COREWELL HEALTH: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: COREWELL HEALTH (EIN 38-1426919)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-14
IRS object ID: 201213199349307316
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-14T19:57:28-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	861065772	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DELOITTE TAX LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	200 RENAISSANCE CENTER SUITE 3900	AddressLine1
City	DETROIT	City
State	MI	State
ZIP Code	48243	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	381426919	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	BOTSFORD GENERAL HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	BOTS	NameControl
Phone	2484718157	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	28050 GRAND RIVER AVENUE	AddressLine1
City	FARMINGTON HILLS	City
State	MI	State
ZIP Code	48336	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	REGINA DOXTADER	Name
Title	VP AND CHIEF FINANCIAL OFFICER	Title
Phone	2484718157	Phone
Date Signed	2012-11-14	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	LORI BOYCE	Name
PTIN	P00121981	PTIN
Phone	3133963000	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	BOTSFORD HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	PAUL LACASSE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	28050 GRAND RIVER AVENUE	AddressLine1
City	FARMINGTON HILLS	City
State	MI	State
ZIP Code	48336	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	315141593	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	BOTSFORD.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1944	YearFormation
State Legal Domicile	MI	StateLegalDomicile
Activity Or Mission Description	COMMITMENT TO EXCELLENCE AND QUALITY IN THE DELIVERY OF PERSONAL AND COMPASSIONATE HEALTH CARE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	20	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	17	NbrIndependentVotingMembers
Total Nbr Employees	2812	TotalNbrEmployees
Total Nbr Volunteers	318	TotalNbrVolunteers
Total Gross UBI	2179460	TotalGrossUBI
Net Unrelated Business Txbl Income	-540314	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1121293	ContributionsGrantsPriorYear
Contributions Grants Current Year	842254	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	295231767	ProgramServiceRevenuePriorYear
Program Service Revenue CY	294723615	ProgramServiceRevenueCY
Investment Income Prior Year	2659029	InvestmentIncomePriorYear
Investment Income Current Year	2510925	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4232373	OtherRevenuePriorYear
Other Revenue Current Year	5839308	OtherRevenueCurrentYear
Total Revenue Prior Year	303244462	TotalRevenuePriorYear
Total Revenue Current Year	303916102	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	15516427	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	17732329	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	132618263	SalariesEtcPriorYear
Salaries Etc Current Year	132012867	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	188429	TotalFundrsngExpCurrentYear
Other Expense Prior Year	144067546	OtherExpensePriorYear
Other Expenses Current Year	141601677	OtherExpensesCurrentYear
Total Expenses Prior Year	292202236	TotalExpensesPriorYear
Total Expenses Current Year	291346873	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	11042226	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	12569229	RevenuesLessExpensesCY
Total Assets BOY	245182324	TotalAssetsBOY
Total Assets EOY	252905138	TotalAssetsEOY
Total Liabilities BOY	152516912	TotalLiabilitiesBOY
Total Liabilities EOY	166424592	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	92665412	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	86480546	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	COMMITMENT TO EXCELLENCE AND QUALITY IN THE DELIVERY OF PERSONAL AND COMPASSIONATE HEALTH CARE.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	209929673	Expense
Revenue	271286406	Revenue
Description	PATIENT SERVICES: THE CORPORATION OPERATES A HOSPITAL FACILITY LICENSED FOR 330 BEDS, AND PROVIDES INPATIENT HOSPITAL SERVICES AS WELL AS A WIDE RANGE OF OUTPATIENT SERVICES. THE SERVICES ARE PROVIDED AT THE HOSPITAL FACILITY AND AT VARIOUS OFF-SITE FACILITIES WITHIN A SIX MILE RADIUS OF THE MAIN CAMPUS, SERVING THE NEEDS OF RESIDENTS OF SOUTHERN OAKLAND COUNTY AND NORTHERN WAYNE COUNTY. THE CORPORATION ALSO OPERATES A NETWORK OF PRIMARY CARE AND SPECIALTY PHYSICIAN PRACTICES, KNOWN AS THE BOTSFORD CLINIC SYSTEM, AT 24 OFFICE SITES. THERE WERE 16,364 ADMISSIONS TO THE HOSPITAL FOR A TOTAL OF 78,088 PATIENT DAYS. THERE WERE 61,051 EMERGENCY ROOM VISITS AND 9,280 SURGERIES. THERE WERE 2,990,895 LABORATORY PROCEDURES AND 126,579 OUTPATIENT THERAPY UNITS PROVIDED.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	21258355	Expense
Description	CHARITY CARE AND BAD DEBT: BOTSFORD HOSPITAL PROACTIVELY ADDRESSES ISSUES THAT AFFECT ACCESSIBILITY, FINANCING, AND DELIVERY OF HEALTH CARE TO ALL PEOPLE, PARTICULARLY THE UNINSURED, UNDERINSURED, AND THE UNDERSERVED. THE HOSPITAL PROVIDED APPROXIMATELY $21.3 MILLION IN UNCOMPENSATED CARE DURING THE FISCAL YEAR ENDING 12/31/11.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	16653910	Expense
Grants	16653910	Grants
Revenue	15729862	Revenue
Description	MEDICAL EDUCATION: OSTEOPATHIC MEDICAL EDUCATION AND CLINICAL TRAINING IS AN IMPORTANT COMPONENT OF THE MISSION OF THE CORPORATION. THE CORPORATION IS APPROVED FOR PRE-GRADUATE AND POST-GRADUATE PHYSICIAN TRAINING. THE AMERICAN OSTEOPATHIC ASSOCIATION APPROVES THE HOSPITAL FACILITY FOR TWENTY SPECIALTY AND SUB-SPECIALTY RESIDENCY PROGRAMS. CURRENTLY, THERE ARE 164 POST GRADUATE RESIDENTS. THE MAJOR EMPHASIS IN POST-DOCTORAL TRAINING IS IN THE PRIMARY CARE AREAS, WITH RESIDENCY PROGRAMS AND TEACHING CURRICULUMS ESTABLISHED IN FAMILY MEDICINE, INTERNAL MEDICINE, AND OBSTETRICS AND GYNECOLOGY. SPECIALTY TRAINING PROGRAMS ARE ALSO CONDUCTED.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	6488319	Expense
Grants	984458	Grants
Revenue	9101091	Revenue
Description	INCLUDED IN OTHER PROGRAM SERVICES IS BOTSFORD CENTER FOR HEALTH IMPROVEMENT IN NOVI, MICHIGAN, AND THE BOTSFORD OUTPAIENT PHARMACY LOCATED IN FARMINGTON HILLS, MICHIGAN.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	6488319	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	984458	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	9101091	TotalOfOtherProgramServiceRev
Total Program Service Expense	254330257	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	1	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	1	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	384	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2812	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	20	NbrVotingGoverningBodyMembers
Number Independent Voting Members	17	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MI	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	REGINA DOXTADER	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	2484718157	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	28050 GRAND RIVER AVENUE	AddressLine1
City	FARMINGTON HILLS	City
State	MI	State
ZIP Code	48336	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
JOHN ANHUT
DIRECTOR	1.00	X	2400	0	0
STEVEN BARNABY
DIRECTOR	1.00	X	5900	1000	0
JEANNE CARLSON
DIRECTOR	1.00	X	2050	0	0
GERSON COOPER
DIRECTOR	1.00	X	4100	5800	0
RAYMOND DZENDZEL
DIRECTOR	1.00	X	1900	1000	0
WILLIAM HARTSOCK
DIRECTOR	1.00	X	2500	0	0
RUDOLPH HOBBS
DIRECTOR	1.00	X	1700	0	0
EDWARD HODGES
DIRECTOR	1.00	X	2700	0	0
DEBORAH LAMM
DIRECTOR	1.00	X	900	0	0
ED LONIEWSKI
DIRECTOR	1.00	X	2200	200	0
HARRIS MAINSTER
DIRECTOR	1.00	X	2500	1000	0
KEN MASSEY
DIRECTOR	1.00	X	2150	0	0
MAX MCKINNEY
DIRECTOR	1.00	X	21284	0	0
MICHAEL REBOCK
DIRECTOR	1.00	X	1600	0	0
DANIEL SCHIFFER
DIRECTOR	1.00	X	2850	1200	0
MARK SCHOSTAK
DIRECTOR	1.00	X	1500	0	0
JACQUELINE SHADKO
DIRECTOR	1.00	X	2100	0	0
DAVID SUSSER
DIRECTOR	1.00	X	2450	1000	0
JACK WAYNE
DIRECTOR	1.00	X	2900	0	0
PAUL LACASSE
C.E.O & PRESIDENT	40.00	X	583164	0	37383	X
DAVID MARCELLINO
EXECUTIVE V.P. & C.F.O.	40.00		392195	0	34284	X
LISA VANDECAVEYE
CORPORATE V.P. LEGAL AFFAI	40.00		316359	0	36224	X
MARGO GORCHOW
CORPORATE V.P. MARKETING	40.00		222748	0	21553	X
DAVID WALTERS
V.P. & C.M.O.	40.00		346372	0	36761	X
BARBARA PALMER
CORPORATE V.P. HUMAN RESOU	40.00		241206	0	20765	X
REGINA DOXTADER
CORPORATE V.P. & CONTROLLE	40.00		225962	0	35486	X
MARGARET HASLER
CORPORATE V.P. & CHIEF NUR	40.00		233568	0	21124	X
RONALD SZUMSKI
CLINIC SYSTEM EXECUTIVE	40.00		223272	0	36302		X
WILLIAM SCHEUBER
ADMINISTRATOR PROF.& SUPPO	40.00		183840	0	31539		X
ADAM COOPER
STAFF PHYSICIAN	40.00		354049	0	35355			X
ANDREW CYKIERT
STAFF PHYSICIAN	40.00		427759	0	37725			X
RICHARD HERMAN
STAFF PHYSICIAN	40.00		375056	0	36027			X
GILBERT HERMAN
STAFF PHYSICIAN	40.00		334293	0	34987			X
BEN ROSSI
STAFF PHYSICIAN	40.00		399778	0	26001			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4925305	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	11200	TotalReportableCompFrmRltdOrgs
Total Other Compensation	481516	TotalOtherCompensation
Number Individuals GT100 K	124	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
ACS CONSULTANT COMPANY
PO BOX 201322	DALLAS	TX	75320	INFORMATION TECHNOLOGY SERVICES	13020142
SODEXHO INC
PO BOX 70060	CHICAGO	IL	60673	ENVIRONMENTAL & DIETARY SERVICES	11177938
CONTRACTING RESOURCES INC
403 EGRAND RIVER AVE	BRIGHTON	MI	48116	CONSTRUCTION SERVICES	2822132
FARMINGTON MRT INC
30000 NORTHWESTERN HWY	FARMINGTON HILLS	MI	48334	CANCER CENTER MGMNT & STAFFING	2593788
INTEGRATED MOBILE IMAGING
363 WBIG BEAVER RD	TROY	MI	48084	M.R.I. IMAGING SERVICES	1190045

