Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
WILLIAM BEAUMONT HOSPITAL
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
16500 WEST TWELVE MILE ROAD
 
Room/suite
City or town, state or country, and ZIP + 4
SOUTHFIELD, MI480762975
D Employer identification number

38-1459362
E Telephone number

G Gross receipts $ 2,764,971,031
F Name and address of principal officer:
EUGENE MICHALSKI
16500 WEST TWELVE MILE ROAD
SOUTHFIELD,MI480762975
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.BEAUMONT.EDU
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1956
M State of legal domicile: MI
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: TO PROVIDE INDIVIDUALS AND THE COMMUNITY WE SERVE THE HIGHEST QUALITY HEALTH CARE SERVICES - DELIVERED EFFICIENTLY, EFFECTIVELY AND COMPASSIONATELY - REGARDLESS OF SITUATION.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 23
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 19
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 20,808
6 Total number of volunteers (estimate if necessary) .... 6 2,500
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 3,093,722
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 623,760
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 26,192,157 28,657,089
9 Program service revenue (Part VIII, line 2g) ......... 1,989,074,164 2,005,082,723
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 1,472,648 64,196,532
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 61,366,696 66,893,556
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 2,078,105,665 2,164,829,900
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 20,954,640 23,148,247
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 1,146,940,907 1,138,261,793
16a Professional fundraising fees (Part IX, column (A), line 11e).... 102,380 125,152
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet5,776,407    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 882,157,962 898,422,811
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 2,050,155,889 2,059,958,003
19 Revenue less expenses. Subtract line 18 from line 12...... 27,949,776 104,871,897
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 2,647,016,596 2,695,974,182
21 Total liabilities (Part X, line 26)............ 1,746,885,135 1,757,436,435
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 900,131,461 938,537,747
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signature
Big Right Arrow
Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4
Big Right Arrow




EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: WILLIAM BEAUMONT HOSPITAL WILL PROVIDE THE HIGHEST QUALITY HEALTHCARE SERVICES TO ALL ITS PATIENTS SAFELY, EFFECTIVELY AND COMPASSIONATELY, REGARDLESS OF WHERE THEY LIVE OR THEIR FINANCIAL CIRCUMSTANCES.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 972,503,782 including grants of $ 11,814,197 ) (Revenue $ 1,023,336,338 )
WILLIAM BEAUMONT HOSPITAL IS A 1,061-BED MAJOR ACADEMIC AND REFERRAL CENTER WITH LEVEL 1 TRAUMA STATUS AND MICHIGAN'S FIRST MAGNET-DESIGNATED HOSPITAL FOR NURSING EXCELLENCE. AT ITS CORE, BEAUMONT'S FOCUS IS TO PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES SAFELY, EFFECTIVELY AND COMPASSIONATELY TO ALL PATIENTS IRRESPECTIVE OF THEIR ABILITY TO PAY. IN ADDITION TO ITS MAIN CAMPUS IN ROYAL OAK, MICHIGAN, BEAUMONT OPERATES TWO COMMUNITY HOSPITALS IN TROY, MICHIGAN (394-BED ACUTE CARE COMMUNITY TEACHING HOSPITAL) AND GROSSE POINT, MICHIGAN (289-BED COMMUNITY HOSPITAL). THE MEDICAL STAFFS AT THE BEAUMONT HOSPITALS INCLUDE MORE THAN 3,700 PHYSICIANS IN MORE THAN 90 SPECIALTY AREAS AS WELL AS OVER 400 MEDICAL RESIDENTS AND FELLOWS. IN 2010, BEAUMONT RECORDED OVER 94,199 PATIENT CARE ADMISSIONS, PERFORMED 31,029 INPATIENT SURGERIES AND PROCEDURES AND 8,929 DELIVERIES. AMONG OTHER RECOGNIZED INPATIENT DIVISIONS, BEAUMONT OPERATES NATIONALLY-RECOGNIZED HEART, CANCER AND UROLOGY CENTERS WHERE PATIENTS IN THE COMMUNITY AND PATIENTS FROM AROUND THE WORLD MAY RECEIVE STATE OF THE ART TREATMENT IRRESPECTIVE OF THEIR FINANCIAL CIRCUMSTANCES. AS PART OF ITS COMMITMENT TO THE COMMUNITY AND SURROUNDING AREAS, BEAUMONT OPERATES A HIGHLY-REGARDED NEONATAL INTENSIVE CARE UNIT, WHICH CARES FOR THE SICKEST BABIES. REGARDING CARE FOR SENIORS IN ITS COMMUNITY, BEAUMONT IS THIRD IN AMERICA FOR THE NUMBER OF MEDICARE PATIENTS SERVED.
4b (Code:   ) (Expenses $ 802,813,164 including grants of $ 9,752,757 ) (Revenue $ 844,776,030 )
BEAUMONT'S MISSION EXTENDS BEYOND ITS CAMPUSES WHERE IT IS A LEADER IN PROVIDING OUTPATIENT HEALTH CARE SERVICES TO ALL MEMBERS OF THE COMMUNITY, INCLUDING MEDICAID PATIENTS, UNDERINSURED PATIENTS AND PATIENTS WITH NO INSURANCE AT ALL. IN 2010 ALONE, BEAUMONT RECORDED 1,884,664 OUTPATIENT VISITS IN ITS HOSPITAL OUTPATIENT AND COMMUNITY FACILITIES. OUTPATIENT MEDICAL CARE IS PROVIDED BOTH IN BEAUMONT'S HOSPITAL FACILITIES AND THROUGHOUT SOUTHEAST MICHIGAN THROUGH A NETWORK OF COMMUNITY-BASED MEDICAL CENTERS (SOME OF WHICH ARE OPEN 365 DAYS A YEAR), INCLUDING FAMILY PRACTICE AND INTERNAL MEDICINE PRACTICES; FIVE NURSING CENTERS (LOCATED IN DIFFERENT MICHIGAN COMMUNITIES); AND AN ASSISTED-LIVING FACILITY. BEAUMONT ALSO PROVIDES HOME CARE SERVICES TO THE COMMUNITY INCLUDING NURSING CARE, INFUSION, MEDICAL EQUIPMENT AND A HOSPICE. ALL OF THE ABOVE OUTPATIENT SERVICES ARE PROVIDED TO PATIENTS ON A NON DISCRIMINATORY BASIS AND IRRESPECTIVE OF ABILITY TO PAY.
4c (Code:   ) (Expenses $ 130,166,577 including grants of $ 1,581,293 ) (Revenue $ 136,970,355 )
THE EMERGENCY CARE CENTERS AT BEAUMONT HOSPITALS ARE STAFFED AND EQUIPPED TO HANDLE THE MOST SEVERE ILLNESSES AND INJURIES AS WELL AS MINOR TRAUMAS THAT REQUIRE MEDICAL ATTENTION. BEAUMONT, ROYAL OAK IS A LEVEL 1 TRAUMA CENTER DESIGNATED BY THE AMERICAN COLLEGE OF SURGEONS. BEAUMONT'S EMERGENCY CENTERS TREATED 218,370 PATIENTS IN 2010 WITH 59,496 ADMISSIONS FROM EMERGENCY VISITS. BEAUMONT PROVIDES THESE MEDICAL SERVICES REGARDLESS OF THE PATIENT'S ABILITY TO PAY AND TREATS EVERYONE WHO COMES TO US FOR CARE REGARDLESS OF THEIR FINANCIAL CIRCUMSTANCES.
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 1,905,483,523
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II
Click to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part IIIClick to see attachment........................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part I
Click to see attachment
.......................
6
Yes
 
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IV
Click to see attachment
...................
9
Yes
 
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part IClick to see attachment
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II.......... Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III................... Click to see attachment
19
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
 
