2011-11-15T13:11:00-06:00 2010-12-31 990 2010-01-01 382571767 THE DETROIT MEDICAL CENTER DETR 3135782063 3663 WOODWARD AVENUE SUITE 200 DETROIT MI 482012403 WILLIAM F ROCHEFORT 3135782063 2011-11-14 2010 2016-03-07 17:11:31Z MICHAEL DUGGAN PRESIDENTCEO 3990 JOHN R CORPORATE OFFICES DETROIT MI 48201 436866076 false X WWW.DMC.ORG X 1985 MI THE DETROIT MEDICAL CENTER (DMC) ASPIRES TO BE THE PREMIER HEALTH CARE RESOURCE IN SOUTHEAST MICHIGAN AND AMONG THE FINEST HEALTH CARE CENTERS IN THE UNITED STATES THROUGH EXCELLENCE IN THE PROVISION OF CLINICAL CARE ENHANCED BY EDUCATION AND RESEARCH. IN ALL CLINICAL ENDEAVORS, QUALITY TO CARE IS PARAMOUNT. IN ADDITION, THE DMC BELIEVES THAT ACCESS TO QUALITY HEALTH CARE IS THE RIGHT OF EVERY HUMAN BEING. DMC, ALONG WITH LOCAL, STATE AND FEDERAL GOVERNMENTS, SUPPORTS A UNIQUE PUBLIC MISSION TO THE RESIDENTS OF THE COMMUNITIES WE SERVE TO ASSURE THIS RIGHT IS PRESERVED. 22 18 3686 217 24090896 -10992495 454578 760430 382771683 432596213 11958730 434246 759745 605145 395944736 434396034 0 0 189255366 201071941 55200 111743 1816829 188529372 231960962 377839938 433144646 18104798 1251388 548834686 217518775 740063614 332020036 -191228928 -114501261 X THE DETROIT MEDICAL CENTER (DMC) ASPIRES TO BE THE PREMIER HEALTH CARE RESOURCE IN SOUTHEAST MICHIGAN AND AMONG THE FINEST HEALTH CARE CENTERS IN THE UNITED STATES THROUGH EXCELLENCE IN THE PROVISION OF CLINICAL CARE ENHANCED BY EDUCATION AND RESEARCH. IN ALL CLINICAL ENDEAVORS, QUALITY TO CARE IS PARAMOUNT. IN ADDITION, THE DMC BELIEVES THAT ACCESS TO QUALITY HEALTH CARE IS THE RIGHT OF EVERY HUMAN BEING. DMC, ALONG WITH LOCAL, STATE AND FEDERAL GOVERNMENTS, SUPPORTS A UNIQUE PUBLIC MISSION TO THE RESIDENTS OF THE COMMUNITIES WE SERVE TO ASSURE THIS RIGHT IS PRESERVED. false false 84322804 79962043 LABORATORY SERVICES DMC PROVIDES LABORATORY TESTING FOR ALL THE DMC HOSPITALS. DMC PROVIDES A LAB ON SITE AT EACH OF THE DMC HOSPITALS SO THAT "STAT" TESTING (TESTS THAT MUST BE PERFORMED IN LESS THAN ONE HOUR) IS AVAILABLE TO THE HOSPITALS' PATIENTS. THERE IS ALSO A CENTRAL LABORATORY WHERE ROUTINE AND SPECIALIZED TESTING IS DONE. CURRENTLY, WE PROVIDE TESTING IN SEVERAL AREAS. BASIC TESTING INCLUDES HEMATOLOGY, MICRO BIOLOGY (INCLUDING PCR TESTING) AND CHEMISTRY. SPECIALTY TESTING INCLUDES TOXICOLGY, HLA (TISSUE TESTING, CYTOGENETICS, COAGULATION, MOLECULAR BIOLOGY AND CYTOLOGY. OUR CONTINUAL GOAL IS TO PROVIDE SUPPORT TO THE DMC HOSPITALS WITH THE HIGHEST QUALITY, COST EFFECTIVE LABORATORY SERVICES, INCLUDING DEVELOPING NEW TESTING METHODOLOGIES. DURING 2010, THE DMC LABORATORY PERFORMED APPROXIMATELY 588,700 TESTS PER MONTH FOR PATIENTS BEING TREATED BY DMC HOSPITALS AND OUTPATIENT FACILITIES. 64895855 70159061 GRADUATE MEDICAL EDUCATION THIS PROGRAM PROVIDES THE DMC HOSPITALS WITH RESIDENT PHYSICIANS THAT ENABLE THE DMC HOSPITALS TO PROVIDE BETTER QUALITY HEALTH CARE TO THEIR PATIENTS AND TO RETAIN HIGH QUALITY ACADEMIC PHYSICIANS ON STAFF. THE GRADUATE MEDICAL EDUCATION PROGRAM HAD APPROXIMATELY 1,041 RESIDENTS IN 2010. AS THE RESIDENTS PROGRESS THROUGH THE TRAINING PROGRAM AND BECOME SENIOR RESIDENTS, THEY TAKE MORE RESPONSIBILITY FOR THE SUPERVISING AND TRAINING OF THE NEW MEDICAL STUDENTS AND JUNIOR RESIDENTS. THE AREAS OF MEDICINE INCLUDE: INTERNAL MEDICINE, FAMILY MEDICINE, EMERGENCY MEDICINE, NEUROLOGY, OB/GYN, OPHTHALMOLOGY, PSYCHIATRY, PEDIATRICS, RADIATION ONCOLOGY, UROLOGY, AND RADIOLOGY. 93198730 97747946 MANAGEMENT INFORMATION SERVICES THE INFORMATION SYSTEMS NEEDS FOR THE DMC AND ITS HOSPITALS ARE EXTENSIVE. DMC CONTRACTS WITH THE FIRM OF CARETECH TO PROVIDE ALL INFORMATION SYSTEM SERVICES INCLUDING MAINTAINING A NUMBER OF ENTERPRISE-WIDE, MAINFRAME-BASED AND CLIENT SERVER INFORMATION SYSTEMS, SUCH AS PAYROLL, GENERAL LEDGER, MEDICAL RECORDS, AND OPERATING ROOM SCHEDULING. IT IS ALSO RESPONSIBLE FOR A NUMBER OF SPECIFIC SYSTEMS ON A VARIETY OF HARDWARE PLATFORMS, AND NETWORK AND COMMUNICATIONS INFRASTRUCTURE THAT ALLOWS THE DMC SYSTEM-WIDE ACCESS TO MOST OF THESE APPLICATIONS. INFORMATION SERVICES ALSO SUPPORTS THE VOICE COMMUNICATIONS, OPERATING SERVICE, AND PAGING SYSTEMS ACROSS THE DMC. THESE SYSTEMS ENABLE ALL OF THE DMC ENTITIES TO HAVE ACCESS TO COMMON PATIENT INFORMATION, AS WELL AS THE OTHER BUSINESS INFORMATION NECESSARY TO ENSURE EFFICIENT QUALITY HEALTHCARE TO THEIR PATIENTS. DURING 2008, DMC INFORMATION SERVICES COMPLETED THE INSTALLATION AND IMPLEMENTATION OF A SYSTEM-WIDE ELECTRONIC MEDICAL RECORD SYSTEM. THIS SYSTEM PROVIDES FOR A HIGHER LEVEL OF PATIENT CARE FOR PATIENTS OF THE DMC HOSPITALS BY MAKING INFORMATION AVAILABLE ELECTRONICALLY TO CARE PROVIDERS. IT ALSO SIGNIFICANTLY