1 0 0 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 0 0 1 747 6 1 21462 1 1 1 1 CJ 0 0 0 1 1 0 0 0 0 X 25 19 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X DONNA ZUK 2484232524 16500 W TWELVE MILE RD SOUTHFIELD MI 480762975 ANANIAS C DIOKNO MD 60.00 X 744246 0 121580 EUGENE F MICHALSKI 60.00 X X 889364 0 725389 BARBARA J MAHONE 10.00 X X 0 0 0 BENNIE W FOWLER II 10.00 X 0 0 0 CHRISTOPHER J BLAKE 10.00 X 0 0 0 GALE R COLWELL 10.00 X X 0 0 0 GEOFFREY L HOCKMAN 10.00 X 850 0 0 HADLEY MACK FRENCH 10.00 X 0 0 0 JAMES I ROSENTHAL 10.00 X 0 0 0 JOHN P HARTWIG 10.00 X 0 0 0 MARK SHAEVSKY 10.00 X 0 0 0 MARTHA JAMES QUAY 10.00 X 0 0 0 ROBERT C EMDE 10.00 X 0 0 0 ROBERT K BURGESS 10.00 X 0 0 0 ROBERT S TAUBMAN 10.00 X 0 0 0 STEPHEN R HOWARD 10.00 X 0 0 0 SUSAN E COOPER 10.00 X 0 0 0 VAN E CONWAY 10.00 X 0 0 0 WALTER J WOLPIN 10.00 X 0 0 0 WARREN ELLIOTT ROSE 10.00 X 1595 0 0 S EVAN WEINER 10.00 X 0 0 0 MAUREEN BOWMAN 60.00 X 218935 0 147639 PEGGY NOWAK MD 60.00 X 54562 0 6454 LUKE ELLIOTT MD 60.00 X 216822 0 49808 NANCY SUSICK 60.00 X 253168 0 120019 KAY WINOKUR 60.00 X 193445 0 125852 GARY CHMIELEWSKI 60.00 X 26922 0 3356 NICKOLAS A VITALE 50.00 X 384700 0 69210 DENNIS R HERRICK 50.00 X 418476 0 255971 DONNA HOBAN MD 50.00 X 383594 0 18712 JAY HOLDEN 50.00 X 279088 0 123977 KAREN BARBARA CARBONE MD 50.00 X 170790 0 73641 LESLIE ROCHER MD 50.00 X 571390 0 175550 RICHARD SWAINE 50.00 X 323342 0 61193 SAMUEL FLANDERS MD 50.00 X 591033 0 89880 SHANE CERONE 50.00 X 467985 0 95097 SUBRA SRIPADA 50.00 X 364131 0 63605 THOMAS M BRISSE 50.00 X 382887 0 167915 JAMES LYNCH MD 50.00 X 310314 0 52872 ROBERT S MORDEN MD 50.00 X 843638 0 145861 MARC SAKWA MD 50.00 X 975108 0 31021 ALI SHIRKHODA MD 50.00 X 847718 0 70885 ERIC HANSON MD 50.00 X 802658 0 29115 FRANCIS SHANNON MD 50.00 X 801313 0 29200 PAUL S PEABODY 0.00 X 1085675 0 56872 ROGER S HOWARD MD 0.00 X 299594 0 54867 A NEIL JOHNSON MD 0.00 X 505853 0 74653 ERIC HUNT 0.00 X 245812 0 84419 RONALD P LILEK 0.00 X 317504 0 27437 13972512 0 3152050 1263 1 1 0 HOME REHAB SERVICES OF MI LLC 39312 WOODWARD STE 100 BLOOMFIELD HILLS MI 48304 REHIBILITATION SERVICES 9720131 BON PC 3577 WEST THIRTEEN MILE ROAD STE 2 ROYAL OAK MI 48073 ONCOLOGY SERVICES 3413003 CARDIOLOGY ASSOCIATES PC 2575 WOODWARD AVENUE STE 300 BERKLEY MI 48072 CARDIOLOGY SERVICES 2206770 ORGAN PROCUREMENT OF MICHIGAN 3861 RESEARCH PARK DRIVE ANN ARBOR MI 48108 ORGAN PROCUREMENT 1715700 ARUP LABORATORIES PO BOX 27964 SALT LAKE CITY UT 84127 LABORATORY SERVICES 1466158 92 1669546 677928 1945351 23967148 3193357 28259973 INPATIENT 900099 1031177473 1031177473 OUTPATIENT 621500 870171729 869494565 677164 EMERGENCY 900099 144136904 144136904 2045486106 19396236 19396236 1845697 1838198 7499 7499 7499 557602000 313087 542067814 389346 15534186 -76259 15457927 15457927 631364 677928 704671 -73307 -73307 29621 4427 25194 25194 43889630 31018102 12871528 683296 12188232 CAFETERIA, TV & PHONE, 900099 17064602 17064602 NET ASSETS RELEASED 900099 6916510 6916510 UBI 900099 796741 796741 47255569 47255569 72033422 2193464578 2044808942 2157201 118238462 143571 143571 23589819 23589819 17124565 4576516 12548049 908437372 852607402 52800910 3029060 44423128 43517308 664437 241383 112120810 104606554 7046094 468162 64489980 59983827 4287799 218354 3838039 180078 3657961 537800 537800 171965 171965 46220 46220 2150883 2150883 83914044 72504262 11127738 282044 3130958 265133 2865825 20818116 16117269 4617462 83385 4320304 401021 3918558 725 159351 156091 3260 46482454 44822759 1394474 265221 4705337 4030850 629046 45441 947595 865948 77681 3966 63241553 63241553 164576621 159515617 4937299 123705 10885921 10486171 377707 22043 MEDICAL AND OFFICE SUPP 319073431 315585172 3483456 4803 BAD DEBT PROVISION 65837420 65837420 TAXES 50696790 50696790 TAXES - 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$8,626,998 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: EARNINGS ON ENDOWMENT FUNDS SUPPORT HOSPITAL AND CHARITABLE MISSION. CENTRAL AMERICA AND THE CARIBBEAN INVESTMENT 120000 0 0 0 0 0 0 120000 0 120000 1 0 1 0 0 0 X 1 RUFFALOCODY 65 KIRKWOOD NORTH ROAD SW CEDAR RAPIDS IA 52404 PHONE SOLICITATIONS 0 51074 46220 4854 51074 46220 4854 MI STAR'S GUITARS 281521 36404 245117 2750 107920 DRIVE TO BEAT BREAST CANCER 234378 144229 90149 2775 59209 22691 15 793393 497295 296098 28374 221344 259608 1309292 677928 631364 31149 283303 390219 704671 -73307 29621 4427 1 1.00000 29621 4427 4427 25194 MI 1 0 0 0 1.00000 ALVINA RHODES 16500 WEST TWELVE MILE ROAD SOUTHFIELD MI 480762975 0 0 1 1 X 1 X 1 X 1 1 1 0 1 1 21486786 21486786 0.01040 204086854 150370752 53716102 0.02610 225573640 150370752 75202888 0.03650 1596397 1596397 0.00080 97869497 30835302 67034195 0.03260 16006099 11675293 4330806 0.00210 2618793 1945351 673442 0.00030 143571 143571 0.00010 118234357 44455946 73778411 0.03590 343807997 194826698 148981299 0.07240 1 65837420 21370827 834676698 806579966 28096732 X 0 1 BEAUMONT NORTH MACOMB ASC LLC AMBULATORY SURGICAL CENTER 0.59300 0.40700 2 BEAUMONT WEST BLOOMFIELD ASC LLC AMBULATORY SURGICAL CENTER 0.72860 0.19900 3 BEAUMONT KIDNEY SPECIALTY SERVICES LLC NEPHROLOGY SERVICES 0.55900 0.44100 4 GREATER MICHIGAN LITHOTRIPSY LLC TREATMENT OF KIDNEY STONES 0.10800 0.17700 5 GREATER MICHIGAN GAMMA KNIFE LLC RADIATION TREATMENT OF BRAIN TUMORS 0.10370 0.18000 6 GROSSE POINTE COLLABORATIVE SERVICES LLC VASCULAR AND CARDIOLOGY SERVICES 0.05000 0.95000 3 1 WILLIAM BEAUMONT HOSPITAL - ROYAL OAK