No
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I......
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II
...........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III...............
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV
...................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV..
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule MClick to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............ Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I
........................... Click to see attachment
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
385
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
22
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
20,808
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
No
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
No
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
No
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
No
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
23
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
19
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
 
No
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
 
No
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
DONNA ZUK
16500 W TWELVE MILE RD
SOUTHFIELD,MI480762975
(248) 423-2459
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (check all that apply)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) ANANIAS C DIOKNO MD
EXECUTIVE VP & CMO
50.00 X     X     746,947 0 116,457
(2) BETTY CHU MD
DIRECTOR
10.00 X           50,268 0 4,367
(3) EUGENE F MICHALSKI
PRESIDENT AND CEO
50.00 X   X       688,905 0 668,677
(4) KAREN BARBARA CARBONE MD
EXECUTIVE VP & COO
50.00 X     X     270,433 0 18,167
(5) KENNETH J MATZICK
PRESIDENT & CEO (1/1/10-5/31/10)
50.00 X   X       354,825 0 33,355
(6) PHYLLIS REYNOLDS
DIRECTOR
46.00 X           166,722 0 22,677
(7) BARBARA J MAHONE
TREASURER
6.00 X   X       0 0 0
(8) BENNIE W FOWLER II
DIRECTOR
6.00 X           0 0 0
(9) CHRISTOPHER J BLAKE
DIRECTOR
6.00 X           0 0 0
(10) GALE R COLWELL
SECRETARY
6.00 X   X       0 0 0
(11) GEOFFREY L HOCKMAN
DIRECTOR
6.00 X           0 0 0
(12) HADLEY MACK FRENCH
DIRECTOR
6.00 X           0 0 0
(13) JAMES I ROSENTHAL
DIRECTOR
6.00 X           0 0 0
(14) JOHN P HARTWIG
DIRECTOR
6.00 X           0 0 0
(15) MARK SHAEVSKY
DIRECTOR
6.00 X           0 0 0
(16) MARTHA JAMES QUAY
DIRECTOR
6.00 X           0 0 0
(17) ROBERT C EMDE
DIRECTOR
6.00 X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (check all that apply)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) ROBERT K BURGESS
DIRECTOR
6.00 X           0 0 0
(19) ROBERT S TAUBMAN
DIRECTOR
6.00 X           0 0 0
(20) STEPHEN R HOWARD
VICE CHARIMAN
6.00 X           0 0 0
(21) SUSAN E COOPER
DIRECTOR
6.00 X           0 0 0
(22) THOMAS G DENOMME
CHAIRMAN
6.00 X           0 0 0
(23) VAN E CONWAY
DIRECTOR
6.00 X           0 0 0
(24) WALTER J WOLPIN
DIRECTOR
6.00 X           0 0 0
(25) WARREN ELLIOTT ROSE
DIRECTOR
6.00 X           1,550 0 0
(26) DENNIS R HERRICK
SENIOR VP & CFO
50.00     X       383,395 0 282,453
(27) NICKOLAS A VITALE
SENIOR VP - FINANCIAL OPERATIONS
50.00     X       319,228 0 84,121
(28) A NEIL JOHNSON MD
SENIOR VP - ASSOCIATE CMO
50.00       X     507,434 0 210,123
(29) CHARLES SHANLEY MD
SENIOR VP - ASSOCIATE CMO
50.00       X     679,047 0 41,770
(30) DONNA HOBAN MD
SENIOR VP & MEDICAL DIRECTOR
50.00       X     386,201 0 18,549
(31) ERIC HUNT
SENIOR VP - ALTERNATIVE SIGHTS OF CARE
50.00       X     247,682 0 66,649
(32) JAY HOLDEN
VP - HUMAN RESOURCES
50.00       X     189,216 0 79,206
(33) JOHN D LABRIOLA
SENIOR VP & HOSPITAL DIRECTOR (1/1/10-5/31/10)
50.00       X     2,596,106 0 152,370
(34) LESLIE ROCHER MD
SENIOR VP - MEDICAL SERVICES
50.00       X     530,539 0 240,073
(35) MARK A JOHNSON
SENIOR VP - BUSINESS DEVELOPMENT & REV
50.00       X     262,313 0 98,504
(36) PAUL MISCH MD
SENIOR VP - MEDICAL DIRECTOR
50.00       X     286,309 0 130,868
(37) RICHARD SWAINE
SENIOR VP - HOSPITAL DIRECTOR
50.00       X     301,170 0 89,183
(38) ROGER S HOWARD MD
SENIOR VP - MEDICAL DIRECTOR
50.00       X     300,344 0 83,857
(39) RONALD P LILEK
VP - HUMAN RESOURCES (1/1/10-6/15/10)