REDUCES THE CHANCE OF ERRORS BY ELIMINATING PAPER PROCESSES. DMC HAS ALSO BEEN THE RECIPIENT OF THE FOLLOWING AWARDS: 2011 MOST WIRED HOSPITAL FOR THE FIFTH CONSECUTIVE YEAR, DETROIT MEDICAL CENTER HAS BEEN NAMED TO THE NATIONS MOST WIRED LIST, ACCORDING TO THE RESULTS OF THE 2011 MOST WIRED SURVEY AND BENCHMARKING STUDY RELEASED IN THE JULY ISSUE OF HOSPITALS & HEALTH NETWORKS MAGAZINE WHICH HAS NAMED THE MOST WIRED HOSPITALS AND HEALTH SYSTEMS SINCE 1999. THE MOST WIRED SURVEY IS CONDUCTED ANNUALLY BY HOSPITALS & HEALTH NETWORKS MAGAZINE, WHICH USES THE RESULTS TO NAME THE MOST WIRED HOSPITALS AND HEALTH SYSTEMS. IT FOCUSES ON HOW THE NATIONS HOSPITALS USE INFORMATION TECHNOLOGIES FOR QUALITY, CUSTOMER SERVICE, PUBLIC HEALTH AND SAFETY, BUSINESS PROCESSES AND WORKFORCE ISSUES. HEALTHCARE INFORMATICS - AS NATIONAL LEADER IN EMR INNOVATIONS HEALTHCARE INFORMATICS HAS NAMED DMC AS THEIR TOP 2009 INNOVATOR AWARD RECIPIENT. DMC BEAT OUT JOHNS HOPKINS FOR THE MOST IMPORTANT ELECTRONIC HEALTHCARE INNOVATION IN AMERICA. DMC WAS CHOSEN FOR ITS NEONATAL BARCODE SCANNING PROJECT. THIS NATIONAL BREAKTHROUGH WILL EVENTUALLY PREVENT MEDICATION ERRORS SUCH AS THOSE THAT ALMOST TOOK THE LIVES OF ACTOR DENNIS QUAID'S INFANT TWINS. BEING SELECTED AS AN HCI INNOVATOR AWARDS TOP 10 FINALIST MEANS AN ORGANIZATION HAS GONE BEYOND TRADITIONAL PROBLEM SOLVING APPROACHES, FOCUSING INSTEAD ON CREATIVE SOLUTIONS THAT MAXIMIZE LIMITED TIME, STAFFING AND MONEY TO BRING ABOUT MEANINGFUL CHANGES IN PATIENT CARE AND OVERALL EFFICIENCY. COMPUTERWORLD BEST PRACTICES IN INFRASTRUCTURE MANAGEMENT AWARD DETROIT MEDICAL CENTER HAS RECEIVED THE PRESTIGIOUS BEST PRACTICES IN INFRASTRUCTURE MANAGEMENT AWARD GIVEN ANNUALLY BY COMPUTERWORLDS INFRASTRUCTURE MANAGEMENT WORLD, THE PREMIER CONFERENCE FOR LEADERS IN THE DATA CENTER AND INFRASTRUCTURE MANAGEMENT SECTOR. THE AWARD RECOGNIZES DMCS LEADERSHIP AND EXCELLENCE AMONG USERS OF INFRASTRUCTURE MANAGEMENT TECHNOLOGY ACROSS THE NATION. THE DMC IS ONE OF ONLY TWO ORGANIZATIONS BESTOWED THE AWARD ANNUALLY STRATEGIC HEALTHCARE COMMUNICATIONS GOLD EHEALTHCARE LEADERSHIP AWARD DMC.ORG HAS BEEN RECOGNIZED FOR THE THIRD YEAR IN A ROW WITH A GOLD EHEALTHCARE LEADERSHIP AWARD FROM STRATEGIC HEALTHCARE COMMUNICATIONS, IN THE CATEGORY "BEST WEB 2.0/RICH MEDIA." THE AWARD RECOGNIZES THE DMCS COMMITMENT TO PROVIDING THE MOST EFFECTIVE WEB-BASED RICH MEDIA EXPERIENCE IN THE NATION. GREYSTONE "BEST IN CLASS" - MULTIMEDIA DMC HAS BEEN RECOGNIZED WITH A SILVER AWARD FOR "BEST IN CLASS - MULTIMEDIA" AT THE GREYSTONE NATIONAL CONFERENCE IN 2010. DMC IS LEVERAGING MULTIMEDIA IN A VARIETY OF STRATEGIC WAYS INCLUDING HEALTH VIDEOS, TESTIMONIALS, VIRTUAL TOURS, HEALTH TOOLS, AND MANY OTHERS. THE AWARD IS PRESENTED TO ORGANIZATIONS THAT ARE STRATEGICALLY GETTING THE MOST FROM THEIR MULTIMEDIA EFFORTS. FINALISTS WERE SELECTED BASED ON STRATEGY, CREATIVITY, AND THE DEMONSTRATION OF SUCCESS. WEB MARKETING ASSOCIATIONS STANDARD OF EXCELLENCE AWARD WWW.DMC.ORG, THE WEB SITE OF THE DETROIT MEDICAL CENTER (DMC), RECEIVED A RECENT WEB MARKETING ASSOCIATIONS STANDARD OF EXCELLENCE FOR OUTSTANDING ACHIEVEMENT IN WEB SITE DEVELOPMENT. THIS AWARD IDENTIFIES THE DMC WEB SITES AS A STANDARD OF EXCELLENCE FOR WHICH ALL WEB SITES SHOULD STRIVE. THE WEBAWARD COMPETITION FEATURED OVER 23,000 WEB SITES FROM 35 COUNTRIES. WEB SITES WERE JUDGED IN AREAS OF DESIGN, INTERACTIVITY, TECHNOLOGY, CONTENT, INNOVATION, COPYWRITING AND EASE OF USE TO TARGET AUDIENCE. THE WEB MARKETING ASSOCIATION WAS FOUNDED IN 1997 TO HELP SET A HIGH STANDARD FOR INTERNET MARKETING AND WEB DEVELOPMENT ON THE WORLD WIDE WEB. 139905836 184727163 ADMINISTRATIVE AND STRATEGIC PLANNING SERVICES THE DMC PROVIDES ADMINISTRATIVE LEADERSHIP TO EACH OF THE DMC HOSPITALS. THIS LEADERSHIP ROLE INCLUDES DUTIES AND RESPONSIBILITIES THAT WILL HELP TO ACHIEVE THE MISSION AND OBJECTIVES OF EACH HOSPITAL IN A MANNER CONSISTENT WITH THE COLLECTIVE MISSION AND OBJECTIVES OF ALL DMC HOSPITALS. STRATEGIC PLANNING SERVICES INCLUDE PROVIDING STRATEGIC AND FINANCIAL PLANNING THAT WILL ENABLE THE HOSPITALS TO EFFICIENTLY USE THEIR RESOURCES AND IDENTIFY NECESSARY GOALS AND OBJECTIVES THAT WILL ENABLE THEM TO CONTINUE TO PROVIDE THE HIGHEST QUALITY AND MOST COST EFFECTIVE HEALTHCARE SERVICES TO THE COMMUNITY. 