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	84	NumberOfContractorsGT100K
Fundraising Events	137197	FundraisingEvents
Related Organizations	677082	RelatedOrganizations
Government Grants	27975	GovernmentGrants
Noncash Contributions	148885	NoncashContributions
Total Contributions	842254	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICES	621990	273465866	271286406	2179460
MEDICAL EDUCATION	621990	15729862	15729862

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	5527887	TotalRevenueColumn
Related Or Exempt Function Income	5527887	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	294723615	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1868977	TotalRevenueColumn
Exclusion	$1,868,977	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1489191	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1621250	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-132059	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-132059	TotalRevenueColumn
Exclusion	-$132,059	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	9276259	Securities
Other	104996	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	8318437	Securities
Other	420870	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	957822	Securities
Other	-315874	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	641948	TotalRevenueColumn
Related Or Exempt Function Income	-7271	RelatedOrExemptFunctionIncome
Exclusion	$649,219	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	26393	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	137197	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	127354	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-100961	TotalRevenueColumn
Exclusion	-$100,961	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	833358	GrossSalesOfInventory
Cost Of Goods Sold	737580	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	95778	TotalRevenueColumn
Exclusion	$95,778	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
EMPLOYEE SERVICES	900099	1897708	1897708
MEDICAID E.M.R. INCENT	900099	1042099	1042099
CAPTIVE PREMIUM REV	900099	908458		$908,458

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2128285	TotalRevenueColumn
Related Or Exempt Function Income	640668	RelatedOrExemptFunctionIncome
Exclusion	$1,487,617	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	5976550	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	303916102	TotalRevenueColumn
Related Or Exempt Function Income	296117359	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2179460	UnrelatedBusinessRevenue
Exclusion	$4,777,029	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	984458	Total
Program Services	984458	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	16653910	Total
Program Services	16653910	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	93961	Total
Program Services	93961	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3345791	Total
Program Services	18534	ProgramServices
Management And General	3266182	ManagementAndGeneral
Fundraising	61075	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	105908404	Total
Program Services	99408732	ProgramServices
Management And General	6499672	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	2863170	Total
Program Services	2548221	ProgramServices
Management And General	314949	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	11923454	Total
Program Services	11765883	ProgramServices
Management And General	157571	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7972048	Total
Program Services	6961986	ProgramServices
Management And General	1010062	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	559625	Total
Program Services	500000	ProgramServices
Management And General	59625	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	476431	Total
Management And General	476431	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	234612	Total
Management And General	234612	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	68725	Total
Management And General	68725	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	33360668	Total
Program Services	30780588	ProgramServices
Management And General	2580080	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1721735	Total
Program Services	21556	ProgramServices
Management And General	1700179	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	7762298	Total
Program Services	4645453	ProgramServices
Management And General	2989491	ManagementAndGeneral
Fundraising	127354	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	9446531	Total
Program Services	195002	ProgramServices
Management And General	9251529	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	6642807	Total
Program Services	5656937	ProgramServices
Management And General	985870	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	1488001	Total
Program Services	1161368	ProgramServices
Management And General	326633	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	2173170	Total
Program Services	2060296	ProgramServices
Management And General	112874	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	11676094	Total
Program Services	9763121	ProgramServices
Management And General	1912973	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2183854	Total
Program Services	405008	ProgramServices
Management And General	1778846	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	37177600	36812966	364634
UNCOMPENSATED CARE	21258355	21258355
EQUIPMENT RENTAL & MAIN	5374610	2633922	2740688
UBI TAX (FED & STATE)	-3439		-3439

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	291346873	Total
Program Services	254330257	ProgramServices
Management And General	36828187	ManagementAndGeneral
Fundraising	188429	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	22019302	BOY
EOY	23676234	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	22341427	BOY
EOY	23406450	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4878762	BOY
EOY	4138283	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3900619	BOY
EOY	3635291	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	243503369	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	149693685	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	92642004	BOY
EOY	93809684	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	53040270	BOY
EOY	53943380	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	155877	BOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	46204063	BOY
EOY	50295816	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	245182324	BOY
EOY	252905138	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	27406959	BOY
EOY	37354439	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	41479041	BOY
EOY	38845127	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	3193468	BOY
EOY	3223222	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	30299133	BOY
EOY	26990706	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	50138311	BOY
EOY	60011098	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	152516912	BOY
EOY	166424592	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	92665412	BOY
EOY	86480546	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	92665412	BOY
EOY	86480546	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	245182324	BOY
EOY	252905138	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	12569229	ReconcilationRevenueExpenses
Reconcilation Other Changes	-18754095	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$68,725	OtherActivitiesAmount
Total Lobbying Expenditures IIB	68725	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	DUES PAID TO MICHIGAN HOSPITAL ASSOCIATION IN THE AMOUNT OF $105,781. PER THE MICHIGAN HOSPITAL ASSOCIATION, 13.92% OF THEIR BUDGET SUPPORTS LOBBYING ACTIVITIES. TOTAL OF $14,725. PARTICIPATION FEES FOR SECTION 508 HOSPITAL COALITION WERE $54,000.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtc
Included On FS	1	IncludedOnFS

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2838687	OtherCostOrOtherBasis
Book Value	2838687	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	133214170	OtherCostOrOtherBasis
Depreciation	72779140	Depreciation
Book Value	60435030	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3446606	OtherCostOrOtherBasis
Depreciation	2923910	Depreciation
Book Value	522696	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	99987309	OtherCostOrOtherBasis
Depreciation	71786610	Depreciation
Book Value	28200699	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4016597	OtherCostOrOtherBasis
Depreciation	2204025	Depreciation
Book Value	1812572	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	93809684	TotalOfBookValueLandBuildings

Other Assets OtherAssets (10 entries)

DescriptionDescription	Book ValueBookValue
CONSTRUCTION IN PROGRESS	15673107
DEBT SERVICE AND PROJECT FUND	988918
PROFESSIONAL LIABILITY FUND	11886598
INVESTMENT AND RECEIVABLES FROM AFFILIATES	1637971
FICA RECOVERY FUND	1831680
457 PLAN ASSETS	3991718
OTHER RECEIVABLES	5041943
AWUIL CAPTIVE PROF LIABILITY FUND	5650540
MISCELLANEOUS	2840565
BOND ISSUE COSTS	752776

Field	Value	IRS element (for citing)
Total Book Value Other Assets	50295816	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
ACCRUED PENSION COST	$32,131,229
DUE TO AFFILIATES	$188,215
PROFESSIONAL LIABILITY & OTHER CLAIMS	$24,370,318
EST.THIRD- PARTY PAYOR SETTLEMENTS	$3,321,336

Field	Value	IRS element (for citing)
Total Of Amounts	60011098	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

PART IV, LINE 2B:

THE ORGANIZATION REFLECTS AN AMOUNT AS BOTH AN ASSET AND LIABILITY RELATING TO RESIDENT FICA RECOVERY FUNDS.