50.00       X     303,485 0 84,540
(40) SAMUEL FLANDERS MD
SENIOR VP - QUALITY & SAFETY
50.00       X     490,306 0 101,049
(41) SHANE CERONE
SENIOR VP - HOSPITAL DIRECTOR
50.00       X     438,414 0 62,491
(42) SUBRA SRIPADA
VP & CIO
50.00       X     311,624 0 18,612
(43) THOMAS M BRISSE
SENIOR VP - HOSPITAL DIRECTOR
50.00       X     354,234 0 98,985
(44) ALVARO MARTINEZ MD
CORPORATE CHAIR - RADIATION ONCOLOGY
50.00         X   1,304,254 0 62,689
(45) DARLENE FINK MD
CHAIR - NUCLEAR MEDICINE
50.00         X   877,341 0 94,726
(46) EDWARD BERNACKI JR MD
ASSOCIATE DIRECTOR - ANATHOMIC PATHOLOGY
50.00         X   856,219 0 94,981
(47) JOHN WATTS MD
CORPORATE CHAIR - LABORATORY SERVICES
50.00         X   1,175,547 0 169,254
(48) ROBERT S MORDEN MD
CHIEF OF PEDIATRIC SURGERY
50.00         X   963,806 0 146,188
(49) PAUL S PEABODY
FORMER VP & CIO
            X 337,536 0 162,728
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 16,681,400 0 3,537,669
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet1,280
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
HOME REHAB SERVICES OF MI LLC
39312 WOODWARD STE 100
BLOOMFIELD HILLS,MI48304
REHIBILITATION SERVICES 8,481,185
BUTZEL LONG
150 WEST JEFFERSON STE 900
DETROIT,MI48226
LEGAL SERVICES 1,172,021
ORGAN PROCUREMENT OF MICHIGAN
3861 RESEARCH PARK DR
ANN ARBOR,MI48108
ORGAN PROCUREMENT SERVICES 1,070,200
ACCU-SCRIPT TRANSCRIPTION SERVICES
275 PARK ISL
LAKE ORION,MI48362
TRANSCRIPTION SERVICES 957,034
O'CONNER DEGRAZIA TAMM & O'CONNOR
40701 WOODWARD AVENUE SUITE 105
BLOOMFIELD HILLS,MI48302
LEGAL SERVICES 898,578
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet47
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a 1,441,565
b Membership dues....1b  
c Fundraising events....1c 758,103
d Related organizations...1d  
e Government grants (contributions)1e 2,190,601
f All other contributions, gifts, grants, and
similar amounts not included above
1f
24,266,820
g Noncash contributions included in lines 1a-1f:$ 190,833
h Total. Add lines 1a-1f.......MediumBullet 28,657,089
 Program Service Revenue Business Code
2a INPATIENT 900,099 1,023,336,338 1,023,336,338    
b OUTPATIENT 621,500 844,776,030 843,685,995 1,090,035  
c EMERGENCY 900,099 136,970,355 136,970,355    
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 2,005,082,723
 Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 19,083,063     19,083,063
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents 1,990,687  
b Less: rental expenses 1,891,313  
c Rental income or (loss) 99,374  
d Net rental income or (loss).......MediumBullet 99,374     99,374
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 602,286,000 215,051
b Less: cost or other basis and sales expenses 556,577,448 810,134
c Gain or (loss) 45,708,552 -595,083
d Net gain or (loss)..........MediumBullet 45,113,469     45,113,469
8a Gross income from fundraising events (not including
$ 758,103
of contributions reported on line 1c). See Part IV, line 18 ...
a 770,839
b Less: direct expenses ...b 794,154
c Net income or (loss) from fundraising events..MediumBullet -23,315   -23,315
9a Gross income from gaming activities.
See Part IV, line 19 ...
a 37,201
b Less: direct expenses ...b 4,906
c Net income or (loss) from gaming activities...MediumBullet 32,295     32,295
10a Gross sales of inventory, less
returns and allowances .
a 49,029,666
b Less: cost of goods sold ..b 40,063,176
c Net income or (loss) from sales of inventory..MediumBullet 8,966,490   477,863 8,488,627
Miscellaneous Revenue Business Code
11a CAFETERIA, TV & PHONE,   15,031,414     15,031,414
b NET ASSETS RELEASED   7,809,286 7,809,286    
c UBI   1,525,824   1,525,824  
d All other revenue .... 33,452,188 31,362,238   2,089,950
e Total. Add lines 11a–11d ......MediumBullet 57,818,712
12 Total revenue. See Instructions....MediumBullet 2,164,829,900 2,043,164,212 3,093,722 89,914,877
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 125,786 125,786
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 23,022,461 23,022,461
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 20,219,069 5,745,005 14,474,064  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 970,344,348 897,577,318 69,528,121 3,238,909