139905836 184727163 382323225 true true false true false false false false false true true false false true true false false true false false false false false true false false false false false true false false false false false true true true false false false false true true true true false false true X 444 0 true 3686 true true true true CJ false false false false false false false false X 22 18 true true false false true true false true true false false true true true true true true true true true true MI X WILLIAM F ROCHEFORT 3135782063 3663 WOODWARD AVE SUITE 200 DETROIT MI 482012403 X JOHN D BAKER MD 1.00 X 0 0 0 JOHN BARNWELL MD 1.00 X 0 0 0 MEHMET BAYRAM MD 1.00 X 0 0 0 CARL CAMDEN 1.00 X 0 0 0 KEITH CRAIN 1.00 X 0 0 0 STEPHEN D'ARCY 3.00 X X 0 0 0 MARY STEPHENS FERRIS 1.00 X 0 0 0 EUGENE GARGARO 1.00 X 0 0 0 TED GATZAROS 1.00 X 0 0 0 YOUSIF GHAFARI 1.00 X 0 0 0 JOHN HAAPANIEMI MD 1.00 X 0 0 0 RHEA HEIL 1.00 X 0 0 0 YALE LEVIN 1.00 X 0 0 0 JOHN G LEVY 2.00 X X 0 0 0 DANIEL NEMES 1.00 X 0 0 0 CYNTHIA PASKY 1.00 X 0 0 0 ROGER PENSKE 1.00 X 0 0 0 ALAN SCHWARTZ 1.00 X 0 0 0 FRANK STELLA 1.00 X 0 0 0 FRANK A TAYLOR 1.00 X 0 0 0 LORNA L THOMAS MD 1.00 X 0 0 0 FRANK TORRE 1.00 X 0 0 0 RHONDA WELBURN 1.00 X 0 0 0 RICHARD WIDGREN 1.00 X 0 0 0 DAVID BING 1.00 X 0 0 0 MICHAEL DUGGAN 60.00 X 1758424 0 278268 FLOYD E ALLEN 52.00 X 438263 0 104000 JAY RISING 59.00 X 434819 0 117337 MARY ZUCKERMAN 57.00 X 496137 0 134259 IRIS TAYLOR 57.00 X 426175 0 122555 DELORIS HUNT 50.00 X 282669 0 84675 MICHAEL LEROY 50.00 X 244385 0 91174 THOMAS MALONE 0.00 X 572793 0 158085 MICHAEL LACUSTA 0.00 X 417249 0 75120 TIMOTHY RYAN 50.00 X 355706 0 114308 PATRICIA NATALE 50.00 X 302437 0 102548 STEVEN GRANT 57.00 X 296974 0 86929 CONRAD L MALLETT JR 0.00 X 0 474398 80449 THEODORE SCHREIBER MD 0.00 X 0 428409 3106 HERMAN B GRAY JR 0.00 X 0 372722 117824 DAVID M KATZ 50.00 X 287317 0 92134 ARTHUR HILL 50.00 X 253266 0 91287 MICHELLE B SCHREIBER 50.00 X 238167 0 26262 WILLIAM ANDERSON 50.00 X 229148 0 17257 MICHAEL A PELC 50.00 X 228913 0 81353 WILLIAM F ROCHEFORT 50.00 X 212623 0 79524 DIANA PROSI 50.00 X 203074 0 75782 DAVID C MANARDO 50.00 X 202816 0 77002 STANTON BEATTY 50.00 X 202720 0 80532 VERDELL TOLBERT 50.00 X 189304 0 64734 KEVIN G SIMOWSKI 50.00 X 184815 0 50699 KATHLEEN RALSTON 50.00 X 179667 0 67531 TINA L WOOD 0.00 X 0 178105 77258 REGINALD LEE 50.00 X 177305 0 66481 MARK I JUZYCH 20.00 X 174296 0 30394 PATRICIA J HOSKIN 6.00 X 0 173782 48631 MARILYN T WAYLAND 50.00 X 170185 0 75700 PATRICIA KUKULA 50.00 X 163352 0 49710 CANDACE E SCOTT 50.00 X 162498 0 64078 JOSE E PONTES 10.00 X 161648 0 674 STEPHEN W LOREE 50.00 X 155380 0 62175 PAMELA V WHITESELL 50.00 X 152401 0 69114 JOHN A KAPLAN 22.00 X 142870 0 46557 DONALD GROTH 50.00 X 142692 0 65902 LORI MOUTON 50.00 X 136231 0 58758 BENJAMIN R CARTER 57.00 X 133394 0 7924 10510113 1627416 3198090 115 true true false UNIVERSITY PHYSICIAN GROUP 550 E CANFIELD ROOM 324 DETROIT MI 48201 PHYSICIAN SVCS 27903237 MEDICAL CENTER EMERGENCY SVCS 4201 ST ANTOINE 3R DETROIT MI 48201 PHYSICIAN SVCS 9109438 DR L REYNOLDS ASSOCIATES 24500 NORTHWESTERN HWY 100 SOUTHFIELD MI 48075 PHYSICIAN SVCS 7426038 ANESTHESIA SERVICES PC PO BOX 1009 JACKSON MI 49204 PHYSICIAN SVCS 5879995 KITCH DRUTCHAS WAGNER VALITUTTI ONE WOODWARD AVENUE 10TH FLOOR DETROIT MI 482263499 LEGAL SERVICES 3789241 62 295938 464492 760430 MANAGEMENT FEES 230066452 230066452 PURCHASING REVENUE 128256432 128256432 OTHER EXEMPT REVENUE 44042647 44042647 NET COMMERCIAL LAB REVENUE 621500 24043871 24043871 BENEFITS ADMIN 4972944 4972944 1213867 721913 47025 444929 432596213 248914 248914 758311 214274 544037 544037 544037 2027105 413995 1869878 385890 157227 28105 185332 185332 PARKING REVENUE 49686 49686 VENDING MACHINE COMM REVENUE 11422 11422 61108 434396034 408060388 24090896 1484320 5013142 3074807 1938335 148282403 130007032 17100018 1175353 6739624 5915899 778127 45598 34027759 29924664 3936035 167060 7009013 6124933 805621 78459 2972875 2627302 345573 986945 872221 114724 513913 513913 111743 111743 20586207 18071977 2391732 122498 7155016 6323303 831713 2619686 2307931 303566 8189 77336546 68346791 8989755 14169219 12522161 1647058 447813 392325 51603 3885 336853 290333 38188 8332 5331890 4712100 619790 20919925 18489194 2430731 6731606 6731606 OTHER EXPENSE 34223672 30192564 3971273 59835 SUPPLIES - MEDICAL 20518423 20518423 SERVICE CONTRACTS 7154923 6323220 831703 REPAIRS AND MAINTENANCE 2932455 2591581 340874 SUPPORT SERVICES 1681857 1681857 5341138 4281001 1024260 35877 433144646 382323225 49004592 1816829 9641757 98196 89688 4856561 654893 9034686 229586 323213 4259776 5273457 430309819 394833912 40990854 35475907 479723270 175701617 548834686 217518775 45276445 79347016 89539300 605247869 252673020 740063614 332020036 X -206284747 -129670461 13847819 13961200 1208000 1208000 -191228928 -114501261 548834686 217518775 X 1251388 75476279 X false true true X true true X X X false false false CHILDREN'S HOSPITAL OF MICHIGAN 381357994 3 true