SCHEDULE D, PART X: UNSECURED PAYABLES TO RELATED ORGANIZATIONS - THE FOLLOWING REFLECTS BALANCES OWED TO RELATED ORGANIZATIONS AS OF DECEMBER 31, 2011: DUE TO COMMUNITY EMERGENCY MEDICAL SERVICES, INC. - $70,933 DUE TO PARASTAR - $48,741 DUE TO ZIEGER HEALTH CARE CORPORATION - $68,541 SCHEDULE D, PART X: OTHER AMOUNTS REFLECT LIABILITIES FOR DEFINED BENEFIT AND DEFINED CONTRIBUTION PLANS, PROFESSIONAL LIABILITY CLAIMS AND ESTIMATED THIRD PARTY SETTLEMENTS.

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Total ExpendituresTotalExpenditures	Number Of OfficesNumberOfOffices	Number Of EmployeesNumberOfEmployees	Specific Services ProvidedSpecificServicesProvided
CENTRAL AMERICAN AND CARRIBEAN	INVESTMENT	5650540
CENTRAL AMERICAN AND CARRIBEAN	PROGRAM SERVICES	93961	0	0	HEALTH CARE SERVICES

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	5744501	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	5744501	TotalAmountSpent

Grants To Ind Outside US GrantsToIndOutsideUS

Field	Value	IRS element (for citing)
Type Of Assistance	GUATEMALA MEDICAL MISSION	TypeOfAssistance
Region	ANTIGUA, GUATEMALA	Region
Number Of Recipients	2975	NumberOfRecipients
Amount Of Non Cash Assistance	93961	AmountOfNonCashAssistance
Description Of Non Cash Assistance	VOLUNTEER TIME AND MEDICAL SUPPLIES.	DescriptionOfNonCashAssistance
Method Of Valuation	FMV	MethodOfValuation

Field	Value	IRS element (for citing)
Transfer To Foreign Corp	0	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	1	OwnForeignCorp
Passive Foreign Invest Co	0	PassiveForeignInvestCo
Foreign Partnership	0	ForeignPartnership
Boycott Countries	0	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV (2 entries)

IdentifierIdentifier

ExplanationExplanation

PROCEDURE FOR MONITORING GRANTS OUTSIDE THE U.S.:

SCHEDULE F, PART I, LINE 2: LINE 1: THE ORGANIZATION DOES NOT MAKE GRANTS TO FOREIGN ORGANIZATIONS, GOVERNMENTS OR INDIVIDUALS. THE DIRECTOR OF MEDICAL ADMINISTRATION OVERSEES THE ARRANGEMENTS FOR VOLUNTEERS TO TRAVEL TO GUATEMALA.

EXPLANATION FOR ESTIMATED NUMBER OF RECIPIENTS:

SCHEDULE F, PART III, COL (C): IN MARCH OF 2011, A GROUP OF VOLUNTEER RESIDENTS AND INTERNS FROM BOTSFORD HOSPITAL, AN OSTEOPATHIC HOSPITAL IN FARMINGTON HILLS, MI, DONATED TIME AND EFFORT TO BRING MUCH NEEDED MEDICAL CARE TO THE PEOPLE OF ANTIGUA, GUATEMALA. DURING THIS MEDICAL MISSION, MEDICAL PERSONNEL TREATED NEWBORNS, THE ELDERLY, AND EVERYONE IN BETWEEN. MEDICAL PERSONNEL ADDRESSED THEIR HEALTH ISSUES RANGING FROM SIMPLE RASHES TO LIFE-THREATENING INFECTIONS. TO MOST OF THE POPULATION, OUR MEDICAL PERSONNEL WERE THE FIRST MEDICAL PROFESSIONALS THAT THEY ENCOUNTERED IN THEIR LIVES, BUT HOPEFULLY NOT THE LAST. THIS IS AN ANNUAL PROGRAM AND INCOME FROM SPECIAL FUNDRAISING EVENTS IS USED TO PAY FOR EXPENSES. ALL EXCESS FUNDRAISING INCOME FOR THIS PROGRAM FROM A PRIOR YEAR IS USED TO OFFSET EXPENSES FOR A FUTURE YEAR.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	BOTSFORD MEDICAL STAFF GOLF OUTING	NameOfEvent1
Gross Receipts Event1	74057	GrossReceiptsEvent1
Charitable Contributions Event1	48782	CharitableContributionsEvent1
Gross Revenue Event1	25275	GrossRevenueEvent1
Non Cash Prizes Event1	2382	NonCashPrizesEvent1
Rent Facility Costs Event1	29663	RentFacilityCostsEvent1
Other Direct Expenses Event1	411	OtherDirectExpensesEvent1
Name Of Event2	GUATEMALA MEDICAL MISSION	NameOfEvent2
Gross Receipts Event2	84072	GrossReceiptsEvent2
Charitable Contributions Event2	84072	CharitableContributionsEvent2
Other Direct Expenses Event2	93961	OtherDirectExpensesEvent2
Total Number Of Other Events	1	TotalNumberOfOtherEvents
Gross Receipts Other Events	5461	GrossReceiptsOtherEvents
Charitable Contrib Other Events	4343	CharitableContribOtherEvents
Gross Revenue Other Events	1118	GrossRevenueOtherEvents
Other Direct Expenses Other Events	937	OtherDirectExpensesOtherEvents
Gross Receipts Total	163590	GrossReceiptsTotal
Charitable Contributions Total	137197	CharitableContributionsTotal
Gross Revenue Total Events	26393	GrossRevenueTotalEvents
Non Cash Prizes Total Events	2382	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	29663	RentFacilityCostsTotalEvents
Other Direct Expenses Total Events	95309	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	127354	DirectExpenseSummaryEvents
Net Income Summary	-100961	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	0	FPGReferenceFreeCare
FPG Reference Discounted Care	0	FPGReferenceDiscountedCare
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	0	AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2643214	TotalCommunityBenefitExpense
Net Community Benefit Expense	2643214	NetCommunityBenefitExpense
Percent Of Total Expense	0.00960	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	39124364	TotalCommunityBenefitExpense
Direct Offsetting Revenue	27921959	DirectOffsettingRevenue
Net Community Benefit Expense	11202405	NetCommunityBenefitExpense
Percent Of Total Expense	0.04050	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	41767578	TotalCommunityBenefitExpense
Direct Offsetting Revenue	27921959	DirectOffsettingRevenue
Net Community Benefit Expense	13845619	NetCommunityBenefitExpense
Percent Of Total Expense	0.05010	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	403661	TotalCommunityBenefitExpense
Direct Offsetting Revenue	65833	DirectOffsettingRevenue
Net Community Benefit Expense	337828	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	17170879	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10229930	DirectOffsettingRevenue
Net Community Benefit Expense	6940949	NetCommunityBenefitExpense
Percent Of Total Expense	0.02510	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	193397	TotalCommunityBenefitExpense
Net Community Benefit Expense	193397	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	17767937	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10295763	DirectOffsettingRevenue
Net Community Benefit Expense	7472174	NetCommunityBenefitExpense
Percent Of Total Expense	0.02700	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	59535515	TotalCommunityBenefitExpense
Direct Offsetting Revenue	38217722	DirectOffsettingRevenue
Net Community Benefit Expense	21317793	NetCommunityBenefitExpense
Percent Of Total Expense	0.07710	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	20812	TotalCommunityBuildingExpense
Net Community Building Expense	20812	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	79946	TotalCommunityBuildingExpense
Net Community Building Expense	79946	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	100758	TotalCommunityBuildingExpense
Net Community Building Expense	100758	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$6,343,575	BadDebtExpenseAmount
Amount Reimbursed By Medicare	123563987	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	106312403	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	17251584	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	BOTSFORD HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	28050 GRAND RIVER	AddressLine1
City	FARMINGTON HILLS	City
State	MI	State
ZIP Code	48336	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	BOTSFORD GENERAL HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	0	UsesFPGFree
Uses FPG Discounted	0	UsesFPGDiscounted
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Other Factors	X	OtherFactors
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	21	NumberOfOtherFacilities