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 37,791,104 36,867,469 709,585 214,050
9 Other employee benefits ....... 49,218,252 47,068,985 1,912,444 236,823
10 Payroll taxes ........... 60,689,020 54,793,707 5,679,953 215,360
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 2,980,631 142,802 2,837,829  
c Accounting ........... 450,495 3,000 447,495  
d Lobbying ........... 183,587   183,587  
e Professional fundraising. See Part IV, line 17.. 125,152 125,152
f Investment management fees ...... 2,606,595 13,772 2,592,823  
g Other .......... 51,615,315 41,026,766 10,252,157 336,392
12 Advertising and promotion .... 2,854,584 303,642 2,550,942  
13 Office expenses ....... 23,050,375 19,292,487 3,656,004 101,884
14 Information technology ...... 14,797,209 518,950 14,277,281 978
15 Royalties .. 155,275 154,325 950  
16 Occupancy ........... 46,645,410 45,518,456 799,699 327,255
17 Travel ............ 4,822,357 4,109,781 684,076 28,500
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 985,196 898,029 79,375 7,792
20 Interest ........... 66,362,696 66,362,696    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 161,841,120 159,690,049 2,025,879 125,192
23 Insurance .............. 16,425,448 16,198,165 205,619 21,664
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a MEDICAL AND OFFICE SUPP 311,218,648 310,915,585 298,607 4,456
b BAD DEBT PROVISION 68,911,830 68,911,830    
c TAXES 46,640,348 46,640,348    
d EQUIPMENT RENTAL & MAIN 38,603,284 33,542,127 5,022,830 38,327
e TAXES - UBIT 400,000   400,000  
f All other expenses 36,872,408 26,039,982 10,078,753 753,673
25 Total functional expenses. Add lines 1 through 24f 2,059,958,003 1,905,483,523 148,698,073 5,776,407
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation
       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 1,602,438 1 1,720,373
2 Savings and temporary cash investments ....... 140,346,990 2 161,156,337
3 Pledges and grants receivable, net ......... 21,836,706 3 24,494,272
4 Accounts receivable, net ......... 315,538,065 4 319,891,112
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 19,812,588 8 20,774,727
9 Prepaid expenses and deferred charges ............ 15,518,549 9 17,185,728
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 3,080,938,853
b Less: accumulated depreciation. ..... 10b 1,665,134,907 1,470,482,800 10c 1,415,803,946
11 Investments—publicly traded securities .......... 381,868,677 11 456,209,035
12 Investments—other securities. See Part IV, line 11 ...... 56,416,639 12 60,375,557
13 Investments—program-related. See Part IV, line 11 .. 4,820,250 13 1,540,675
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 218,772,894 15 216,822,420
16 Total assets. Add lines 1 through 15 (must equal line 34)... 2,647,016,596 16 2,695,974,182
Liabilities 17 Accounts payable and accrued expenses . 246,985,526 17 233,161,670
18 Grants payable ..........   18  
19 Deferred revenue ..........   19  
20 Tax-exempt bond liabilities .......... 914,765,014 20 907,296,875
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 4,270,512 21 8,621,998
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 91,362,238 23 97,996,273
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 489,501,845 25 510,359,619
26 Total liabilities. Add lines 17 through 25..... 1,746,885,135 26 1,757,436,435
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 838,115,862 27 873,421,668
28 Temporarily restricted net assets ..... 44,771,778 28 46,846,981
29 Permanently restricted net assets ..... 17,243,821 29 18,269,098
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 900,131,461 33 938,537,747
34 Total liabilities and net assets/fund balances ..... 2,647,016,596 34 2,695,974,182
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
2,164,829,900
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
2,059,958,003
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
104,871,897
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
900,131,461
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-66,465,611
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
938,537,747
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
...........................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number