true true 0 7 PART I, LINE H(VII) AMOUNT OF SUPPORT THE ORGANIZATION SUPPORTS THE DETROIT MEDICAL CENTER HOSPITALS BY PROVIDING SERVICES AS DESCRIBED IN FORM 990, PAGE 2, PART III (STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS). RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true true 103129 false false false false false true 410784 513913 false false false false false SCHEDULE C, PART II-B, LINE 1I DURING 2010, THE DETROIT MEDICAL CENTER PARTICIPATED IN VARIOUS MEETINGS AND TELEPHONE DISCUSSIONS WITH LEGISLATORS, LEGISLATIVE STAFF, AND ADMINISTRATIVE OFFICIALS AND SENT MAILINGS TO VARIOUS PUBLIC OFFICIALS IN CONNECTION WITH VARIOUS HEALTH CARE ISSUES. PARTICIPATION INCLUDIED TIME SPENT BY INTERNAL STAFF, AS WELL AS TIME SPENT BY CONTRACTED LOBBYING CONSULTANTS. THE PRIMARY ISSUES OF CONCERN WERE: -FEDERAL AND STATE HEALTH-RELATED BUDGET AND APPROPRIATION ISSUES -CHILDREN'S HOSPITAL GRADUATE MEDICAL EDUCATION FUNDING -APPROPRIATION FOR MICHIGAN DEPARTMENT OF COMMUNITY HEALTH AND THE MEDICAID PROGRAM -POISON CONTROL CENTER FUNDING -GRADUATE MEDICAL EDUCATION FUNDING -DISPROPORTIONATE SHARE HOSPITAL FUNDING -MEDICARE WAGE INDEX RECLASSIFICATION (SECTION 508) -MEDICARE/MEDICAID (REIMBURSEMENT POLICIES, COVERAGE, ETC.) -MICHIGAN HOSPITAL QUALITY ASSURANCE ASSESSMENT PROGRAM -CRIMINAL BACKGROUND CHECKS -HEALTH PROFESSIONAL WORK FORCE ISSUES (SUPPLY, LICENSING REGULATION, REIMBURSEMENT, TRAINING) -CERTIFICATE OF NEED LAWS AND REGULATIONS -LABOR HHS APPROPRIATION -MEDICAID (POLICIES, COVERAGE, REIMBURSEMENT, ETC.) -MICHIGAN BUSINESS TAX REPLACEMENT -NURSE STAFFING ISSUES -FALSE CLAIMS ACT -SMOKE FREE WORKPLACE -FLU VACCINES; HOSPITALS REQUIRED TO PROVIDE -MENTAL HEALTH PARITY/AUTISM COVERAGE -FMAP EXTENSION -HEALTH INSURANCE MARKET REFORM -LOBBY DISCLOSURE AND REPORTING -MEDICARE DIRECT AND INDIRECT GRADUATE MEDICAL EDUCATION (DGME/IME) -MANAGED HEALTH CARE -MEDICAL LIABILITY -HEALTH CARE ACCESS AND COVERAGE -HEALTH PREVENTION AND PROMOTION -HEALTH CARE PROVIDER TAXES (QUALITY ASSURANCE ASSESSMENT PROGRAM) -ELECTRONIC HEALTH RECORDS -CMS HIT REGULATIONS AND PAYMENTS (AMBULATORY HOSPITAL-BASED PHYSICIAN INCENTIVE PAYMENTS) -HEALTH CARE REFORM -RESIDENCY SLOT REDISTRIBUTION PROGRAM -MEDICARE GME CAP LOSS -MEDICARE PHYSICIAN FEE SCHEDULE -CRNA BILLINGS -STEM CELL RESEARCH -HEALTH INSURANCE CLAIMS TAX -CHILD DEATH REPORTING -ABORTION false false false false false false false 1681804 218751 -153167 1747388 1402562 308844 -29602 1681804 2036169 -530511 -103096 1402562 0.39000 0.57000 0.04000 false false false 16933198 14725058 2208140 409625929 376933900 32692029 3750692 3174954 575738 35475907 INVESTMENTS IN SUBSIDIARIES 84525275 ACCOUNTS RECEIVABLE FICA SETTLEMENT 43500000 OTHER RECEIVABLES 20625507 DEPOSITS 6305108 INVESTMENT IN COMPUWARE 6076370 OTHER BOARD DESIGNATED FUNDS 5171535 DUE FROM AFFILIATES 4780224 CONSTRUCTION IN PROGRESS 3180200 PERM RESTRICTED ASSETS 1000000 TEMP RESTRICTED ASSETS 537398 DEFERRED DEBT ISSUANCE COST OTHER ASSETS CENTRAL CASH SECURITIES LENDING ASSET FUNDED DEPRECIATION FUNDS FUNCTIONING AS ENDOWMENTS 175701617 INTERCOMPANY PAYABLE/POST-RET BEN. 229220113 FICA LIABILITY 9316546 MISCELLANEOUS 7508111 DUE TO AFFILIATES 7062676 NOTES PAYABLE AND OTHER OBLIGATIONS 3354898 DEFERRED COMPENSATION 94792 SECURITIES LENDING PAYABLE PROFESSIONAL LIABILITY -3884116 252673020 SUPPLEMENTAL FINANCIAL INFORMATION SCHEDULE D, PAGE 4, PART XIV THE ENDOWMENTS SUPPORT ENDOWED POSITIONS AT WAYNE STATE UNIVERSITY AS FOLLOWS: 1. DIRECTOR OF THE CENTER OF MOLECULAR STUDIES AND GENETICS 2. PROFESSORSHIP OF EMERGENCY MEDICINE X X X true NYHAN DANIELS AND FRIENDS LLC RAISE FUND false 111743 -111743 111743 -111743 MI X true true X X X X false false false false false true true false false MICHAEL DUGGAN 1009849 731500 17075 252937 25331 2036692 FLOYD E ALLEN 438263 104000 542263 JAY RISING 423497 250 11072 111240 6097 552156 MARY ZUCKERMAN 486327 250 9560 127307 6952 630396 IRIS TAYLOR 409491 250 16434 110574 11981 548730 DELORIS HUNT 272020 250 10399 77428 7247 367344 MICHAEL LEROY 233155 250 10980 68863 22311 335559 THOMAS MALONE 545966 250 26577 140437 17648 730878 MICHAEL LACUSTA 401408 250 15591 50644 24476 492369 TIMOTHY RYAN 334288 250 21168 91250 23058 470014 PATRICIA NATALE 297897 250 4290 85387 17161 404985 STEVEN GRANT 281463 15511 76837 10092 383903 CONRAD L MALLETT JR 456641 250 17507 54609 25840 554847 THEODORE SCHREIBER MD 425962 125 2322 1837 1269 431515 HERMAN B GRAY JR 352277 250 20195 100453 17371 490546 DAVID M KATZ 272620 250 14447 78750 13384 379451 ARTHUR HILL 249452 250 3564 72594 18693 344553 MICHELLE B SCHREIBER 233392 250 4525 1837 24425 264429 