3601 WEST THIRTEEN MILE ROAD ROYAL OAK MI 48073

X X X X X X 2 WILLIAM BEAUMONT HOSPITAL - TROY

44201 DEQUINDRE TROY MI 48085

X X X X 3 WILLIAM BEAUMONT HOSPITAL-GROSSE POINTE

468 CADIEUX GROSSE POINTE MI 48230

X X X X WILLIAM BEAUMONT HOSPITAL - ROYAL OAK 1 1 1 400.000000000000 1 400.000000000000 1 X X 1 0 0 0 1 X 0 0 WILLIAM BEAUMONT HOSPITAL - TROY 2 1 1 400.000000000000 1 400.000000000000 1 X X 1 0 0 0 1 X 0 0 WILLIAM BEAUMONT HOSPITAL- GROSSE POINTE 3 1 1 400.000000000000 1 400.000000000000 1 X X 1 0 0 0 1 X 0 0 66 BEAUMONT HEALTH CENTER

4949 COOLIDGE ROYAL OAK MI 48073

REHABILITATION SERVICES AMBULATORY INFUSIONCANCER CENTER

44344 DEQUINDRE ROAD STERLING HEIGHTS MI 48314

INFUSION AND CANCER TREATMENT SERVICES REHABILITATION & DIALYSIS CENTER

44300 DEQUINDRE ROAD STERLING HEIGHTS MI 48314

DIALYSIS AND REHABILITATION SERVICES BEAUMONT MEDICAL CENTER - MACOMB

15979 HALL ROAD MACOMB MI 48044

REHABILITATION, RADIOLOGY AND DIAGNOSTIC SERVICES BEAUMONT MEDICAL CENTER - WEST BLOOMFIEL

6900 ORCHARD LAKE ROAD WEST BLOOMFIELD MI 48322

REHABILITATION, RADIOLOGY AND DIAGNOSTIC SERVICES BERKLEY DIALYSIS SERVICES

2624 ELEVEN MILE ROAD BERKLEY MI 48072

DIALYSIS SERVICES BEAUMONT MEDICAL CENTER - ST CLAIRE SHO

25631 LITTLE MACK AVENUE ST CLAIRE SHORES MI 48080

REHABILITATION, RADIOLOGY AND DIAGNOSTIC SERVICES BEAUMONT MEDICAL CENTER - LAKE ORION

1455 SOUTH LAPEER ROAD LAKE ORION MI 48360

REHABILITATION, RADIOLOGY AND DIAGNOSTIC SERVICES ROCHESTER HILLS HEALTH AND WELLNESS CENT

1555 SOUTH BOULEVARD EAST ROCHESTER HILLS MI 48307

HEALTH, FITNESS AND REHABILITATION SERVICES FAMILY MEDICINE CENTER

44250 DEQUINDRE ROAD STERLING HEIGHTS MI 48314

OUTPATIENT PHYSICIAN CLINIC BEAUMONT WEST BLOOMFIELD ASC

6900 ORCHARD LAKE ROAD WEST BLOOMFIELD MI 48322

AMBULATORY SURGICAL CENTER HAZEL PARK DIALYSIS CENTER

23231 JOHN R HAZEL PARK MI 48030

DIALYSIS SERVCIES BEAUMONT MEDICAL CENTER - ROCHESTER HILL

6700 NORTH ROCHESTER ROCHESTER HILLS MI 48306

REHABILITATION, RADIOLOGY AND DIAGNOSTIC SERVICES NORTH MACOMB MEDICAL OFFICE BUILDING

15959 HALL ROAD MACOMB MI 48044

OUTPATIENT PHYSICIAN CLINIC BEAUMONT MACOMB TOWNSHIP ASC

15979 HALL ROAD MACOMB MI 48044

AMBULATORY SURGICAL CENTER BEAUMONT MEDICAL CENTER - WARREN

8545 COMMON ROAD WARREN MI 48093

REHABILITATION, RADIOLOGY AND DIAGNOSTIC SERVICES BERKLEY MEDICAL CENTER

1695 WEST TWELVE MILE ROAD BERKLEY MI 48072

REHABILITION SERVICES BEAUMONT OUTPATIENT SERVICES

4600 INVESTMENT DRIVE SUITE 140 180 TROY MI 48098

REHABILITATION, RADIOLOGY AND DIAGNOSTIC SERVICES INTERNISTS OF FARMINGTON HILLS

29355 NORTHWESTERN HWY SUITE 200 SOUTHFIELD MI 48034

OUTPATIENT PHYSICIAN CLINIC BERKLEY SLEEP EVALUATION CENTER

1949 WEST TWELVE MILE ROAD BERKLEY MI 48072

SLEEP EVALUATION CLINIC ACADEMIC HEART AND VASCULAR

21090 ALLEN ROAD WOODHAVEN MI 48183

OUTPATIENT PHYSICIAN CLINIC BEAUMONT REHABILITATION SERVICES

23715 LITTLE MACK AVENUE SUITE 200 ST CLAIRE SHORES MI 48080

REHABILITATION SERVICES ST CLAIR SHORES FAMILY MEDICAL CENTER

21400 EAST ELEVEN MILE ROAD ST CLAIR SHORES MI 48081

OUTPATIENT PHYSICIAN CLINIC GROSSE POINTE PARK INTERNAL MEDICINE CEN

15200 KERCHEVAL GROSSE POINTE PARK MI 48230

OUTPATIENT PHYSICIAN CLINIC ST CLAIRE SHORES INTERNISTS

29751 LITTLE MACK SUITE A ROSEVILLE MI 48066

OUTPATIENT PHYSICIAN CLINIC BEAUMONT KIDNEY SPECIALTY SERVICES

26400 WEST TWELVE MILE ROAD STE 112 SOUTHFIELD MI 48034

DIALYSIS SERVICES GROSSE POINTE FARMS FAMILY PHYSICIANS

131 KERCHEVEL SUITE 99 GROSSE POINTE FARMS MI 48080

OUTPATIENT PHYSICIAN CLINIC EASTPOINTE PHYSICIANS

25509 KELLY ROAD SUITE A ROSEVILLE MI 48036

OUTPATIENT PHYSICIAN CLINIC NORTHPOINTE CARDIOLOGY

27901 WOODWARD AVENUE SUITE 300 BERKLEY MI 48072

CARDIOLOGY SERVICES SHOREPOINTE FAMILY PHYSICIANS

22646 EAST NINE MILE ROAD ST CLAIRE SHORES MI 48081

OUTPATIENT PHYSICIAN CLINIC ASSOCIATED FAMILY CARE PHYSICIANS

27070 HOOVER ROAD WARREN MI 48093

OUTPATIENT PHYSICIAN CLINIC BEAUMONT MAMMOGRAPHY SERVICES

35046 WOODWARD AVE BIRMINGHAM MI 48009

RADIOLOGY AND DIAGNOSTIC SERVICES TROY PHLEBOTOMY SERVICE CENTER

3290 WEST BIG BEAVER ROAD SUITE 415 TROY MI 48083

PHLEBOTOMY SERVICES GREATER MICHIGAN LITHOTRIPSY

3601 WEST THIRTEEN MILE ROAD ROYAL OAK MI 48073

LITHOTRIPSY SERVICES BEVERLY HILLS INTERNAL MEDICINE

17392 WEST THIRTEEN MILE ROAD BEVERLY HILLS MI 48025

OUTPATIENT PHYSICIAN CLINIC CARDIOVASCULAR SPECIALISTS

29645 WEST 14 MILE ROAD SUITE 200 FARMINGTON HILLS MI 48334

CARDIOLOGY SERVICES BERKLEY PHLEBOTOMY SERVICE CENTER

27901 WOODWARD AVENUE SUITE 250 BERKLEY MI 48072

PHLEBOTOMY SERVICES FARMINGTON PHLEBOTOMY SERVICE CENTER

23800 ORCHARD LAKE ROAD SUITE 209 FARMINGTON HILLS MI 48336

PHLEBOTOMY SERVICES ST CLAIR SHORES PHLEBOTOMY SERVICE CTR