Other Facilities OtherFacilities (21 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
MIDWEST INTERNAL MEDICINE ASSOCIATES
20317 FARMINGTON	LIVONIA	MI	48152	PHYSICIAN CLINIC
BOTSFORD PEDIATRICS
23133 ORCHARD LAKESUITE 100	FARMINGTON	MI	48335	PHYSICIAN CLINIC
FARMINGTON VILLAGE FAMILY PRACTICE
32754 GRAND RIVER	FARMINGTON	MI	48335	PHYSICIAN CLINIC
BOTSFORD CENTER FOR REHAB-INFINITY
28455 HAGGERTY	NOVI	MI	48377	PHYSICIAN CLINIC
BOTSFORD PROFESSIONAL CENTER SOUTH
28100 GRAND RIVER	FARMINGTON HILLS	MI	48336	OUTPATIENT PHARMACY
BOTSFORD PODIATRY CLINIC & PRIMARY CARE
27031 WARREN	DEARBORN HEIGHTS	MI	48127	PHYSICIAN CLINIC
ESSENTIAL OBGYN
35125 GRAND RIVER	FARMINGTON HILLS	MI	48335	PHYSICIAN CLINIC
BOTSFORD MEDICAL CENTER
15540 BEECH DALY	REDFORD	MI	48240	PHYSICIAN CLINIC
BOTSFORD WELLNESS COMPLEX
39830 GRAND RIVER	NOVI	MI	48377	HEALTH & REHAB CENTER
BOTSFORD CENTER FOR GERIATRIC REHAB
21450 ARCHWOOD	FARMINGTON HILLS	MI	48336	PHYSICIAN CLINIC
BOTSFORD PROFESSIONAL CENTER NORTH
28080 GRAND RIVER	FARMINGTON HILLS	MI	48336	GENERAL MEDICAL & SURGICAL
BRENTWOOD MEDICAL CENTER
28711 W 8 MILE	LIVONIA	MI	48152	PHYSICIAN CLINIC
COMP OBGYN- NOVI
39475 LEWIS DR SUITE 140	NOVI	MI	48377	PHYSICIAN CLINIC
FAIRWOOD FAMILY PRACTICE
27015 WARREN	DEARBORN HEIGHTS	MI	48127	PHYSICIAN CLINIC
BOTSFORD FAMILY PRACTICE
28481 SEVEN MILE ROAD	LIVONIA	MI	48152	PHYSICIAN CLINIC
SOUTH REDFORD SCHOOL BASED HEALTH CENTER
25605 ORANGELAWN	REDFORD	MI	48239	PHYSICIAN CLINIC
BOTSFORD DERMATOLOGY RESIDENT CLINIC
21141 MIDDLEBELT	FARMINGTON HILLS	MI	48336	PHYSICIAN CLINIC
BOTSFORD CANCER CENTER AND BREAST IMAGIN
27900 GRAND RIVER	FARMINGTON HILLS	MI	48336	GENERAL MEDICAL & SURGICAL
CENTER FOR NEUROREACTIVE MEDICINE
39830 GRAND RIVERSUITE B-3	NOVI	MI	48375	PHYSICIAN CLINIC
BOTSFORD CANCER CENTER AND BREAST IMAGIN
27900 GRAND RIVER	FARMINGTON HILLS	MI	48336	PHYSICIAN CLINIC
VALLEY HILL THERAPY CENTER
26905 GRAND RIVER	REDFORD	MI	48240	OUTPATIENT THERAPY