WILLIAM ANDERSON 223316 250 5582 8328 8929 246405 MICHAEL A PELC 224070 250 4593 67314 14039 310266 WILLIAM F ROCHEFORT 210051 250 2322 63532 15992 292147 DIANA PROSI 197755 250 5069 56770 19012 278856 DAVID C MANARDO 197785 250 4781 59336 17666 279818 STANTON BEATTY 199612 250 2858 60395 20137 283252 VERDELL TOLBERT 185292 250 3762 56016 8718 254038 KEVIN G SIMOWSKI 182785 250 1780 47603 3096 235514 KATHLEEN RALSTON 178372 250 1045 53662 13869 247198 TINA L WOOD 175533 250 2322 53309 23949 255363 REGINALD LEE 167845 250 9210 49001 17480 243786 MARK I JUZYCH 173582 125 589 5892 24502 204690 PATRICIA J HOSKIN 163581 250 9951 35788 12843 222413 MARILYN T WAYLAND 165777 250 4158 51004 24696 245885 PATRICIA KUKULA 161496 250 1606 46464 3246 213062 CANDACE E SCOTT 159467 250 2781 48549 15529 226576 JOSE E PONTES 161523 125 674 162322 STEPHEN W LOREE 151780 250 3350 46026 16149 217555 PAMELA V WHITESELL 150008 250 2143 44810 24304 221515 JOHN A KAPLAN 142745 125 42557 4000 189427 DONALD GROTH 141379 250 1063 43176 22726 208594 LORI MOUTON 135146 250 835 39619 19139 194989 BENJAMIN R CARTER 129240 4154 3908 4016 141318 COMPENSATION CONTINGENT UPON NET EARNINGS OF ORGANIZATION SCHEDULE J, PAGE 1, PART I, LINE 6A THE DETROIT MEDICAL CENTER MAINTAINS A SHORT TERM INCENTIVE PLAN (STIP) WHICH PROVIDES ELIGIBLE EXECUTIVES AN OPPORTUNITY TO EARN AN AWARD ANNUALLY BASED ON THE ACHIEVEMENT OF SPECIFIC SYSTEM-WIDE OPERATING PROFIT GOALS. STIP AWARDS, WHICH ARE EARNED FOR PERFORMANCE DURING JANUARY 1 THROUGH DECEMBER 31, ARE IN ADDITION TO BASE SALARY. STIP AWARDS ARE CALCULATED AS A PERCENTAGE OF BASE SALARY. EXECUTIVE EMPLOYEES ELIGIBLE FOR THE STIP AWARD ARE THOSE HIRED PRIOR TO JULY 1 OF THE PLAN YEAR AND ARE IN ONE OF THE FOLLOWING CLASSIFICATIONS: PRESIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENT, SENIOR VICE PRESIDENT, VICE PRESIDENT (INCLUDING ASSISTANT VICE PRESIDENT AND ASSOCIATE VICE PRESIDENT) AND CORPORATE VICE PRESIDENT. ANY EXPECTED PAYOUT WOULD OCCUR AFTER YEAR-END RESULTS HAVE BEEN CALCULATED AND AUDITED, TYPICALLY IN MARCH/APRIL FOLLOWING THE PLAN YEAR. COMPENSATION CONTINGENT UPON NET EARNINGS OF RELATED ORG SCHEDULE J, PAGE 1, PART I, LINE 6B SEE RESPONSE TO LINE 6A ABOVE OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III SCHEDULE J, PART II, COLUMN (B)(III), OTHER REPORTABLE COMPENSATION, INCLUDES ALL ITEMS OF INCOME THAT ARE NOT BASE SALARY OR BONUS IN NATURE. THIS INCLUDES, BUT IS NOT LIMITED TO, NON-EMPLOYEE COMPENSATION, ADMINISTRATIVE STIPENDS FOR PHYSICIANS, CASH AUTO AND CLUB ALLOWANCES, AND TAXABLE REIMBURSEMENTS OF TAX PREPARATION FEES AND OTHER EXPENSES. THESE AMOUNTS ARE ALSO OFFSET BY SEC. 125 CAFETERIA PLAN DEDUCTIONS, WHICH HAVE BEEN DEDUCTED IN DETERMINING AMOUNTS REPORTED IN BOX 5, FORM W-2. FLOYD ALLEN ASSOCIATES SEE PART V 765791 LEGAL SERVICES false CARETECH SEE PART V 72428908 IT & CONSULTING false HAAPANIEMI-LESSOR SEE PART V 250000 SVCS-PRES. MED STAFF false GE HEALTHCARE FINANCIAL SVCS SEE PART V 4424924 FINANCIAL PRODUCTS false GE MEDICAL SYSTEMS SEE PART V 746562 IT SERVICES false HONIGMAN MILLER SCHWARTZ COHN SEE PART V 288858 LEGAL SERVICES false ADDITIONAL INFORMATION SCHEDULE L PART V SCHEDULE L PART IV BUSINESS TRANSACTION INVOLVING INTERESTED PERSONS COLUMN A FLOYD ALLEN ASSOCIATES COLUMN B OFFICER FLOYD ALLEN IS MAJORITY OWNER COLUMN A CARETECH COLUMN B KEY EMPLOYEE BENJAMIN CARTER WAS TREASURER UNTIL 22010 COLUMN A HAAPANIEMILESSOR COLUMN B TRUSTEE JOHN HAAPANIEMI IS PARTNEROFFICER COLUMN A GE HEALTHCARE FINANCIAL SERVICES COLUMN B TRUSTEE ROGER PENSKE IS A DIRECTOR COLUMN A GE MEDICAL SYSTEMS COLUMN B TRUSTEE ROGER PENSKE IS A DIRECTOR COLUMN A HONIGMAN MILLER SCHWARTZ COHN COLUMN B TRUSTEES STUART LOCKMAN AND ALAN SCHWARTZ ARE PARTNERS ORGANIZATION'S MISSION FORM 990 - ORGANIZATION'S MISSION THE DETROIT MEDICAL CENTER (DMC) ASPIRES TO BE THE PREMIER HEALTH CARE RESOURCE IN SOUTHEAST MICHIGAN AND AMONG THE FINEST HEALTH CARE CENTERS IN THE UNITED STATES THROUGH EXCELLENCE IN THE PROVISION OF CLINICAL CARE ENHANCED BY EDUCATION AND RESEARCH. IN ALL CLINICAL ENDEAVORS, QUALITY TO CARE IS PARAMOUNT. IN ADDITION, THE DMC BELIEVES THAT ACCESS TO QUALITY HEALTH CARE IS THE RIGHT OF EVERY HUMAN BEING. DMC, ALONG WITH LOCAL, STATE AND FEDERAL GOVERNMENTS, SUPPORTS A UNIQUE PUBLIC MISSION TO THE RESIDENTS OF THE COMMUNITIES WE SERVE TO ASSURE THIS RIGHT IS PRESERVED. FIRST ACHIEVEMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A METHODOLOGIES. DURING 2010, THE DMC LABORATORY PERFORMED APPROXIMATELY 588,700 TESTS PER MONTH FOR PATIENTS BEING TREATED BY DMC HOSPITALS AND OUTPATIENT FACILITIES. THIRD ACHIEVEMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4C