24211 LITTLE MACK AVENUE ST CLAIR SHORES MI 48080

PHLEBOTOMY SERVICES ROYAL OAK OUTREACH CLINIC

1026 WEST ELEVEN MILE ROAD SUITE A ROYAL OAK MI 48067

OUTPATIENT PHYSICIAN CLINIC UROLOGY PROCEDURE CENTER

31157 WOODWARD AVENUE ROYAL OAK MI 48073

UROLOGY PROCEDURES WATTLES PROFESSIONAL BUILDING

1950 WATTLES TROY MI 48098

REHABILITATION SERVICES OXFORD OUTREACH CLINIC

25 SOUTH WASHINGTON SUITE A OXFORD MI 48371

OUTPATIENT PHYSICIAN CLINIC WARREN OUTREACH CLINIC

29245 RYAN ROAD SUITE 300 WARREN MI 48092

OUTPATIENT PHYSICIAN CLINIC SILVER PINES PHLEBOTOMY SERVICE CENTER

43455 SCHOENHERR 19 STERLING HEIGHTS MI 48313

PHLEBOTOMY SERVICES SOUTHFIELD OUTREACH CLINIC

26015 GREENFIELD SOUTHFIELD MI 48076

OUTPATIENT PHYSICIAN CLINIC WEST BLOOMFIELD PHLEBOTOMY SERVICE CENTE

33200 FOURTEEN MILE SUITE 170 WEST BLOOMFIELD MI 48322

PHLEBOTOMY SERVICES DETROIT SKATING CLUB

888 DENSION COURT BLOOMFIELD HILLS MI 48302

REHABILITATION SERVICES NORTHPOINTE CARDIOLOGY

44344 DEQUINDRE ROAD SUITE 560 STERLING HEIGHTS MI 48314

CARDIOLOGY SERVICES GREATER MICHIGAN GAMMA KNIFE

3601 WEST THIRTEEN MILE ROAD ROYAL OAK MI 48073

BRAIN TUMOR RADIATION TREATMENT SOUTH LYON OUTREACH CLINIC

26006 PONTIAC TRAIL SUITE A SOUTH LYON MI 48178

OUTPATIENT PHYSICIAN CLINIC GROSSE POINTE WOODS URGENT CARE

20311 MACK AVE UNIT 1 GROSSE POINTE WOODS MI 48236

OUTPATIENT PHYSICIAN CLINIC LIFESTAGES OBGYN

25650 KELLY ROAD SUITE 10 ROSEVILLE MI 48066

OUTPATIENT PHYSICIAN CLINIC ADOLESCENT PEDIATRICS

31815 SOUTHFIELD ROAD SUITE 22 BEVERLY HILLS MI 48025

OUTPATIENT PHYSICIAN CLINIC LIVONIA PHLEBOTOMY SERVICE CENTER

17888 FARMINGTON ROAD LIVONIA MI 48152

PHLEBOTOMY SERVICES NORTHPOINTE CARDIOLOGY

16800 WEST TWELVE MILE ROAD SOUTHFIELD MI 48076

CARDIOLOGY SERVICES FAMILY MEDICINE CENTER

18245 TEN MILE SUITE 130 ROSEVILLE MI 48066

OUTPATIENT PHYSICIAN CLINIC NORTHWEST CARDIOLOGY

26400 WEST TWELVE MILE ROAD SUITE 120 SOUTHFIELD MI 48034

CARDIOLOGY SERVICES INTERNAL MEDICINE CENTER

21327 HARPER SUITE A ST CLAIRE SHORES MI 48080

OUTPATIENT PHYSICIAN CLINIC BEAUMONT BON BRAE CENTER

22300 BON BRAE ROAD ST CLAIRE SHORES MI 48081

COMMUNITY OUTREACH CLINIC BLOOMFIELD OUTREACH CLINIC

1109 WEST LONG LAKE ROAD SUITE 101 BLOOMFIELD HILLS MI 48302

OUTPATIENT PHYSICIAN CLINIC NOVI OUTREACH CLINIC

24230 KARIM BLVD SUITE 120 NOVI MI 48375

OUTPATIENT PHYSICIAN CLINIC NORTHPOINTE CARDIOLOGY

1949 WEST TWELVE MILE ROAD BERKLEY MI 48072

CARDIOLOGY SERVICES BEAUMONT MEN'S FERTILITY CENTER

130 TOWN CENTER DRIVE SUITE 130 TROY MI 48084

FERTILITY CLINIC NEWTON HEALTH CENTER

16411 CURTIS DETROIT MI 48235

COMMUNITY OUTREACH CLINIC OCCUPATIONAL HEALTH SERVICES

550 STEPHENSON HIGHWAY TROY MI 48083

REHABILITATION SERVICES PART I, LINE 7: WILLIAM BEAUMONT HOSPITAL CALCULATED THE COST OF CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. OTHER BENEFITS AMOUNTS REPORTED ON LINE 7 WERE CALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM. AN INDIRECT COST ALLOCATION FACTOR FOR SHARED SERVICES IS ALSO CALCULATED AND INCLUDED IN APPLICABLE PROGRAMS LISTED IN OTHER BENEFITS. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 65837420. PART III, LINE 4: 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. WILLIAM BEAUMONT HOSPITAL USES A METHODICAL CALCULATION TO GATHER THE COSTS, BOTH DIRECT AND INDIRECT, TO THE ORGANIZATION TO RENDER CARE. THIS COST TO OPERATE IS CONVERTED TO A RATIO WHICH IS APPLIED TO TOTAL BAD DEBT WHICH IN TURN CALCULATES THE AMOUNT AT COST OR THE COST OF THE HOSPITAL TO OPERATE AND PROVIDE THE SERVICE.A NUMBER OF PATIENTS ARE TRULY UNABLE TO PAY THEIR OUT-OF-POCKET LIABILITY, BUT DO NOT COMPLETE THE PROCESS REQUIRED TO APPLY FOR FINANCIAL ASSISTANCE UNDER BEAUMONT'S CHARITY CARE POLICY. THESE PATIENTS WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE PAPERWORK, SO THE BAD DEBT EXPENSE ASSOCIATED WITH TREATING THEM SHOULD BE TREATED AS COMMUNITY BENEFIT. THE ADMINISTRATIVE REQUIREMENTS TO DETERMINE WHETHER PATIENTS WHO DO NOT COOPERATE WITH THE FINANCIAL ASSISTANCE PROCESS WOULD HAVE QUALIFIED FOR CHARITY CARE CAN BE BURDENSOME, PARTICULARLY FOR SMALL BALANCES, SO A REASONABLE ESTIMATE, BASED ON BROAD DEMOGRAPHIC DATA, SHOULD BE SUFFICIENT TO JUSTIFY COMMUNITY BENEFIT TREATMENT. BEAUMONT CONTINUES SERVICING PATIENTS EVEN AFTER THE PATIENTS HAVE GENERATED SIGNIFICANT BAD DEBT AND THIS IS EVIDENCE THAT THE CARE IS GIVEN FOR COMMUNITY BENEFIT MOTIVATIONS. BEAUMONT CAN NOT AND DOES NOT REFUSE SERVICE TO PATIENTS THAT GENERATE BAD DEBT AND THIS IS EVIDENCE THAT THE CARE IS GIVEN FOR COMMUNITY BENEFIT MOTIVATIONS. PART III, LINE 8: THE SOURCE USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS THE HOSPITAL'S MEDICARE COST REPORT.PART V, LINE 19D: ALL