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

ExplanationExplanation
PART I, LINE 3C: BOTSFORD HOSPITAL USES AN ABILITY TO PAY (ATP) MODEL TO DETERMINE FINANCIAL ASSISTANCE. VARIABLES USED IN THE ATP MODEL INCLUDE ZIP CODE, ESTIMATED HOUSEHOLD INCOME, ESTIMATED HOUSEHOLD SIZE, ESTIMATED MORTGAGE VALUE, ESTIMATED MORTGAGE BALANCE, ESTIMATED CREDIT LINES VALUE, ESTIMATED CREDIT BALANCES AND ESTIMATED MONTHLY OBLIGATIONS. THE ATP MODEL USES A POINT SCALE ON FIVE FACTORS, USING THE VARIABLES ABOVE, THAT ARE BOTH INCOME AND ASSET BASED TO CALCULATE AN OVERALL SCORE. THE OVERALL SCORE DETERMINES THE DISCOUNT TO BE APPLIED.
PART I, LINE 7, COLUMN (F):$14,986,145 OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 WAS EXCLUDED FROM THE TOTAL EXPENSE FIGURE IN CALCULATING THE COST TO CHARGE RATIO THAT IS USED TO DETERMINE THE PERCENT OF COMMUNITY BENEFIT EXPENSE ON SCHEDULE H, PART I, LINE 7, COLUMN (F).
PART II: BOTSFORD HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITIES IN WHICH IT SERVES IN A NUMBER OF DIFFERENT WAYS. THE CEO & PRESIDENT, CORPORATE VP OF MARKETING AND COMMUNITY HEALTH COORDINATOR LEAD MANY BOTSFORD EMPLOYEES IN THE PARTICIPATION AND INVOLVEMENT OF NUMEROUS COMMUNITY MEETINGS AND EVENTS. MEETINGS AND EVENTS THAT BOTSFORD STAFF HAVE ATTENDED INCLUDE: COMMISSION ON CHILDREN'S ISSUES, FARMINGTON PUBLIC SCHOOLS PARTNERSHIP, HEALTHY PARTNERS, HEALTHY COMMUNITY INITIATIVE, GREATER DETROIT AREA HEALTH COUNCIL, SAVE LIVES / SAVE DOLLARS, HEALTH CARE FORUMS AND CHAMBER OF COUNCIL MEETINGS OF FARMINGTON, FARMINGTON HILLS, REDFORD AND SOUTHFIELD.
PART III, LINE 4: ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IS DETERMINED BASED ON HISTORICAL LOSS RATE FACTORS AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE CORPORATION'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF IN THE PERIOD THAT THEY ARE DEEMED UNCOLLECTIBLE.
PART III, LINE 8: COSTING METHODOLOGY IS COST TO CHARGE RATIO.
PART III, LINE 9B: THE GUARANTOR/PATIENT'S ACCOUNT WILL AUTOMATICALLY BE REVIEWED FOR FINANCIAL ELIGIBILITY UNDER BOTSFORD'S FINANCIAL ASSISTANCE PROGRAM. THE PROGRAM IS ADMINISTERED THROUGH THE SYSTEM BUSINESS OFFICE AND AUTOMATICALLY REVIEWS EVERY SELF-PAY ACCOUNT BALANCE IN EXCESS OF AN ANNUALLY-PREDETERMINED "FAIR SHARE CONTRIBUTION" WHICH WILL REMAIN THE PATIENT'S RESPONSIBILITY. BOTSFORD'S PROGRAM ALSO ALLOWS FOR A CATASTROPHIC CAP, NOT TO EXCEED THAT OF $10,000 FOR ANY SELF-PAY PATIENT ACCOUNT BALANCE. THE PROGRAM IS AUTOMATIC, HAS EXTENSIVE USE OF CREDIT BUREAU REPORTING DATA, AND DOES NOT REQUIRE THE PATIENT TO SUPPLY ANY PERSONAL FINANCIAL INFORMATION.CHARITY CARE PROGRAM- THIS PROGRAM IS DESIGNED TO GIVE PRORATED DISCOUNTS TO QUALIFIED UNINSURED PATIENTS, BASED ON THEIR INCOME, ASSETS AND FINANCIAL NEEDS.- ALL SELF-PAY BALANCES WILL BE REVIEWED TO DETERMINE IF THE PATIENT MAY QUALIFY FOR REDUCTION OF THE BALANCE OWED, BASED ON OUR CHARITABLE PROGRAM GUIDELINES. - ALL PATIENTS WHO QUALIFY WILL BE RESPONSIBLE TO MAKE A FAIR CONTRIBUTION TOWARDS THEIR BALANCE, NOT TO EXCEED $10,000 FOR HOSPITAL ACCOUNTS THAT ARE FOUND TO BE ELIGIBLE UNDER THIS PROGRAM. TOTAL AMOUNT DUE IS BASED ON THE APPROVED CHARITY PERCENTAGE DETERMINATIONS.PART V, LINE 9 SEE DESCRIPTION FOR PART I, LINE 3C. PART V, LINE 10 SEE DESCRIPTION FOR PART I, LINE 3C.PART V, LINE 11H SEE DESCRIPTION FOR PART I, LINE 3C.PART V, LINE 13G: PATIENT REGISTRATION REPRESENTATIVES, FINANCIAL COUNSELORS, CENTRAL SCHEDULING REPRESENTATIVES, PRE-ARRIVAL REPRESENTATIVES AND CUSTOMER SERVICE REPRESENTATIVES ARE EDUCATED ON THE FINANCIAL ASSISTANCE POLICY AND COMMUNICATE INFORMATION ON THE POLICY TO PATIENTS DURING ALL CONTACTS. PART V, LINE 19D: UNDER THE FINANCIAL ASSISTANCE POLICY, ALL HOSPITAL PAY BALANCES IN EXCESS OF $10,000 (OR $1,000 FOR CLINIC AND OUTREACH LABORATORY CLAIMS) AUTOMATICALLY QUALIFY FOR A CATASTROPHIC CAP DISCOUNT, WHICH LIMITS PATIENT RESPONSIBILITY TO NO MORE THAN $10,000 PER CLAIM ($1,000 FOR CLINIC AND LAB).
PART VI, LINE 2: BOTSFORD HOSPITAL SEEKS TO IMPROVE THE PHYSICAL, MENTAL, SOCIAL AND SPIRITUAL HEALTH STATUS OF THE COMMUNITIES IT SERVES. THE HOSPITAL BELIEVES THAT WHEN PEOPLE HAVE ACCESS TO HEALTH CARE AND ARE EDUCATED REGARDING LIFESTYLE BEHAVIORS, THEY HAVE AN IMPROVED CHANCE OF LIVING A HEALTHY LIFE. TO THAT END, THE HOSPITAL DEVELOPS AND OFFERS A WIDE-RANGE OF HEALTH SERVICES, EDUCATION AND SCREENINGS. BOTSFORD HOSPITAL ENGAGES IN PARTNERSHIPS WITH GROUPS, SYSTEMS AND AGENCIES THROUGHOUT THE COMMUNITIES IT SERVES TO ASSESS ITS IMPACT ON ACHIEVING ITS GOALS. AMONG THE CONTRIBUTIONS THE HOSPITAL CONSIDERS WHEN ASSESSING ITS NON-PROFIT STATUS ARE THE DELIVERY OF FREE AND REDUCED PATIENT CARE, CARE OF THE ELDERLY AND INDIGENT, PATIENT EDUCATION AND HEALTH AWARENESS PROGRAMS FOR THE COMMUNITY, AND MEDICAL EDUCATION. ADDITIONALLY, THE HOSPITAL DELIVERS ALL OF THESE HEALTH CARE SERVICES TO PEOPLE IN THE COMMUNITY WITHOUT REGARD TO RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS OR ABILITY TO PAY.THE OPENING OF THE BOTSFORD CANCER CENTER IN 2009 IS A SPECIFIC EXAMPLE OF HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES. IN 2005, A REVIEW OF BOTSFORD'S CANCER PATIENTS INDICATED A SIGNIFICANT NEED. THE ASSESSMENT IDENTIFIED THAT CANCER IS THE SECOND LEADING CAUSE OF DEATH IN BOTSFORD'S HOME COUNTIES, AND IS MOST PREVALENT IN PEOPLE OVER 55, WHICH IS SIGNIFICANT IN LIGHT OF THE AGING POPULATION. A REVIEW OF BOTSFORD'S PATIENT STATISTICS FOR 2003 AND 2004 SHOWED ALMOST 700 NEW CANCER CASES DIAGNOSED AT BOTSFORD ANNUALLY AND OVER 2,000 VISITS BY PATIENTS WITH PRIMARY OR SECONDARY CANCER DIAGNOSES. ADDITIONALLY, WAYNE AND OAKLAND COUNTIES REPORTED DEATHS DUE TO CANCER RELATED ILLNESSES OF 4,007 AND 2,062, RESPECTIVELY IN 2004. TO ADDRESS THE NEED TO CARE FOR THESE CANCER PATIENTS, BOTSFORD'S BOARD OF DIRECTORS DECIDED TO BUILD A CANCER CENTER. THE BOTSFORD CANCER CENTER WAS OPENED IN EARLY 2009.IN 2010 BOTSFORD RECEIVED TRAUMA CENTER VERIFICATION. BOTSFORD IS ONE OF ONLY EIGHT TRAUMA LEVEL II CENTERS IN MICHIGAN, ONE OF ONLY THREE TRAUMA CENTERS IN OAKLAND COUNTY AND THE ONLY ONE IN THE WESTERN PART OF OAKLAND COUNTY. BOTSFORD RECEIVED VERIFICATION AS A LEVEL II TRAUMA CENTER FROM THE AMERICAN COLLEGE OF SURGEONS (ACS) EFFECTIVE JANUARY 26, 2010. AS A LEVEL II TRAUMA CENTER, BOTSFORD IS EXPECTED TO PROVIDE INITIAL, DEFINITIVE TRAUMA CARE, REGARDLESS OF THE SEVERITY OF INJURY. THIS NEW CLINICAL DEPARTMENT PROVIDES THE HIGHEST LEVEL OF CARE FOR CRITICALLY INJURED PATIENTS IN BOTSFORD HOSPITALS SURROUNDING COMMUNITIES.
PART VI, LINE 3: BOTSFORD HOSPITAL INFORMS AND EDUCATES PATIENTS AND PERSONS, WHO MAY BE BILLED FOR PATIENT CARE, ABOUT THEIR ELIGIBILITY FOR ASSISTANCE IN A NUMBER OF WAYS. A FEW OF THE COMMUNICATIONS INCLUDE A BROCHURE WITHIN THE PATIENT FOLDER WHICH IS GIVEN TO EVERY PATIENT ADMITTED TO THE HOSPITAL, A TOPIC IDENTIFIED IN THE FAQS WITHIN THE WWW. BOTSFORD.ORG WEBSITE RELATING TO ONLINE PAYMENTS AND BROCHURES MADE AVAILABLE AT ALL OF THE ORGANIZATION'S PATIENT SERVICE LOCATIONS INFORMING PATIENTS ON HOW TO OBTAIN INFORMATION ON ELIGIBILITY FOR ASSISTANCE.
PART VI, LINE 4: BOTSFORD HOSPITAL IS LOCATED IN OAKLAND COUNTY AND SERVES COMMUNITIES IN BOTH OAKLAND AND WAYNE COUNTY. THE 2011 UNEMPLOYMENT RATE IN MICHIGAN OVERALL (ACCORDING TO THE MI DEPARTMENT OF ENERGY, LABOR AND ECONOMIC GROWTH) IS 8.3%, WHILE WAYNE COUNTY HAS AN UNEMPLOYMENT RATE OF 10.5% AND OAKLAND COUNTY HAS AN UNEMPLOYMENT RATE OF 8.1%.BOTSFORD HOSPITAL SERVES FOUR COMMUNITIES IN ITS PRIMARY SERVICE AREA; FARMINGTON/FARMINGTON HILLS, LIVONIA, REDFORD AND SOUTHFIELD. THE FARMINGTON/FARMINGTON HILLS AREA HAS A POPULATION OF 85,272 WITH A MEDIAN AGE OF 42.8 AND A MEDIAN HOUSE-HOLD INCOME OF $69,482. THE LIVONIA AREA HAS A POPULATION OF 85,557 WITH A MEDIAN AGE OF 44.7 AND A MEDIAN HOUSE-HOLD INCOME OF $66,537. THE REDFORD AREA HAS A POPULATION OF 136,336 WITH A MEDIAN AGE OF 36.5 AND A MEDIAN HOUSE-HOLD INCOME OF $42,623. THE SOUTHFIELD AREA HAS A POPULATION OF 108,713 WITH A MEDIAN AGE OF 40.8 AND A MEDIAN HOUSE-HOLD INCOME OF $51,934. BOTSFORD HOSPITAL HAS TWO SECONDARY SERVICE AREAS. COMMUNITIES IN OUR SOUTHEAST SECONDARY AREA INCLUDE AREAS OF DETROIT, WESTLAND, GARDEN CITY AND DEARBORN HEIGHTS. IN TOTAL, THE ZIP CODES WE SERVE HAVE A POPULATION OF 459,212 WITH A MEDIAN AGE OF 36.5 AND A MEDIAN HOUSE-HOLD INCOME OF $37,749. COMMUNITIES IN OUR NORTHWEST SECONDARY AREA INCLUDE AREAS OF WIXOM, WALLED LAKE, NOVI, WEST BLOOMFIELD, CANTON, PLYMOUTH, NORTHVILLE AND NEW HUDSON. IN TOTAL, THE ZIP CODES WE SERVE HAS A POPULATION OF 287,221 WITH A MEDIAN AGE OF 39.8 AND A MEDIAN HOUSE-HOLD INCOME OF $78,607.
PART VI, LINE 5: PART VI, LINE 5: BOTSFORD HOSPITAL HAS AN OPEN MEDICAL STAFF MODEL AND OUR BOARD IS COMPRISED OF MEMBERS OF THE COMMUNITY. THE HOSPITAL ALSO HAS A NATIONALLY RENOWNED MEDICAL EDUCATION (D.O.) PROGRAM OFFERING 20 DIFFERENT SPECIALTIES. BOTSFORD HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITIES IN WHICH IT SERVES THROUGH NUMEROUS OUTREACH ACTIVITIES.THESE ACTIVITIES INCLUDE: CHRONIC DISEASE MANAGEMENT AND EDUCATION THAT ADDRESSES DIABETES, CARDIAC HEALTH, HYPERTENSION, PULMONARY DISEASE AND OBESITY; COMPREHENSIVE LIFESTYLE BEHAVIOR EDUCATION AND INITIATIVES FOCUSED ON HEALTH RISK AND SUBSCRIBING TO THE HHS HEALTHY PEOPLE 2011 GOALS AND THE STATE OF MICHIGAN DEPARTMENT OF COMMUNITY HEALTH GOALS. THIS EFFORT ALSO INCLUDES COMPREHENSIVE COLLABORATION EFFORTS WITH LOCAL SCHOOL DISTRICTS ADDRESSING AT-RISK BEHAVIORS IN THE SCHOOL-AGE POPULATION.CONSUMER HEALTH RESOURCES SERVICES PROVIDED BY A MEDICAL LIBRARY AND WEBSITE, AND A QUARTERLY MAGAZINE, HEALTHSOURCE.HEALTH SCREENINGS IN MULTIPLE PUBLIC VENUES THAT INCLUDE TESTING FOR HYPERTENSION, CHOLESTEROL, FOOT DISORDERS, SKIN CANCER, BLOOD GLUCOSE, BONE DENSITY AND BODY FAT.MATERNAL-CHILD HEALTH EDUCATION THAT INCLUDES CHILDBIRTH, BABY CARE, BREAST-FEEDING, PARENTING, GRAND-PARENTING, AND BI-LINGUAL PROGRAMS FOR JAPANESE SPEAKING COMMUNITY MEMBERS.SENIOR RESOURCE PROGRAM THAT INCLUDES EDUCATION, REFERRAL AND SOCIAL ACTIVITIES.SUPPORT GROUP SYSTEM THAT INCLUDES ADDICTIONS, ALZHEIMER'S, CARDIOLOGY, CLOSED HEAD INJURY, STROKE SURVIVORS, GRIEF SUPPORT AND CARE GIVING.WEIGHT, NUTRITION AND FITNESS PROGRAMMING.BOTSFORD ALSO PARTICIPATES IN MANY CHARITABLE PROGRAMS IN THE COMMUNITIES IS SERVES THROUGH DIRECT FINANCIAL CONTRIBUTION, IN-KIND SUPPORT, AND TIME AND RESOURCES. THE HOSPITAL PROMOTES NUMEROUS FUNDRAISING EVENTS WITH BOTSFORD STAFF OR WITH FINANCIAL SUPPORT.
PART VI, LINE 6: BOTSFORD HOSPITAL IS PART OF THE BOTSFORD HEALTH CARE (BHC) SYSTEM. THE MISSION OF BHC IS TO ADVANCE HEALTH IN THE COMMUNITIES IT SERVES. THE MISSION INCORPORATES CARING, COMMUNITY INVOLVEMENT, RESEARCH, EDUCATION AND LEADERSHIP. BHC'S VISION IS TO BE A STRONG INDEPENDENT SYSTEM OF HEALTH CARE, KNOWN FOR PROVIDING EXCELLENT CUSTOMER SERVICE, SUPERIOR VALUE, AND COMMUNITY SUPPORT THROUGH A NETWORK OF HEALTH AND HEALTH-RELATED SERVICES WHICH DEMONSTRATE A DEDICATION TO OUR PHILOSOPHY AND MISSION, A COMMITMENT TO COLLABORATION, AND RESPONSIBILITY TO FUTURE GENERATIONS.THE THREE MAIN ORGANIZATIONS OF BHC INCLUDE BOTSFORD HOSPITAL, BOTSFORD CONTINUING CARE CORPORATION AND COMMUNITY EMERGENCY MEDICAL SERVICES. EACH OF THESE ORGANIZATIONS IS BRIEFLY DESCRIBED BELOW:BOTSFORD HOSPITAL IS LICENSED FOR 330 BEDS, AND PROVIDES INPATIENT HOSPITAL SERVICES AS WELL AS A WIDE RANGE OF OUTPATIENT SERVICES. THE SERVICES ARE PROVIDED AT THE HOSPITAL FACILITY AND AT VARIOUS OFF-SITE FACILITIES WITHIN A SIX MILE RADIUS OF THE MAIN CAMPUS, SERVING THE NEEDS OF RESIDENTS OF SOUTHERN OAKLAND COUNTY AND NORTHERN WAYNE COUNTY. BOTSFORD HOSPITAL ALSO OPERATES A NETWORK OF PRIMARY CARE AND SPECIALTY PHYSICIAN PRACTICES, KNOWN AS THE BOTSFORD CLINIC SYSTEM, AT 24 OFFICE SITES. OSTEOPATHIC MEDICAL EDUCATION AND CLINICAL TRAINING IS AN IMPORTANT COMPONENT OF THE MISSION OF BOTSFORD HOSPITAL. BOTSFORD HOSPITAL IS APPROVED FOR PRE-GRADUATE AND POST-GRADUATE PHYSICIAN TRAINING. THE AMERICAN OSTEOPATHIC ASSOCIATION APPROVES THE HOSPITAL FACILITY FOR TWENTY SPECIALTY AND SUB-SPECIALTY RESIDENCY PROGRAMS.BOTSFORD CONTINUING CARE CORPORATION IS MADE UP OF THREE MAIN SERVICES. THE FIRST IS A SKILLED NURSING FACILITY WITH 179 BEDS LOCATED IN FARMINGTON HILLS, MICHIGAN. THE SECOND SERVICE IS AN ASSISTED LIVING FACILITY WITH 63 BEDS ALSO LOCATED IN FARMINGTON HILLS, MICHIGAN. IT IS A SAFE AND SUPPORTIVE ENVIRONMENT FOR OLDER ADULTS NEEDING SOME ASSISTANCE WITH THEIR DAILY ROUTINE. EACH RESIDENTS' CARE IS CUSTOMIZED TO HIS OR HER INDIVIDUAL NEEDS TO PROVIDE SUPPORT AND ASSISTANCE WHILE MAINTAINING AND PROVIDING INDEPENDENCE. THE THIRD SERVICE IS AN INDEPENDENT LIVING APARTMENT WITH 51 UNITS ALSO LOCATED IN FARMINGTON HILLS, MICHIGAN. EACH APARTMENT IS WHEELCHAIR ACCESSIBLE, HAS 24 HOUR SECURITY SERVICES, ILLUMINATED THERMOSTATS AND INCLUDES EMERGENCY CALL SERVICE. ALL OF THESE SERVICES ARE BENEFICIAL TO THE ELDERLY POPULATION THAT WE SERVE.COMMUNITY EMERGENCY MEDICAL SERVICE (CEMS) PROVIDES AN ARRAY OF SERVICES FROM AMBULANCE SERVICE TO TRAINING AND EDUCATIONAL PROGRAMS FOR THE PUBLIC. CEMS PROVIDES MEDICAL DIRECTION AND TRANSPORTATION SUCH AS MOBILE INTENSIVE CARE UNITS, TRANSPORTING CRITICALLY ILL PATIENTS, NON-EMERGENCY VAN SERVICE, AND PROVIDING MEDICAL DIRECTION FOR 911 CALLERS. CEMS, THROUGH THE LIFE SUPPORT TRAINING INSTITUTE (LSTI), IS COMMITTED TO COMMUNITY INVOLVEMENT AND EDUCATION. LSTI PROVIDES TRAINING AND CERTIFICATION FOR PERSONS WHO WISH TO BECOME BASIC EMTS OR PARAMEDICS. THIS SERVICE IS PROVIDED TO MEMBERS OF THE GENERAL PUBLIC AND TO PERSONS WHO ARE EMPLOYED WITH A FIRE DEPARTMENT. LSTI IS ALSO AN AMERICAN HEART ASSOCIATION SITE THAT PROVIDES CPR TRAINING AND CERTIFICATION TO MEMBERS OF THE GENERAL PUBLIC.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
FARMINGTON HILLS POLICE BENEVOLENT ASSOCIATION
31655 WEST ELEVEN MILE	FARMINGTON HILLS	MI	48336	383245831	501(C)(3)	5000	THE GRANT IS TO ASSIST THE FAMILIES OF FALLEN POLICE OFFICERS IN OUR COMMUNITY. BOTSFORD BELIEVES THAT WE SHOULD SUPPORT OUR LOCAL ORGANIZATIONS THAT NEED ASSISTANCE. THE ORGANIZATION RECEIVING THIS GRANT IS MONITORED THROUGH ACTIVE INVOLVEMENT OF BOTSFORD STAFF WITHIN THE FARMINGTON HILLS COMMUNITY.
REDFORD CHILDREN'S ISSUES COMMISSION
12121 HEMINGWAY	REDFORD	MI	48239	383169773	501(C)(3)	6000	THE COMMISSION ON CHILDREN'S ISSUES HOSTS A VARIETY OF PROGRAMS AND SERVICES TO DETER JUVENILE DELINQUENCY WITHIN REDFORD TOWNSHIP. BOTSFORD BELIEVES THAT WE SHOULD SUPPORT OUR LOCAL ORGANIZATIONS THAT NEED ASSISTANCE. THE ORGANIZATION RECEIVING THIS GRANT IS MONITORED THROUGH ACTIVE INVOLVEMENT OF BOTSFORD STAFF WITHIN THE REDFORD COMMUNITY.
ZIEGER HEALTH CARE CORPORATION
28050 GRAND RIVER AVENUE	FARMINGTON HILLS	MI	48336	382500428	501(C)(3)		THIS IS AN INTERNAL GRANT GIVEN TO A RELATED 501C(3) ORGANIZATION. TO HELP SUPPORT THE MISSION OF THE BOTSFORD FOUNDATION THROUGH CASH AND PAYMENT OF EXPENSES.	456651	FMV	PAYMENT OF EXPENSES
ZIEGER HEALTH CARE CORPORATION
28050 GRAND RIVER AVENUE	FARMINGTON HILLS	MI	48336	382500428	501(C)(3)	126807	THIS IS AN INTERNAL GRANT GIVEN TO A RELATED 501C(3) ORGANIZATION TO HELP SUPPORT THE BOTSFORD FOUNDATION.
BOTSFORD CONTINUING CARE CORPORATION
28050 GRAND RIVER AVENUE	FARMINGTON HILLS	MI	48336	382549505	501(C)(3)	390000	THIS IS AN INTERNAL GRANT GIVEN TO A RELATED 501C(3) ORGANIZATION. TO HELP SUPPORT THE MISSION OF THE BOTSFORD CONTINUING CARE CORPORATION.