PATIENT INFORMATION, AS WELL AS THE OTHER BUSINESS INFORMATION NECESSARY TO ENSURE EFFICIENT QUALITY HEALTHCARE TO THEIR PATIENTS. DURING 2008, DMC INFORMATION SERVICES COMPLETED THE INSTALLATION AND IMPLEMENTATION OF A SYSTEM-WIDE ELECTRONIC MEDICAL RECORD SYSTEM. THIS SYSTEM PROVIDES FOR A HIGHER LEVEL OF PATIENT CARE FOR PATIENTS OF THE DMC HOSPITALS BY MAKING INFORMATION AVAILABLE ELECTRONICALLY TO CARE PROVIDERS. IT ALSO SIGNIFICANTLY REDUCES THE CHANCE OF ERRORS BY ELIMINATING PAPER PROCESSES. DMC HAS ALSO BEEN THE RECIPIENT OF THE FOLLOWING AWARDS: 2011 MOST WIRED HOSPITAL FOR THE FIFTH CONSECUTIVE YEAR, DETROIT MEDICAL CENTER HAS BEEN NAMED TO THE NATIONS MOST WIRED LIST, ACCORDING TO THE RESULTS OF THE 2011 MOST WIRED SURVEY AND BENCHMARKING STUDY RELEASED IN THE JULY ISSUE OF HOSPITALS & HEALTH NETWORKS MAGAZINE WHICH HAS NAMED THE MOST WIRED HOSPITALS AND HEALTH SYSTEMS SINCE 1999. THE MOST WIRED SURVEY IS CONDUCTED ANNUALLY BY HOSPITALS & HEALTH NETWORKS MAGAZINE, WHICH USES THE RESULTS TO NAME THE MOST WIRED HOSPITALS AND HEALTH SYSTEMS. IT FOCUSES ON HOW THE NATIONS HOSPITALS USE INFORMATION TECHNOLOGIES FOR QUALITY, CUSTOMER SERVICE, PUBLIC HEALTH AND SAFETY, BUSINESS PROCESSES AND WORKFORCE ISSUES. HEALTHCARE INFORMATICS - AS NATIONAL LEADER IN EMR INNOVATIONS HEALTHCARE INFORMATICS HAS NAMED DMC AS THEIR TOP 2009 INNOVATOR AWARD RECIPIENT. DMC BEAT OUT JOHNS HOPKINS FOR THE MOST IMPORTANT ELECTRONIC HEALTHCARE INNOVATION IN AMERICA. DMC WAS CHOSEN FOR ITS NEONATAL BARCODE SCANNING PROJECT. THIS NATIONAL BREAKTHROUGH WILL EVENTUALLY PREVENT MEDICATION ERRORS SUCH AS THOSE THAT ALMOST TOOK THE LIVES OF ACTOR DENNIS QUAID'S INFANT TWINS. BEING SELECTED AS AN HCI INNOVATOR AWARDS TOP 10 FINALIST MEANS AN ORGANIZATION HAS GONE BEYOND TRADITIONAL PROBLEM SOLVING APPROACHES, FOCUSING INSTEAD ON CREATIVE SOLUTIONS THAT MAXIMIZE LIMITED TIME, STAFFING AND MONEY TO BRING ABOUT MEANINGFUL CHANGES IN PATIENT CARE AND OVERALL EFFICIENCY. COMPUTERWORLD BEST PRACTICES IN INFRASTRUCTURE MANAGEMENT AWARD DETROIT MEDICAL CENTER HAS RECEIVED THE PRESTIGIOUS BEST PRACTICES IN INFRASTRUCTURE MANAGEMENT AWARD GIVEN ANNUALLY BY COMPUTERWORLDS INFRASTRUCTURE MANAGEMENT WORLD, THE PREMIER CONFERENCE FOR LEADERS IN THE DATA CENTER AND INFRASTRUCTURE MANAGEMENT SECTOR. THE AWARD RECOGNIZES DMCS LEADERSHIP AND EXCELLENCE AMONG USERS OF INFRASTRUCTURE MANAGEMENT TECHNOLOGY ACROSS THE NATION. THE DMC IS ONE OF ONLY TWO ORGANIZATIONS BESTOWED THE AWARD ANNUALLY STRATEGIC HEALTHCARE COMMUNICATIONS GOLD EHEALTHCARE LEADERSHIP AWARD DMC.ORG HAS BEEN RECOGNIZED FOR THE THIRD YEAR IN A ROW WITH A GOLD EHEALTHCARE LEADERSHIP AWARD FROM STRATEGIC HEALTHCARE COMMUNICATIONS, IN THE CATEGORY "BEST WEB 2.0/RICH MEDIA." THE AWARD RECOGNIZES THE DMCS COMMITMENT TO PROVIDING THE MOST EFFECTIVE WEB-BASED RICH MEDIA EXPERIENCE IN THE NATION. GREYSTONE "BEST IN CLASS" - MULTIMEDIA DMC HAS BEEN RECOGNIZED WITH A SILVER AWARD FOR "BEST IN CLASS - MULTIMEDIA" AT THE GREYSTONE NATIONAL CONFERENCE IN 2010. DMC IS LEVERAGING MULTIMEDIA IN A VARIETY OF STRATEGIC WAYS INCLUDING HEALTH VIDEOS, TESTIMONIALS, VIRTUAL TOURS, HEALTH TOOLS, AND MANY OTHERS. THE AWARD IS PRESENTED TO ORGANIZATIONS THAT ARE STRATEGICALLY GETTING THE MOST FROM THEIR MULTIMEDIA EFFORTS. FINALISTS WERE SELECTED BASED ON STRATEGY, CREATIVITY, AND THE DEMONSTRATION OF SUCCESS. WEB MARKETING ASSOCIATIONS STANDARD OF EXCELLENCE AWARD WWW.DMC.ORG, THE WEB SITE OF THE DETROIT MEDICAL CENTER (DMC), RECEIVED A RECENT WEB MARKETING ASSOCIATIONS STANDARD OF EXCELLENCE FOR OUTSTANDING ACHIEVEMENT IN WEB SITE DEVELOPMENT. THIS AWARD IDENTIFIES THE DMC WEB SITES AS A STANDARD OF EXCELLENCE FOR WHICH ALL WEB SITES SHOULD STRIVE. THE WEBAWARD COMPETITION FEATURED OVER 23,000 WEB SITES FROM 35 COUNTRIES. WEB SITES WERE JUDGED IN AREAS OF DESIGN, INTERACTIVITY, TECHNOLOGY, CONTENT, INNOVATION, COPYWRITING AND EASE OF USE TO TARGET AUDIENCE. THE WEB MARKETING ASSOCIATION WAS FOUNDED IN 1997 TO HELP SET A HIGH STANDARD FOR INTERNET MARKETING AND WEB DEVELOPMENT ON THE WORLD WIDE WEB. ALL OTHER ACHIEVEMENTS DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4D ADMINISTRATIVE AND STRATEGIC PLANNING SERVICES THE DMC PROVIDES ADMINISTRATIVE LEADERSHIP TO EACH OF THE DMC HOSPITALS. THIS LEADERSHIP ROLE INCLUDES DUTIES AND RESPONSIBILITIES THAT WILL HELP TO ACHIEVE THE MISSION AND OBJECTIVES OF EACH HOSPITAL IN A MANNER CONSISTENT WITH THE COLLECTIVE MISSION AND OBJECTIVES OF ALL DMC HOSPITALS. STRATEGIC PLANNING SERVICES INCLUDE PROVIDING STRATEGIC AND FINANCIAL PLANNING THAT WILL ENABLE THE HOSPITALS TO EFFICIENTLY USE THEIR RESOURCES