PATIENTS WHO INDICATE THAT THEY ARE UNINSURED RECEIVE AN IMMEDIATE DISCOUNT OF 40% OFF HOSPITAL CHARGES FOR ALL MEDICAL SERVICES PROVIDED. IN ADDITION TO THIS UPFRONT 40% DISCOUNT, PATIENTS ARE ELIGIBLE FOR ADDITIONAL DISCOUNTS OF UP TO 100% ON MEDICAL SERVICES PROVIDED BY THE HOSPITAL ON A SLIDING SCALE BASIS DEPENDING ON THEIR REPORTED ANNUAL FAMILY INCOME LEVELS. PART VI, LINE 2: A COMMUNITY NEEDS ASSESSMENT WAS DONE FOR THE BEAUMONT HOSPITALS' SERVICE AREAS TO DETERMINE THE NEEDS OF EACH COMMUNITY THAT THE HOSPITALS SERVE AND TO FORM THE BASIS FOR THE DEVELOPMENT OF AN IMPLEMENTATION PLAN TO ADDRESS SUCH COMMUNITY HEALTH CARE NEEDS. COMMUNITY NEEDS INFORMATION WAS COLLECTED WITH THE ASSISTANCE OF THE LOCAL PLANNING AGENCY AND OTHERS WHO HAVE SPECIALIZED EXPERTISE IN REVIEWING THE HEALTH CARE NEEDS OF THE PARTICULAR COMMUNITIES SERVED BY BEAUMONT HOSPITALS. SUCH DATA WAS ALSO COLLECTED FROM STATE AND NATIONAL HEALTH AGENCIES, GOVERNMENTAL AGENCIES, UNIVERSITIES, RESEARCH INSTITUTIONS, HEALTH AND HUMAN SERVICE ORGANIZATIONS, PUBLISHED DATA, FOCUS GROUPS, INTERVIEWS AND INFORMAL STUDIES. THE COMMUNITY NEEDS ASSESSMENT IS MADE WIDELY AVAILABLE BY BEAUMONT ON ITS WEBSITE, WHERE IT IS CONTAINED WITHIN BEAUMONT'S COMMUNITY BENEFIT REPORT.MEASURES CONSIDERED INCLUDED DEMOGRAPHICS, BIRTH AND DEATH CHARACTERISTICS, DISEASE INCIDENCE AND PREVALENCE, HEALTH STATUS AND BEHAVIOR, HEALTH CARE UTILIZATION, SOCIAL AND COMMUNITY ISSUES AND SCHOOL AND STUDENT POPULATION CHARACTERISTICS. WRITTEN RESOURCES AS WELL AS PERSONAL INTERVIEWS WERE ALSO USED TO ASSESS COMMUNITY HEALTH NEEDS. FOR EXAMPLE, THE RECOMMENDATION PROPOSED THAT OUR HEALTH PROFESSIONALS CAN HELP TEACH INDIVIDUALS HOW TO PREVENT DISEASE BY MANAGING CHRONIC DISEASES, BECOMING HEALTHIER, PRACTICING PREVENTATIVE CARE, SYMPTOM AND TREATMENT OPTIONS. TO THAT END, BEAUMONT IS COMMITTED TO THE COMMUNITY AND HAS A WEALTH OF COMMUNITY HEALTH EDUCATION PROGRAMS OFFERED WITHIN, AND OUTSIDE, OUR SYSTEM. IN ALIGNMENT WITH BEAUMONT HOSPITALS' MISSION TO PROVIDE HEALTH AND WELLNESS PROGRAMS TO THE COMMUNITY, A COUNCIL ON COMMUNITY HEALTH AND WELLNESS REVIEW COMMITTEE WAS FORMED. THE COUNCIL REVIEWS ALL CURRENT PROGRAMS OFFERED TO THE COMMUNITY AND EVALUATES PROPOSED COMMUNITY SERVICES AND PROGRAMS. THE COUNCIL TRACKS THE PROGRAMS FOR UTILIZATION, EFFECTIVENESS AND STANDARDIZATION OF QUALITY. THE COUNCIL MEMBERS HOLD A VARIETY OF RESOURCES AND SKILLS ALLOWING THEM TO CREATE DYNAMIC AND EVIDENCE-BASED PROGRAMS AND PARTNERSHIPS WITHIN THE COMMUNITY. CREATION OF THE COUNCIL RESULTED IN A SYSTEM-WIDE COLLABORATIVE EFFORT TO PROVIDE THE COMMUNITIES WE SERVE WITH EXCELLENT HEALTH AND WELLNESS PROGRAMMING. PART VI, LINE 3: BEAUMONT'S GOAL IS TO EDUCATE AND INFORM ALL UNINSURED AND UNDERINSURED PATIENTS AS TO THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR HEALTH CARE SERVICES AND CHARITY CARE SERVICES THROUGHOUT THE COURSE OF THEIR TREATMENT AT A BEAUMONT HOSPITAL AND BEYOND. WHEN A PATIENT PRESENTS THEMSELVES FOR CARE AT BEAUMONT, AT THE TIME OF SCHEDULING AND/OR REGISTRATION, ALL UNINSURED INDIVIDUALS ARE APPRISED OF OPTIONS AVAILABLE FOR GOVERNMENT MEDICAL COVERAGE, THE AVAILABILITY OF FINANCIAL ASSISTANCE, THE AVAILABILITY OF NO-INTEREST PAYMENT PLANS AND THE EXISTENCE OF CHARITY CARE IF NEEDED. INTERPRETERS ARE MADE AVAILABLE FOR ANY PATIENT FOR WHOM ENGLISH IS NOT THEIR PRIMARY LANGUAGE. INFORMATION RELATING TO APPLICATION FOR MEDICAID FROM THE MICHIGAN DEPARTMENT OF HUMAN SERVICES (DHS) ALONG WITH AN INFORMATIONAL BOOKLET ON MEDICAID IS MADE AVAILABLE. ACCESS TO AN ONLINE APPLICATION SERVICE WITH THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH IS ALSO PROVIDED. PATIENT WAITING AREAS HAVE PAMPHLETS IN VARIOUS LOCATIONS DESCRIBING THE AVAILABILITY OF FREE OR DISCOUNTED CARE FOR THE UNINSURED AND UNDERINSURED. IN ADDITION, BEAUMONT CONTRACTS WITH AN OUTSIDE COMPANY CALLED ADVOMAS TO ASSIST UNINSURED INDIVIDUALS IN THE APPLICATION PROCESS AND SEARCH FOR ANY FORM OF FINANCIAL ASSISTANCE THROUGH OTHER PROGRAMS. BEAUMONT PATIENT FINANCIAL SERVICES REPRESENTATIVES ARE ALSO AVAILABLE FOR ASSISTANCE RELATING TO THE APPLICATION PROCESS AND ARE ALSO AVAILABLE AFTER THE CARE HAS BEEN PROVIDED VIA A TELEPHONE NUMBER MADE AVAILABLE TO PATIENTS. THESE FINANCIAL SERVICE REPRESENTATIVES ALSO PROVIDE THE UNINSURED WITH ASSISTANCE PRIOR TO RECEIVING CARE, BEFORE A BILL IS RECEIVED, AFTER A BILL IS RECEIVED OR TO HELP ANY INDIVIDUAL REQUEST A PAYMENT PLAN. LASTLY, ALL INVOICES FOR PATIENT CARE SERVICES INCLUDE A NOTICE AS TO THE AVAILABILITY OF FINANCIAL ASSISTANCE OR FREE CARE IF THE PERSON IS UNABLE TO AFFORD THE CARE PROVIDED. PART VI, LINE 4: WILLIAM BEAUMONT HOSPITAL TREATED PATIENTS FROM ALMOST EVERY COUNTY IN MICHIGAN, WITH PATIENTS COMING FROM CANADA AND OTHER COUNTRIES FOR USE OF OUR SPECIALTY SERVICES. APPROXIMATELY 97% OF TOTAL DISCHARGES CAME FROM THE SOUTHEAST MICHIGAN SEVEN COUNTY AREAS OF LIVINGSTON, MACOMB, MONROE, OAKLAND, ST. CLAIR, WASHTENAW AND WAYNE. 