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	4	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	RESIDENT STIPENDS	TypeOfGrant
Number Of Recipients	170	NumberOfRecipients
Amount Of Cash Grant	16653910	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Explanation	SCHEDULE I, PART III: RESIDENT STIPENDS: OSTEOPATHIC MEDICAL EDUCATION AND CLINICAL TRAINING IS AN IMPORTANT COMPONENT OF THE MISSION OF THE CORPORATION. THE CORPORATION IS APPROVED FOR PRE-GRADUATE AND POST-GRADUATE PHYSICIAN TRAINING. THE AMERICAN OSTEOPATHIC ASSOCIATION APPROVES THE HOSPITAL FACILITY FOR TWENTY SPECIALTY AND SUB-SPECIALTY RESIDENCY PROGRAMS. CURRENTLY, THERE ARE 170 POST GRADUATE RESIDENTS. THE MAJOR EMPHASIS IN POST-DOCTORAL TRAINING IS IN THE PRIMARY CARE AREAS, WITH RESIDENCY PROGRAMS AND TEACHING CURRICULUMS ESTABLISHED IN FAMILY MEDICINE, INTERNAL MEDICINE, AND OBSTETRICS AND GYNECOLOGY. SPECIALTY TRAINING PROGRAMS ARE ALSO CONDUCTED.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PAUL LACASSE
459628	0	81374	0	42162	0	14700	0	22683	0	620547	0	0	0
DAVID MARCELLINO
305435	0	56340	0	30420	0	14700	0	19584	0	426479	0	0	0
LISA VANDECAVEYE
240701	0	48085	0	27573	0	14604	0	21620	0	352583	0	0	0
MARGO GORCHOW
174567	0	30780	0	17401	0	11659	0	9894	0	244301	0	0	0
DAVID WALTERS
270032	0	48600	0	27740	0	14700	0	22061	0	383133	0	0	0
BARBARA PALMER
172920	0	32654	0	35632	0	12509	0	8256	0	261971	0	0	0
REGINA DOXTADER
163863	0	32720	0	29379	0	12326	0	23160	0	261448	0	0	0
MARGARET HASLER
113608	0	24040	0	95920	0	12780	0	8344	0	254692	0	0	0
RONALD SZUMSKI
184147	0	30336	0	8789	0	12335	0	23967	0	259574	0	0	0
WILLIAM SCHEUBER
166550	0	17290	0	0	0	10660	0	20879	0	215379	0	0	0
ADAM COOPER
339372	0	0	0	14677	0	14700	0	20655	0	389404	0	0	0
ANDREW CYKIERT
265740	0	144580	0	17439	0	14700	0	23025	0	465484	0	0	0
RICHARD HERMAN
359825	0	0	0	15231	0	14700	0	21327	0	411083	0	0	0
GILBERT HERMAN
312930	0	0	0	21363	0	14700	0	20287	0	369280	0	0	0
BEN ROSSI
227195	0	146103	0	26480	0	5096	0	20905	0	425779	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	PART I, LINE 7	ReturnReference
Explanation	NON-FIXED PAYMENTS ARE PAID ONLY UPON APPROVAL OF THE BOTSFORD HOSPITAL COMPENSATION COMMITTEE AND ARE BASED UPON ESTABLISHED METRICS.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CITY OF FARMINGTON HILLS HOSPITAL FINANCE AUTHORITY	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	521719468	IssuerEIN
CUSIP Number	311166BJ0	CUSIPNumber
Date Issued	2008-04-03	DateIssued
Issue Price	11835179	IssuePrice
Description Of Purpose	CANCER CENTER CONSTRUCTION COSTS,EQUIPT. & REFINANCE BONDS ISSUED 12/18/91	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	1210991	AmountRetired
Total Proceeds	11901948	TotalProceeds
Issuance Costs From Proceeds	236704	IssuanceCostsFromProceeds
Credit Enhancement	16278	CreditEnhancement
Capital Expenditures	11407495	CapitalExpenditures
Other Spent Proceeds	241472	OtherSpentProceeds
Year Of Subst Completion	2008	YearOfSubstCompletion
Current Refunding	1	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	1	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	1	MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts	0	EngageBondCounselContracts
Any Research Agreements	0	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Total Private Business Use	0.00000	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	1	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	0	Form8038TFiled
Variable Rate Issue	1	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Exception To Rebate	1	ExceptionToRebate