AND IDENTIFY NECESSARY GOALS AND OBJECTIVES THAT WILL ENABLE THEM TO CONTINUE TO PROVIDE THE HIGHEST QUALITY AND MOST COST EFFECTIVE HEALTHCARE SERVICES TO THE COMMUNITY. FINANCIAL ACCOUNTS IN FOREIGN COUNTRIES FORM 990, PART V, LINE 4B CAYMAN ISLANDS, BRITISH VIRGIN ISLANDS RELATED PARTY INFORMATION AMONG OFFICERS FORM 990, PAGE 6, PART VI, LINE 2 THEODORE SCHREIBER, MD MICHELLE SCHREIBER FMR OFFICER FMR OFFICER FAMILY RELATIONSHIP KEITH CRAIN ALAN SCHWARTZ TRUSTEE TRUSTEE FAMILY RELATIONSHIP CYNTHIA PASKY ALAN SCHWARTZ TRUSTEE TRUSTEE BUSINESS RELATIONSHIP MANAGEMENT DELEGATED FORM 990, PAGE 6, PART VI, LINE 3 THE ORGANIZATION HIRED FLOYD ALLEN AND ASSOCIATES TO PROVIDE A PERSON TO FILL THE GENERAL COUNSEL POSITION AND ALSO TO SERVE AS SECRETARY OF THE BOARD OF TRUSTEES. CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 THE ORGANIZATION IS A DIRECTORSHIP. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A ONE OF THE EX OFFICIO TRUSTEES IS A REPRESENTATIVE NOMINATED BY THE MAYOR OF THE CITY OF DETROIT. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE ORGANIZATION'S 2010 FORM 990 WAS REVIEWED WITH ITS THEN VP FINANCE/CFO AND A COMPLETE COPY PROVIDED TO EACH MEMBER OF ITS BOARD OF TRUSTEES (AT 12/31/10) PRIOR TO FILING WITH THE IRS. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C THE DETROIT MEDICAL CENTER CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY BY DISTRIBUTING AN ANNUAL QUESTIONNAIRE TO TRUSTEES, OFFICERS AND KEY EMPLOYEES WHICH INCLUDES QUESTIONS RELATED TO EACH POLICY PROVISION. RESPONSES ARE THOROUGHLY REVIEWED AND ANY APPARENT CONFLICTS ARE INVESTIGATED AND APPROPRIATE ACTION IS TAKEN. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE DETROIT MEDICAL CENTER USES THE FOLLOWING PROCESS FOR DETERMINING THE COMPENSATION OF THE PRESIDENT/CEO, THE TREASURER/CFO, AND ALL KEY EMPLOYEES WITH THE TITLE OF EVP (EXECUTIVE VICE PRESIDENT): 1. USE OF AN INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT A COMPARABILITY STUDY FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS (PERFORMED LATE 2009). 2. PRESENTATION OF THE FINDINGS OF THE INDEPENDENT COMPENSATION CONSULTANT TO THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. 3. REVIEW AND APPROVAL OF PROPOSED COMPENSATION RANGES BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. 4. CONTEMPORANEOUS RECORDING IN MEETING MINUTES OF THE COMPENSATION COMMITTEE'S DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION LEVELS PROPOSED FOR THESE INDIVIDUALS, INCLUDING ADJUSTMENTS AS DEEMED APPROPRIATE. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B THE DETROIT MEDICAL CENTER USES THE FOLLOWING PROCESS FOR DETERMINING THE COMPENSATION OF ALL OTHER OFFICERS OR KEY EMPLOYEES WITH THE TITLE OF EVP (EXECUTIVE VICE PRESIDENT). 1. USE OF AN INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT A COMPARABILITY STUDY FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS (PERFORMED LATE 2009). 2. PRESENTATION OF THE FINDINGS OF THE INDEPENDENT COMPENSATION CONSULTANT TO THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. 3. REVIEW AND APPROVAL OF PROPOSED COMPENSATION RANGES BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. 4. CONTEMPORANEOUS RECORDING IN MEETING MINUTES OF THE COMPENSATION COMMITTEE'S DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION LEVELS PROPOSED FOR THESE INDIVIDUALS, INCLUDING ADJUSTMENTS AS DEEMED APPROPRIATE. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE FILING ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE STATE OF MICHIGAN WEBSITE HTTP://WWW.DLEG.STATE.MI.US/BCS_CORP/SR_CORP.ASP BY ENTERING THE ORGANIZATION NAME. THE BYLAWS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. THE FINANCIAL STATEMENTS ARE INCLUDED IN THE ORGANIZATION'S FORM 990 AND AVAILABLE UPON REQUEST VIA THE IRS PUBLIC INSPECTION PROCESS. RELATED ORGANIZATIONS FORM 990, PAGE 7, PART VII SECTION A, 1A, (B): ESTIMATED HOURS WORKED AT RELATED ORGANIZATIONS NAME HOURS ALLEN, FLOYD 8.0 BAKER, JOHN D., MD 3.1 BARNWELL, JOHN, MD 0.1 BAYRAM, MEHMET, MD 1.1 BING, DAVID 0.1 CAMDEN, CARL 0.1 CARTER, BENJAMIN R. 9.0 CRAIN, KEITH 0.1 D'ARCY, STEPHEN 1.1 FERRIS, MARY STEPHENS 0.1 GARGARO, EUGENE 0.1 GATZAROS, TED 0.1 GHAFARI, YOUSIF 0.1 GRAY, HERMAN B., JR. 58.0 HAAPANIEMI, JOHN, DO 1.1 HEIL, RHEA 3.1 HOSKINS, PATRICIA J. 44.0 LACUSTA, MICHAEL 54.0 LEVIN, YALE 1.1 LEVY, JOHN G. 0.1 MALLETT, CONRAD L., JR. 59.0 MALONE, THOMAS 57.0 NEMES, DANIEL 4.1 PASKY, CYNTHIA 0.1 PENSKE, ROGER 0.1 RISING, JAY 11.0 SCHREIBER, THEODORE, MD 51.0 SCHWARTZ, ALAN 0.1 STELLA, FRANK 3.1 TAYLOR, IRIS 1.0 TAYLOR, FRANK A. 0.1 THOMAS, LORNA L., MD 6.1 TORRE, FRANK 3.1 WELLBURN, RHONDA 0.1 