3% OF OUR DISCHARGES CAME FROM OUTSIDE OF SOUTHEAST MICHIGAN.THE TOTAL POPULATION OF THE SOUTHEAST MICHIGAN SEVEN COUNTY AREA IS APPROXIMATELY 4,702,000 OF WHICH 51% ARE FEMALE AND 49% ARE MALE. OVER 55% OF THE POPULATION IS THIRTY-FIVE YEARS OR OLDER WITH THE HIGHEST CONCENTRATION IN THE RANGE OF THIRTY-FIVE THROUGH FIFTY-FOUR. APPROXIMATELY 89% OF THE POPULATION AGE OF TWENTY-FIVE YEARS AND OLDER HAVE A HIGH SCHOOL EDUCATION OR GREATER, WHICH IS IN LINE WITH THE EDUCATION LEVEL DISTRIBUTION PERCENTAGE FOR THE ENTIRETY OF THE UNITED STATES. THE HOUSEHOLD INCOME OF OUR PATIENT BASE VARIES AS BEAUMONT SERVES ALL INDIVIDUALS IN NEED OF CARE. FOR SENIORS, HEALTH NEEDS BECOME MORE CRITICAL. BEAUMONT HAS DEVELOPED INNOVATIVE GERIATRIC SERVICES DEDICATED TO SERVING OLDER ADULTS AND THEIR FAMILIES. BEAUMONT'S SERVICES OFFER SENIORS A BETTER QUALITY OF LIFE. BEAUMONT'S ROYAL OAK HOSPITAL HAS THE THIRD HIGHEST NUMBER OF MEDICARE ADMISSIONS OF ANY HOSPITAL IN THE COUNTRY. PART VI, LINE 5: BEAUMONT HOSPITALS IS ONE OF THE PREMIER MEDICAL FACILITIES IN THE UNITED STATES AND A HEALTH CARE LEADER OF UNPARALLELED QUALITY. BEAUMONT FOCUSES ON PATIENT CARE, EDUCATION AND RESEARCH WITH A MISSION TO DELIVER THE HIGHEST QUALITY HEALTH CARE SERVICES. WITH THREE HOSPITALS, IN ROYAL OAK, TROY AND GROSSE POINTE, MICHIGAN, BEAUMONT'S REPUTATION FOR EXCELLENCE IS RECOGNIZED NATIONALLY AS A MAJOR TEACHING, RESEARCH AND REFERRAL HEALTH SYSTEM.BEAUMONT, ROYAL OAK HAS BEEN NAMED REPEATEDLY TO THE U.S. NEWS & WORLD REPORT "BEST HOSPITALS" LISTS. IT WAS MICHIGAN'S FIRST MAGNET-DESIGNATED HOSPITAL FOR NURSING EXCELLENCE AND IS AN ASSOCIATE MEMBER OF THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS. THE MANY AWARDS BEAUMONT HAS RECEIVED OVER THE YEARS - FOR LEADERSHIP, INNOVATION, EDUCATION, QUALITY AND SAFETY ARE A TESTAMENT TO A HIGHLY SKILLED MEDICAL TEAM, WHICH CONSISTENTLY RANKS AMONG THE BEST IN THE NATION. THE MEDICAL STAFFS AT THE ROYAL OAK, TROY AND GROSSE POINTE HOSPITALS INCLUDE MORE THAN 3,700 PHYSICIANS IN MORE THAN 90 SPECIALTY AREAS. A MAJOR TEACHING FACILITY, BEAUMONT HAS 37 ACCREDITED RESIDENCY AND FELLOWSHIP PROGRAMS WITH MORE THAN 425 RESIDENTS (PHYSICIANS IN TRAINING) AND FELLOWS.BEAUMONT HAS PARTNERED WITH OAKLAND UNIVERSITY TO ESTABLISH A MEDICAL SCHOOL THAT BEGAN CLASSES ON AUGUST 8, 2011. THE MEDICAL SCHOOL IS ONE OF JUST A FEW IN THE COUNTRY WHERE STUDENTS COMPLETE ALL CLINICAL TRAINING WITHIN ONE INTEGRATED HEALTH CARE SYSTEM, OFFERING THEM EXPERIENCES THROUGH BEAUMONT'S TERTIARY CARE AND COMMUNITY HOSPITALS, COMMUNITY-BASED MEDICAL CENTERS AND PHYSICIAN PRACTICES, NURSING HOMES, HOME CARE AND HOSPICE. STUDENTS WILL PARTICIPATE IN FOUR-YEAR CAPSTONE PROJECTS ADDRESSING ISSUES OF SCIENTIFIC OR SOCIAL IMPACT IN HEALTH EDUCATION RESEARCH OR COMMUNITY SERVICE. THESE PROJECTS WILL HELP THEM FIND A SPECIALTY THAT MATCHES THEIR TALENTS AND INTEREST, WHILE HELPING THEM GROW ROOTS WITHIN THE COMMUNITY. THIS INVOLVEMENT WILL HELP ATTRACT MORE MEDICAL TALENT TO THE REGION WE SERVE WHICH WILL BENEFIT OUR PATIENTS AND THE COMMUNITY. BEAUMONT IS COMMITTED TO A HEALTHY COMMUNITY AND TAKES AN ACTIVE ROLE IN THE WELL-BEING OF THE CITIZENS OF THE TRI-COUNTY AREA. BEAUMONT IS CONCERNED ABOUT THE HEALTH CARE NEEDS OF ALL OF THE PEOPLE IN THE AREA IT SERVES - REGARDLESS OF INCOME OR PLACE OF RESIDENCE. IN FACT, COMMUNITY GIVING IS PART OF OUR MISSION: "WE WILL PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES TO ALL OF OUR PATIENTS EFFICIENTLY, EFFECTIVELY AND COMPASSIONATELY, REGARDLESS OF WHERE THEY LIVE OR OF THEIR FINANCIAL CIRCUMSTANCES."BEAUMONT IS COMMITTED TO INVESTING IN HEALTH, WELLNESS AND PREVENTION PROGRAMS THAT ADD TO THE QUALITY OF LIFE FOR PEOPLE IN THE COMMUNITY AND PROMOTE HEALTHY LIVING.BEAUMONT'S HEALTH CARE PROVIDERS AND PHYSICIANS DONATED HUNDREDS OF HOURS IN SERVICE TO THE COMMUNITY IN 2011. THESE PROVIDERS EDUCATE ELEMENTARY SCHOOL CHILDREN IN PROGRAMS LIKE TAR WARS (TOBACCO PREVENTION) AND PROJECT HEALTHY SCHOOLS WHOSE GOAL IS TO REDUCE THE RISK OF HEART DISEASE, OBESITY AND DIABETES BY INSTILLING HEALTHY HABITS IN CHILDREN. BEAUMONT'S FREE SPEAKERS BUREAU PLACES MORE THAN 100 SPEAKERS ANNUALLY AT NO COST TO SCHOOLS AND ORGANIZATIONS. BEAUMONT'S COMMITMENT TO HEALTH EDUCATION AND AWARENESS IS PARAMOUNT, WHETHER IT'S A BLOOD PRESSURE SCREENING AT A LOCAL HEALTH FAIR OR TRAINING THE NEXT GENERATION OF DOCTORS AND NURSES IN OUR SURGICAL LEARNING CENTER AND OPERATING ROOMS. BEAUMONT HAS SUPPORT GROUPS AND CLASSES TO