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	SCHEDULE K SUPPLENTAL INFORMATION	Identifier
Explanation	THE BOND ISSUED 04/03/08 WAS ISSUED TO THE ZIEGER HEALTH CARE CORPORATION OBLIGATED GROUP IN THE AMOUNT OF $16,370,000. THE OBLIGATED GROUP CONSISTS OF ZIEGER HEALTH CARE CORPORATION, BOTSFORD GENERAL HOSPITAL, BOTSFORD CONTINUING CARE CORPORATION AND COMMUNITY EMERGENCY MEDICAL SERVICES. EACH ENTITY OF THE OBLIGATED GROUP WAS ALLOCATED A PORTION OF THIS DEBT AND THAT AMOUNT IS REFLECTED ON SCHEDULE K, PART 1 AND ON SCHEDULE K, PART II. PART V- BOTSFORD GENERAL HOSPITAL COMPLIANCE PROCEDURES CONDUCTED ON AN AS NEEDED BASIS; WRITTEN DOCUMENTATION OF SUCH COMPLIANCE PROCEDURES WAS FORMALLY ADOPTED SUBSEQUENT TO YEAR END. PART VI- THE DIFFERENCE BETWEEN THE ISSUE PRICE (PART I, COLUMN (E)) AND TOTAL PROCEEDS OF THE ISSUE (PART II, LINE 3) IS DUE TO INVESTMENT EARNINGS.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
ADAM COOPER MD
FAM MBR IS A BD MBR	389404	COMPENSATIONCOMPENSATION PAID	0
CARDIOVASCULAR CLINICAL ASSOCIATES
BD MBR / >5% INTEREST IN VENDOR THAT PROVIDES SERVICES TO BH	313900	SERVICESVENDOR PROVIDES CARE TO BOTSFORD PATIENTS AS WELL AS INTERPRETING VARIOUS PROCEDURES SUCH AS ECHOCARDIOGRAMS, STRESS TESTS AND EKGS. THE VENDOR RECEIVES A MONTHLY PAYMENT FOR PERFORMING THESE SERVICES.	0
MICHAEL SCHEUBER
FATHER IS A KEY EMPLOYEE	12000	COMPENSATIONSON RECEIVED COMPENSATION FROM BOTSFORD HOSPITAL FOR SERVICES AS A PROJECT INTERN IN THE CLINICAL PROCESS IMPROVEMENT DEPARTMENT.	0
ANNETTE LACASSE
FAM MBR IS A BD MBR	15000	COMPENSATIONPROVIDES PHYSICIAN SERVICES AS DERMATOLOGY PROGRAM DIRECTOR.	0