WIDGREN, RICHARD 5.1 WOOD, TINA L. 50.0 ZUCKERMAN, MARY 9.0 FORM 990, PART IV, LINE 32 - DID THE ORGANIZATION SELL, EXCHANGE, DISPOSE OF, OR TRANSFER MORE THAN 25% OF ITS NET ASSETS: THE DETROIT MEDICAL CENTER HAS RESPONDED "NO" TO THIS QUESTION BUT IS INCLUDING THIS FURTHER EXPLANATION WITH THE FORM 990 FILING. EFFECTIVE JANUARY 1, 2011, THE DETROIT MEDICAL CENTER COMPLETED A SALE OF SUBSTANTIALLY ALL OF ITS ASSETS TO A SUBSIDIARY OF VANGUARD HEALTH SYSTEMS, INC., A NASHVILLE, TENNESSEE BASED ENTITY (THE PURCHASER IS HEREIN REFERRED TO AS "VANGUARD"). VANGUARD IS A TAXABLE CORPORATION. VANGUARD ASSUMED SUBSTANTIALLY ALL OF THE DETROIT MEDICAL CENTER'S LIABILITIES IN THE TRANSACTION. THIS TRANSACTION WAS APPROVED BY THE MICHIGAN ATTORNEY GENERAL, AS REQUIRED BY STATE LAW. THE SALE TRANSACTION WAS COMPLETED ON DECEMBER 31, 2010, WITH AN EFFECTIVE DATE OF JANUARY 1, 2011. THE GROSS PROCEEDS PAID BY VANGUARD FOR ITS PURCHASE OF THE DETROIT MEDICAL CENTER'S ASSETS WERE PLACED INTO ESCROW ON DECEMBER 31, 2010. THE DETROIT MEDICAL CENTER HAD ACCESS TO THESE FUNDS ON JANUARY 1, 2011. THE DETROIT MEDICAL CENTER WILL REPORT ANY GAIN OR LOSS ON THE SALE OF THE ASSETS ON THE 2011 FORM 990 RETURN. THE DETROIT MEDICAL CENTER BELIEVES THIS TO BE THE PROPER REPORTING PERIOD FOR DISCLOSING SUCH GAIN OR LOSS, DUE TO THE EFFECTIVE DATE OF THE TRANSACTION BEING JANUARY 1, 2011. FURTHER, THE DETROIT MEDICAL CENTER DID NOT HAVE THE ABILITY TO ACCESS THE SALE PROCEEDS UNTIL THAT DATE. THIS REPORTING IS CONSISTENT WITH THE FINANCIAL ACCOUNTING TREATMENT AND DISCLOSURE OF THE TRANSACTION AS REFLECTED ON THE DETROIT MEDICAL CENTER'S 2010 AUDITED FINANCIAL STATEMENTS. IT IS NOTED THAT THE 2010 FORM 990 INSTRUCTIONS PROVIDE: "UNLESS INSTRUCTED OTHERWISE, THE ORGANIZATION SHOULD GENERALLY USE THE SAME ACCOUNTING METHOD ON THE RETURN (INCLUDING THE FORM 990 AND ALL SCHEDULES) TO REPORT REVENUE AND EXPENSES THAT IT REGULARLY USES TO KEEP ITS BOOKS AND RECORDS. TO BE ACCEPTABLE FOR FORM 990 REPORTING PURPOSES, HOWEVER, THE METHOD OF ACCOUNTING MUST CLEARLY REFLECT INCOME." THE INSTRUCTIONS FURTHER REFLECT THAT GENERALLY, ANY CHANGE IN METHOD OF ACCOUNTING MUST BE MADE THROUGH FILING OF FORM 3115 WITH THE INTERNAL REVENUE SERVICE. IF A CHANGE IN ACCOUNTING METHOD IS UNDERTAKEN, THE ORGANIZATION MUST REPORT ANY ADJUSTMENT REQUIRED BY SECTION 481(A) ON SCHEDULE D, PARTS XI, AND XIV. THE DETROIT MEDICAL CENTER IS FILING THE FORM 990 USING ACCOUNTING METHODS AND REPORTING OF FINANCIAL OPERATIONS ON A BASIS CONSISTENT WITH THE METHODS FOLLOWED FOR FINANCIAL STATEMENT REPORTING FOR 2010. THE FINANCIAL STATEMENTS DO NOT REFLECT THE SALE TRANSACTION AS A 2010 EVENT. THE DETROIT MEDICAL CENTER IS NOT CHANGING ITS ACCOUNTING METHOD FOR REPORTING OF THIS TRANSACTION AS IT BELIEVES THE FINANCIAL STATEMENT REPORTING CLEARLY REFLECTS INCOME. OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 5 INCREASES: OUTSTANDING BOND DEBT TRANSFERRED TO DMC PARENT TO BE PAID FROM DMC PARENT BOND ESCROW ACCOUNT 85,939,107 WRITE OFF INTERCOMPANY ACCOUNT BALANCES BETWEEN TAX EXEMPT 501(C)(3) MEMBERS OF DMC CONSOLIDATED CONTROL GROUP 203,874,518 NET UNREALIZED GAIN 178,153 TRANSFER DMC CARE CASH TO DMC PARENT 3,307,715 RETIREE HEALTH CARE & LIFE INS PLAN - OTHER COMPREHENSIVE INCOME (OCI) 1,245,000 TRANSFER SUBSIDIARIES INVESTMENT TO DMC PARENT 397,165 DECREASES: TRANSFER INTERNATIONAL FUND TO DMC PARENT (119,849) EQUITY TRANSFER TO DMC PRIMARY CARE SERVICES II (1,602,872) DMC CONSOLIDATED PENSION LIABILITY, WORKERS COMPENSATION, ETC., TRANSFERRED TO DMC PARENT (24,804,704) FAS 158 CONSOLIDATED PENSION PLAN ADJ. (41,642,664) RECLASS HEALTH CARE CENTERS INVESTMENT TO EQUITY (151,288,244) ROUNDING (7,046) DMC ORTHPAEDIC BILLING ASSOC LLC 3990 JOHN R DETROIT MI 48201 753214661 BILLING MI DMC MICHIGAN MOBILE PET CT LLC 3990 JOHN R DETROIT MI 48201 870790146 HEALTHCARE MI 901280 816609 DMC CHILDREN'S HOSPITAL OF MICHIGAN 3901 BEAUBIEN DETROIT MI 48201 381357994 HEALTHCARE MI 501C3 3 DMC true DET MED CENTER COOPERATIVE SERVICES 3663 WOODWARD AVENUE SUITE 200 DETROIT MI 48201 237083832 BILLING MI 501C3 3 DMC true DETROIT MEDICAL CENTER GUILD 3663 WOODWARD AVENUE SUITE 200 DETROIT MI 48201 382480730 AUXILIARY MI 501C3 11C MEMBERS false DETROIT METRO CARE 3990 JOHN R DETROIT MI 48201 562402607 MCAID HMO MI 501C3 11C DMC true DETROIT RECEIVING HOSPITAL & UHC 4201 ST ANTOINE BOULEVARD DETROIT MI 48201 382320476 HEALTHCARE MI 501C3 3 DMC true DETROIT MEDICAL CENTER FOUNDATION 3663 WOODWARD AVENUE SUITE 200 DETROIT MI 48201 383021666 HEALTHCARE MI 501C3 11A DMC true DMC EDUCATION & RESEARCH 3663 WOODWARD 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