ASSIST ADULTS AND SENIORS. BEAUMONT HAS DEVELOPED SPECIAL GERIATRIC SERVICES DEDICATED TO SERVING OLDER ADULTS AND THEIR FAMILIES. BEAUMONT EMPLOYS STATE-OF-THE-ART TECHNOLOGY, TEAMS OF SPECIALISTS AND A HOST OF PROGRAMS SPECIALLY DESIGNED FOR SENIOR CITIZENS. BEAUMONT ALSO SPONSORS SENIOR TRANSPORTATION SERVICES IN NINE DIFFERENT COMMUNITIES. BEAUMONT PARTNERS WITH COMMUNITY ORGANIZATIONS TO ADDRESS THE HEALTH CARE NEEDS OF THE POPULATIONS IT SERVES. EVERY YEAR, BEAUMONT PROVIDES FINANCIAL SPONSORSHIPS AND DONATION TO OTHER WORTHY ORGANIZATIONS WHO SHARE OUR MISSION OF PROMOTING GOOD HEALTH AND WELLNESS. BEAUMONT INVESTS IN OUR REGION BECAUSE WE CARE ABOUT THE OVERALL QUALITY OF LIFE OF THE PEOPLE IN OUR NEIGHBORHOOD AND BEYOND. BEAUMONT HAS A LONG TRADITION OF HEALING IN THE COMMUNITY AND HELPING PATIENTS WITHOUT INSURANCE. IN OUR STRUGGLING ECONOMY, MANY FAMILIES MAY DELAY OR FORGO HEALTH CARE DUE TO FINANCIAL REASONS. BEAUMONT BELIEVES THAT ALL PATIENTS SHOULD RECEIVE THE HEALTH CARE THEY NEED, REGARDLESS OF THEIR FINANCIAL CIRCUMSTANCES. AS PART OF OUR COMMITMENT TO PATIENTS IN NEED, BEAUMONT HELPS THESE INDIVIDUALS NAVIGATE THE HEALTH CARE SYSTEM AND GAIN ACCESS TO THE PROGRAMS THAT OFFER BENEFITS, SUCH AS MICHIGAN'S MICHILD PROGRAM, MEDICAID AND MEDICARE. BEAUMONT PARTNERS WITH MANY NON-PROFIT ORGANIZATIONS TO HELP THOSE WHO ARE IN NEED. WE WORK WITH COVENANT COMMUNITY CARE, INC., A NON-PROFIT ORGANIZATION AND FEDERALLY QUALIFIED HEALTH CENTER DEDICATED TO PROVIDING PRIMARY HEALTH CARE TO THE UNINSURED AND UNDERINSURED AT LOCATIONS IN SOUTHWEST DETROIT AND SOUTH OAKLAND COUNTY. BEAUMONT ALSO PROVIDES FREE CARE AT THE NEWTON HEALTH CENTER, A SCHOOL-BASED CLINIC IN DETROIT. S.A.Y. CLINIC IN DETROIT IS A NEW INITIATIVE WHERE BEAUMONT PARTICIPATES IN A 24-HOUR CLINIC TO SERVE THE HOMELESS.IN RECOGNITION OF BEAUMONT'S HIGH STANDARD OF CARE, IN 2009, BEAUMONT BECAME A MEMBER OF THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITAL AND RELATED INSTITUTIONS. BEAUMONT'S CHILDREN'S HOSPITAL HAS THIRTY-SIX DIFFERENT PEDIATRIC MEDICAL AND SURGICAL SUBSPECIALTIES ALONG WITH EIGHTY-THREE PEDIATRIC SUB-SPECIALISTS AND MORE THAN TWO HUNDRED BOARD-CERTIFIED PEDIATRICIANS. BOARD-CERTIFIED NEONATOLOGISTS ARE AVAILABLE IN THE HOSPITAL 24-HOURS A DAY, CARING FOR PREMATURE AND SICK NEWBORNS. BECAUSE OF THE QUALITY OF BEAUMONT'S SERVICES, PATIENTS AROUND THE WORLD, INSURED OR NOT, HAVE COME TO BEAUMONT FOR CARE. BEAUMONT, ROYAL OAK HAS THE ONLY LEVEL 1 TRAUMA DESIGNATION BY THE AMERICAN COLLEGE OF SURGEONS IN OAKLAND AND MACOMB COUNTIES. THESE TWO COUNTIES HAVE A COMBINED POPULATION OF OVER 2 MILLION PEOPLE. BEAUMONT ALSO HAS A NEONATAL INTENSIVE CARE UNIT, WHICH CARES FOR THE SICKEST BABIES - SOME COME FROM ALL OVER THE STATE TO BE TREATED IN OUR HOSPITAL. BEAUMONT'S OUTPATIENT CLINICS ALSO CARE FOR UNDERINSURED AND MEDICAID PATIENTS AS WELL AS PATIENTS WITH NO INSURANCE AT ALL.THE DESIRE TO MEET THE NEEDS OF THE POPULATION HAS LED BEAUMONT TO PROVIDE MILLIONS OF DOLLARS IN COMMUNITY BENEFIT SERVICES IN 2011, INCLUDING CHARITY AND UNPAID CARE; UNFUNDED COSTS OF GOVERNMENT HEALTH PLANS AND PROGRAMS; PROGRAMS FOR THE COMMUNITY; UNFUNDED COST OF RESEARCH AND MEDICAL EDUCATION; AND SPONSORSHIPS AND DONATIONS. 1 COMMUNITY BENEFIT PROGRAMS 143571 GENERAL SUPPORT 20 5 MEDICAL RESIDENT STIPENDS 429 23589819 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: EACH YEAR, WILLIAM BEAUMONT HOSPITAL PROVIDES FINANCIAL SPONS0RSHIPS AND DONATIONS TO OTHER WORTHWHILE ORGANIZATIONS WHO SHARE THE HOSPITAL'S MISSION OF PROMOTING HEALTH IN THE COMMUNITY. BEAUMONT'S COMMUNITY RELATIONS CHARITABLE COMMITTEE REVIEWS REQUESTS FOR CONTRIBUTIONS BASED ON NEEDS SUBJECT TO THE AVAILABILITY OF HOSPITAL FUNDS. X X X X X 1 1 0 0 0 1 0 0 0 ANANIAS C DIOKNO MD 576754 0 134119 0 33373 0 93132 0 28448 0 865826 0 0 0 EUGENE F MICHALSKI 854427 0 0 0 34937 0 702019 0 23370 0 1614753 0 0 0 MAUREEN BOWMAN 213965 0 0 0 4970 0 146539 0 1100 0 366574 0 0 0 LUKE ELLIOTT MD 181196 0 35000 0 626 0 8654 0 41154 0 266630 0 0 0 NANCY SUSICK 226529 0 0 0 26639 0 101988 0 18031 0 373187 0 0 0 KAY WINOKUR 166569 0 0 0 26876 0 104660 0 21192 0 319297 0 0 0 NICKOLAS A VITALE 372030 0 0 0 12670 0 50929 0 18281 0 453910 0 0 0 DENNIS R HERRICK 385902 0 0 0 32574 0 241682 0 14289 0 674447 0 0 0 DONNA HOBAN MD 356408 0 0 0 27186 0 12250 0 6462 0 402306 0 0 0 JAY HOLDEN 257782 0 0 0 21306 0 108615 0 15362 0 403065 0 0 0 KAREN BARBARA CARBONE MD 160062 0 0 0 10728 0 68760 0 4881 0 244431 0 0 0 LESLIE ROCHER MD 490144 0 50000 0 31246 0 154996 0 20554 0 746940 0 0 0 RICHARD SWAINE 292365 0 0 0 30977 0 46313 0 14880 0 384535 0 0 0 SAMUEL FLANDERS MD 559536 0 0 0 31497 0 68080 0 21800 0 680913 0 0 0 SHANE CERONE 457485 0 0 0 10500 