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Description	EQUIPMENT	Description
Number Of Contributions	10	NumberOfContributions
Noncash Contribs Rptd F990	148885	NoncashContribsRptdF990
Method Of Determining Revenues	PURCHASE PRICE OF EQUIPMENT	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	1	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	THIRD PARTY USE:	Identifier
Return Reference	PART I, LINE 32B:	ReturnReference
Explanation	BOTSFORD HOSPITAL USES ZIEGER HEALTH CARE CORPORATION TO SOLICIT, PROCESS AND SELL NON-CASH CONTRIBUTIONS. ADDITIONALLY, ZIEGER HEALTH CARE CORPORATION PURCHASES EQUIPMENT FOR THE BENEFIT OF BOTSFORD HOSPITAL.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2	THE FOLLOWING INDIVIDUALS HAVE A BUSINESS RELATIONSHIP BECAUSE THEY ARE BOARD MEMBERS OR SHARED OFFICERS ON TWO OR MORE ENTITIES WITHIN THE BOTSFORD HEALTH CARE SYSTEM. GERSON COOPER RAYMOND DZENDZEL PAUL LACASSE DAVID MARCELLINO LISA VANDECAVEYE REGINA DOXTADER
FORM 990, PART VI, SECTION A, LINE 6	ZIEGER HEALTH CARE CORPORATION IS THE SOLE CORPORATE MEMBER OF BOTSFORD HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7A	AS THE SOLE CORPORATE MEMBER, ZIEGER HEALTH CARE CORPORATION APPROVED/ELECTS THE GOVERNING BODY OF BOTSFORD HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7B	AS THE SOLE CORPORATE MEMBER, ZIEGER HEALTH CARE CORPORATION HAS CERTAIN RESERVED POWERS OVER OPERATIONS AND CAPITAL OF BOTSFORD HOSPITAL.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 AND ALL RELATED SCHEDULES WERE PREPARED BY THE ORGANIZATION'S FINANCE DEPARTMENT AND REVIEWED BY AN OUTSIDE TAX FIRM. A COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE OF THE CONFLICT OF INTEREST POLICY BY REVIEW OF THE POLICY ANNUALLY AT THE BOARD MEETING AND MANDATORY SUBMISSION OF CONFLICTS TO THE ASSISTANT SECRETARY OF THE ORGANIZATION PER THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION, BENEFITS AND RETIREMENT COMMITTEE (COMMITTEE) OF BOTSFORD HEALTH CARE WILL REVIEW AND MAKE RECOMMENDATIONS TO THE BOARD OF DIRECTORS WITH RESPECT TO ALL ASPECTS OF COMPENSATION AND OTHER BENEFITS, INCLUDING, WITHOUT LIMITATIONS, COMPENSATION OF THE CORPORATION'S DIRECTORS, OFFICERS, PHYSICIANS, EMPLOYEES AND CONTRACTORS. THE COMMITTEE RETAINS AN INDEPENDENT COMPENSATION CONSULTANT EACH YEAR TO ASSESS THE COMPETITIVENESS AND REASONABLENESS OF THE TOTAL COMPENSATION PROVIDED TO EXECUTIVES, DIRECTORS AND PHYSICIANS. THE COMPENSATION CONSULTANT ABSTRACTS BASE SALARY, TOTAL CASH COMPENSATION AND BENEFITS DATA FROM MAJOR SURVEYS FOR HEALTHCARE AND OTHER APPROPRIATE INDUSTRIES. THE FAIR MARKET REVIEW IS FOR COMPARABLE POSITIONS IN COMPARABLE ORGANIZATIONS BASED UPON SIZE, TOTAL REVENUES AND OTHER RELEVANT FACTORS. YEARLY, THE CONSULTANT WILL PRESENT A SUMMARY OF FINDINGS AND RECOMMENDATIONS INTENDED TO HELP THE COMMITTEE ESTABLISH THE "REBUTTABLE PRESUMPTION OF REASONABLENESS FOR EXECUTIVES, DIRECTORS AND PHYSICIANS." THE COMMITTEE WILL MAKE RECOMMENDATIONS TO THE VARIOUS BOARDS FOR APPROVAL. NO MEMBER OF THE COMMITTEE WILL EVALUATE ANY COMPENSATION ARRANGEMENT WITH RESPECT TO WHICH HE OR SHE HAS A CONFLICT OF INTEREST. YEARLY, THE COMMITTEE MEMBERS WILL SIGN A CONFLICT OF INTEREST POLICY. ALL COMMITTEE RECOMMENDATIONS AND ACTIONS ARE ADEQUATELY DOCUMENTED IN COMMITTEE MINUTES.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENTS THAT ARE REQUIRED TO BE MADE AVAILABLE TO THE PUBLIC WILL BE MADE AVAILABLE UPON REQUEST.
FORM 990, PART VII, COLUMN B	HOURS WORKED FOR RELATED ORGANIZATIONS OFFICERS, DIRECTORS, AND KEY EMPLOYEES OF BOTSFORD HOSPITAL PROVIDE SERVICES TO BOTSFORD HOSPITAL AND AFFILIATES. HOURS WORKED ARE NOT TRACKED SEPARATELY FOR EACH ENTITY. THEREFORE, HOURS FOR ALL INDIVIDUALS REPORTED ON FORM 990, PART VII, COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES, AND INDEPENDENT CONTRACTORS REPRESENT AGGREGATE HOURS WORKED PER WEEK FOR ALL ENTITIES.
FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -1,307,029. ADDITIONAL MINIMUM PENSION LIABILITY ADJUSTMENT -18,109,651. SECURITY GRANT - EQUIPMENT REIMBURSEMENT 69,646. DEFERRED REVENUE - CAFETERIA RENOVATIONS 122,449. MEDICAL EQUIPMENT GRANT 470,490. TOTAL TO FORM 990, PART XI, LINE 5: -18,754,095.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C	THE ORGANIZATION'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR. THE PROCESS THAT THE AUDIT COMMITTEE FOLLOWS FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR HAS NOT CHANGED FROM THE PRIOR YEAR.	AUDIT COMMITTEE PROCESS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
ZIEGER HEALTHCARE CORPORATION
28050 GRAND RIVER AVENUE	FARMINGTON HILLS	MI	48336	382500428	CENTRALIZED GOVERNANCE & MGMT	MI	501 (C) (3)	9	1
BOTSFORD CONTINUING CARE CORPORATION
28050 GRAND RIVER AVENUE	FARMINGTON HILLS	MI	48336	382549505	LONG TERM NURSING CARE	MI	501 (C) (3)	9	1	ZIEGER HEALTHCARE CORPORATION
COMMUNITY EMERGENCY MEDICAL SERVICE INC
25400 W EIGHT MILE ROAD	SOUTHFIELD	MI	48034	382410823	AMBULANCE SERVICES	MI	501 (C) (3)	9	1	ZIEGER HEALTHCARE CORPORATION

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
BOTSFORD COMMONS PROPERTY ASSOCIATION
21400 ARCHWOOD CIRCLE	FARMINGTON HILLS	MI	48336	383203663	PROPERTY MANAGEMENT	MI	BOTSFORD CONTINUING CARE CORPORATION	C
PARASTAR MEDICAL SERVICES
25250 W EIGHT MILE ROAD	SOUTHFIELD	MI	48034	382755982	MANAGEMENT & DISPATCH SERVICES	MI	COMMUNITY EMERGENCY MEDICAL SERVICES	C
BGH PHYSICIAN PORTFOLIO (CAPTIVE)
				381426919	CAPTIVE INSURANCE (CELL)		BOTSFORD HOSPITAL	C	PO BOX 1109 68 WEST BAY ROAD	GEORGETOWN	GRAND CAYMAN	CJ	KY1-1102	CJ	5673986	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
BOTSFORD CONTINUING CARE CORPORATION
N	424477	COST
BOTSFORD CONTINUING CARE CORPORATION
P	3394648	COST
COMMUNITY EMERGENCY MEDICAL SERVICES
N	453300	COST
COMMUNITY EMERGENCY MEDICAL SERVICES
P	1319970	COST
PARASTAR
N	820721	COST
PARASTAR
P	332776	COST
COMMUNITY EMERGENCY MEDICAL SERVICES
L	634462	COST
ZIEGER HEALTHCARE CORPORATION
C	677082	COST
ZIEGER HEALTHCARE CORPORATION
B	583458	COST
BOTSFORD CONTINUING CARE CORPORATION
J	123188	COST
ZIEGER HEALTHCARE CORPORATION
O	1109882	COST
BOTSFORD CONTINUING CARE CORPORATION
O	390000	COST