0 60897 0 34200 0 563082 0 0 0 SUBRA SRIPADA 335241 0 0 0 28890 0 56605 0 7000 0 427736 0 0 0 THOMAS M BRISSE 369295 0 0 0 13592 0 150691 0 17224 0 550802 0 0 0 JAMES LYNCH MD 271624 0 27398 0 11292 0 35983 0 16889 0 363186 0 0 0 ROBERT S MORDEN MD 774783 0 48863 0 19992 0 121373 0 24488 0 989499 0 0 0 MARC SAKWA MD 878380 0 78422 0 18306 0 12713 0 18308 0 1006129 0 0 0 ALI SHIRKHODA MD 415796 0 0 0 431922 0 47773 0 23112 0 918603 0 0 0 ERIC HANSON MD 721464 0 78422 0 2772 0 12250 0 16865 0 831773 0 0 0 FRANCIS SHANNON MD 721085 0 78422 0 1806 0 12250 0 16950 0 830513 0 0 0 PAUL S PEABODY 0 0 0 0 1085675 0 50655 0 6217 0 1142547 0 747133 0 ROGER S HOWARD MD 0 0 0 0 299594 0 33088 0 21779 0 354461 0 0 0 A NEIL JOHNSON MD 0 0 0 0 505853 0 57532 0 17121 0 580506 0 0 0 ERIC HUNT 203681 0 0 0 42131 0 64067 0 20352 0 330231 0 0 0 RONALD P LILEK 0 0 0 0 317504 0 17231 0 10206 0 344941 0 118932 0 PART I, LINES 4A-B PART I, LINES 4A-B: PART I, LINE 4A: SEVERANCE OR CHANGE-OF-CONTROL PAYMENTS EMPLOYEE NAME: A. NEIL JOHNSON DESCRIPTION: SEVERANCE PAYMENT AMOUNT: 490,253 EMPLOYEE NAME: ROGER HOWARD, M.D. DESCRIPTION: SEVERANCE PAYMENT AMOUNT: 286,942 EMPLOYEE NAME: ERIC HUNT DESCRIPTION: SEVERANCE PAYMENT AMOUNT: 31,901 EMPLOYEE NAME: RONALD LILEK DESCRIPTION: SEVERANCE PAYMENT AMOUNT: 122,678 EMPLOYEE NAME: PAUL PEABODY DESCRIPTION: SEVERANCE PAYMENT AMOUNT: 161,380 PART I, LINE 4B: NON-QUALIFIED DEFERRED COMPENSATION WILLIAM BEAUMONT HOSPITAL PROVIDES CERTAIN SUPPLEMENTAL RETIREMENT BENEFITS TO CERTAIN OFFICERS, KEY EMPLOYEES, AND PHYSICIANS. THESE BENEFITS ARE PROVIDED THROUGH A NONQUALIFIED DEFERRED COMPENSATION PLAN, UNDER WHICH THE BENEFITS BEING EARNED ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. TO BECOME ENTITLED TO THE BENEFITS 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, THESE SUPPLEMENTAL RETIREMENT BENEFITS WOULD NOT HAVE BEEN PAID OUT. IT SHOULD ALSO 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 FOR THE ORGANIZATION. EMPLOYEE NAME: EUGENE MICHALSKI DESCRIPTION: NON-QUALIFIED PLAN ACCRUAL PLAN: SERA AMOUNT: 622,192 EMPLOYEE NAME: DENNIS HERRICK DESCRIPTION: NON-QUALIFIED PLAN ACCRUAL PLAN: SERA AMOUNT: 51,767 EMPLOYEE NAME: NICKOLAS VITALE DESCRIPTION: NON-QUALIFIED PLAN ACCRUAL PLAN: SERP 457F AMOUNT: 24,649 EMPLOYEE NAME: ANANIAS DIOKNO, MD DESCRIPTION: NON-QUALIFIED PLAN ACCRUAL PLAN: SERA AMOUNT: 50,000 EMPLOYEE NAME: A. NEIL JOHNSON, MD DESCRIPTION: NON-QUALIFIED PLAN ACCRUAL PLAN: SERP AMOUNT: 10,503 EMPLOYEE NAME: SAMUEL FLANDERS, MD DESCRIPTION: NON-QUALIFIED PLAN ACCRUAL PLAN: SERRP 457F AMOUNT: 55,830 EMPLOYEE NAME: THOMAS BRISSE DESCRIPTION: NON-QUALIFIED PLAN ACCRUAL PLAN: SERRP 457F AMOUNT: 35,911 EMPLOYEE NAME: KAREN BARBARA CARBONE, M.D. DESCRIPTION: NON-QUALIFIED PLAN ACCRUAL PLAN: SERRP 457F AMOUNT: 68,760 EMPLOYEE NAME: SHANE CERONE DESCRIPTION: NON-QUALIFIED PLAN ACCRUAL PLAN: SERRP 457F AMOUNT: 48,647 EMPLOYEE NAME: JAY HOLDEN DESCRIPTION: NON-QUALIFIED PLAN ACCRUAL PLAN: SERRP 457F AMOUNT: 16,935 EMPLOYEE NAME: LESLIE ROCHER, MD DESCRIPTION: NON-QUALIFIED PLAN ACCRUAL PLAN: SERRP 457F AMOUNT: 49,387 EMPLOYEE NAME: ROGER HOWARD, MD DESCRIPTION: NON-QUALIFIED PLAN ACCRUAL PLAN: SERP AMOUNT: 3,801 EMPLOYEE NAME: RICHARD SWAINE DESCRIPTION: NON-QUALIFIED PLAN ACCRUAL PLAN: SERRP 457F AMOUNT: 8,766 EMPLOYEE NAME: RONALD LILEK DESCRIPTION: NON-QUALIFIED PLAN DISTRIBUTION PLAN: SERRP 457F AMOUNT: 186,877 EMPLOYEE NAME: SUBRA SRIPADA DESCRIPTION: NON-QUALIFIED PLAN ACCRUAL PLAN: SERRP 457F AMOUNT: 44,355 EMPLOYEE NAME: ROBERT MORDEN, MD DESCRIPTION: NON-QUALIFIED PLAN ACCRUAL PLAN: SERP AMOUNT: 36,754 EMPLOYEE NAME: ALI SHIRKHODA, M.D. DESCRIPTION: NON-QUALIFIED PLAN DISTRIBUTION PLAN: SERP AMOUNT: 429,026 EMPLOYEE NAME: PAUL PEABODY DESCRIPTION: NON-QUALIFIED PLAN DISTRIBUTION PLAN: SERA AMOUNT: 903,427 SUPPLEMENTAL INFORMATION PART III PART I, LINE 6A: COMPENSATION CONTINGENT ON NET EARNINGS: ANANIAS DIOKNO, MD AND LESLIE ROCHER, MD ARE PROVIDED COMPENSATION UNDER A PRODUCTIVITY-BASED FORMULA THAT IS A FIXED PERCENTAGE OF NET PROFESSIONAL COLLECTIONS, LESS CERTAIN EXPENSES, AND SUBJECT TO A CAP AND OTHER LIMITATIONS AND PROCEDURAL PROTECTIONS THAT ARE DESIGNED TO RESULT IN THE PAYMENT OF NO MORE THAN REASONABLE OR FAIR MARKET COMPENSATION. CITY OF ROYAL OAK HOSPITAL FINANCE AUTHORITY 386004649 780486FJ0 2009-01-28 377321584 CONSTRUCTION AND REFINANCING SERIES R & S ISSUED 3/22/06. 0 0 0 CITY OF ROYAL OAK HOSPITAL FINANCE AUTHORITY 386004649 780486FV3 2009-12-15 271378201 CONST AND REF SERIES T & U ISSUED 3/22/06 N 5/31/01 O 10/4/01 & Q 10/15/03 0 0 0 CITY OF ROYAL OAK HOSPITAL FINANCE AUTHORITY 386004649 780486GD2 2010-07-27 83525000 REFINANCED SERIES P ISSUED 5/15/03 0 0 0 376951093 38284756 5112447 40025000 165892058 128566933 2009 1 0 1 1 2810000 271158746 21941110 3103740 10856000 36737657 199053130 2010 1 0 1 1 83525000 838747 82686253 2010 1 0 1 1 0 1 1 1 0 0.00730 0.00000 0.00730 1 0 0 1 1 0 0.00000 0.00000 0.00000 1 0 0 1 1 0 0.00000 0.00000 0.00000 1 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 1 DIFFERENCE BETWEEN PART I COLUMN E (ISSUE PRICE) AND PART II LINE 3 (PROCEEDS OF ISSUE) IS DUE TO EARNINGS OR LOSS ON INVESTMENTS DURING THE PROJECT PHASE. AMOUNTS ON PART II, LINE 9 CONSIST OF SWAP TERMINATION PAYMENTS. CONWAY MACKENZIE INC VAN CONWAY, CURRENT DIRECTOR, IS CEO OF THE ENTITY 253636 CONSULTING SERVICES 0 X 17 3193357 FAIR MARKET VALUE 0 1 0 FORM 990, PART VI, SECTION B, LINE 11 THE 2011 FORM 990 WAS SUBJECTED TO A MULTI-STEP REVIEW PROCESS CULMINATING IN THE PROVISION OF SUCH FORM TO ALL VOTING MEMBERS OF THE BEAUMONT BOARD OF DIRECTORS PRIOR TO ITS FILING. AFTER PREPARATION OF THE FORM 990 BY BEAUMONT'S CORPORATE TAX MANAGER (TAX MANAGER), THE TAX MANAGER CONDUCTS SEPARATE ONE ON ONE REVIEW SESSIONS WITH THE CHAIRMAN OF THE AUDIT COMMITTEE AND CHIEF FINANCIAL OFFICER TO REVIEW THE FORM FOR COMPLETENESS AND CORRECTNESS. AT THE CONCLUSION OF THESE REVIEWS, AND AFTER MAKING ANY RECOMMENDED CHANGES TO THE FORM 990, THE TAX MANAGER PERFORMED AN ADDITIONAL REVIEW OF THE RETURN WITH THE FULL MEMBERSHIP OF THE AUDIT COMMITTEE. UPON COMPLETION OF THE AUDIT COMMITTEE REVIEW, THE CHAIRMAN OF THE AUDIT COMMITTEE PRESENTED THE RETURN TO THE EXECUTIVE COMMITTEE OF THE FULL BOARD FOR REVIEW AND COMMENT. AS THE FINAL STEP IN THE MULTI-LEVEL REVIEW PROCESS, A COPY OF THE FINAL VERSION OF THE FORM 990 WAS PROVIDED ELECTRONICALLY TO EACH VOTING MEMBER OF BEAUMONT'S GOVERNING BODY BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C BEAUMONT HOSPITALS 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 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. FORM 990, PART VI, SECTION B, LINE 15 WILLIAM BEAUMONT HOSPITAL'S (BEAUMONT) BOARD OF DIRECTORS 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'S EXECUTIVE MANAGEMENT. 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 BEAUMONT'S 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 AT LEAST TWO 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. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: UNREALIZED LOSSES ON INVESTMENTS -22,403,175. CHANGE IN VALUE OF INTEREST RATE SWAPS -372,230. MINIMUM POST RETIREMENT LIABILITY ADJUSTMENT -58,544,880. DISTRIBUTION FROM SUBSIDIARY - DIVIDENDS 7,100,000. FUNDS RELEASED TO OPERATIONS FROM TEMPORARILY RESTRICTED NET ASSETS -6,916,510. DISTRIBUTION FROM SUBSIDIARY - OTHER 7,500,000. ALL OTHER, NET 1,264,054. TOTAL TO FORM 990, PART XI, LINE 5: -72,372,741. BEAUMONT MEDICAL TRANSPORTATION SERVICES INC 25400 W EIGHT MILE ROAD SOUTHFIELD MI 48034 260203703 MEDICAL TRANSPORTATION SERVICES MI 501(C)(3) 11A N/A 0 BEAUMONT KIDNEY SPECIALTY SERVICES LLC 100 EAST BIG BEAVER ROAD SUITE 800 TROY MI 48083 262200439 DIALYSIS SERVICES MI N/A RELATED -339285 1343827 0 1 0.55900 BEAUMONT MACOMB TOWNSHIP ASC LLC 15979 HALL ROAD SUITE 200 MACOMB MI 48044 202632548 AMBULATORY SERVICES MI N/A RELATED -530690 3198292 0 1 0.60700 BEAUMONT WEST BLOOMFIELD ASC LLC 100 EAST BIG BEAVER ROAD SUITE 800 TROY MI 480831204 203699064 AMBULATORY SERVICES MI N/A RELATED -1387536 4641541 0 1 0.72860 BEAUMONT NURSING HOME SERVICES INC 16500 WEST TWELVE MILE ROAD SOUTHFIELD MI 48076 382799842 ASSISTED CARE LIVING MI N/A C 6380783 8380129 1.00000 BEAUMONT INDEMNITY COMPANY INC 23 LIME TREE BAY AVE BUILDING 4, 2ND FLOOR, GRAND CAYMAN CJ 980512415 PROFESSIONAL INSURANCE CJ N/A C 25378104 1.00000 BEAUMONT PHYSICIANS INSURANCE COMPANY INC 16500 WEST TWELVE MILE ROAD SOUTHFIELD MI 48076 274261262 PROFESSIONAL INSURANCE MI N/A C 78365 1851578 1.00000 1 0 0 1 0 0 0 0 1 0 1 0 0 0 0 1 1 1 BEAUMONT MACOMB TOWNSHIP ASC LLC A 239550 FAIR MARKET VALUE BEAUMONT MACOMB TOWNSHIP ASC LLC K 2546306 FAIR MARKET VALUE BEAUMONT WEST BLOOMFIELD ASC LLC A 407294 FAIR MARKET VALUE BEAUMONT WEST BLOOMFIELD ASC LLC D 3823083 FAIR MARKET VALUE BEAUMONT WEST BLOOMFIELD ASC LLC K 2847466 FAIR MARKET VALUE BEAUMONT NURSING HOME SERVICES INC K 235988 FAIR MARKET VALUE BEAUMONT NURSING HOME SERVICES INC Q 3400000 FAIR MARKET VALUE BEAUMONT NURSING HOME SERVICES INC R 7100000 FAIR MARKET VALUE BEAUMONT MACOMB TOWNSHIP ASC LLC D 2840018 FAIR MARKET VALUE BEAUMONT KIDNEY SPECIALTY SERVICES INC K 852379 FAIR MARKET VALUE BEAUMONT NURSING HOME SERVICES INC R 7500000 FAIR MARKET VALUE BEAUMONT KIDNEY SPECIALTY SERVICES INC A 12877 FAIR MARKET VALUE BEAUMONT KIDNEY SPECIALTY SERVICES INC D 358132 FAIR MARKET VALUE BEAUMONT WEST BLOOMFIELD ASC LLC P 1436846 FAIR MARKET VALUE BEAUMONT MACOMB TOWNSHIP ASC LLC I 707582 FAIR MARKET VALUE