38-1459362
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization
(ii)
EIN
(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv)
Is the organization in col. (i) listed in your governing document?
(v)
Did you notify the organization in col. (i) of your support?
(vi)
Is the organization in col. (i) organized in the U.S.?
(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number

38-1459362
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number

38-1459362
Part I
Contributors (see Instructions)
     
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number

38-1459362
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number

38-1459362
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number

38-1459362
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
Organization's
Totals
(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ....... 183,587  
c Total lobbying expenditures (add lines 1a and 1b) ................... 183,587  
d Other exempt purpose expenditures ........................ 2,057,215,525  
e Total exempt purpose expenditures (add lines 1c and 1d) ............... 2,057,399,112  
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
1,000,000  
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) ................. 250,000  
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................ 0  
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................ 0  
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in)
(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
             
b Lobbying ceiling amount
(150% of line 2a, column(e))
        6,000,000
             
c Total lobbying expenditures 145,820 162,418 144,415 183,587 636,240
             
d Grassroots non-taxable amount 250,000 250,000 250,000 250,000 1,000,000
             
e Grassroots ceiling amount
(150% of line 2d, column (e))
        1,500,000
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
 
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
 
 
i
Other activities? If "Yes," describe in Part IV ..........................
 
 
 
j
Total. lines 1c through 1i ...................................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number

38-1459362
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 11,048,571 10,356,027 7,522,308
b Contributions ........ 792,825 692,544 2,833,719
c Investment earnings or losses ... 35,361    
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........
     
f Administrative expenses ....      
g End of year balance ...... 11,876,757 11,048,571 10,356,027
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet100.000 %
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land ................. 1,601,045 67,372,332 68,973,377
b Buildings ................ 8,704,381 618,276,440 307,200,883 319,779,937
c Leasehold improvements ............ 167,273 15,222,615 8,438,228 6,951,660
d Equipment ................ 5,439,730 2,030,325,799 1,293,039,573 742,725,956
e Other ................. 2,536,559 331,292,679 56,456,223 277,373,016
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 1,415,803,946
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) MEDICAL PROFESSIONAL LIABILITY FUND 34,133,351
(2) INVESTMENTS WHOSE USE IS LIMITED 25,516,519
(3) DEFERRED COMPENSATION 31,153,645
(4) BED LICENSES 16,676,455
(5) UNAMORTIZED BOND INSURANCE COSTS 12,248,129
(6) INVESTMENT IN NON-CONSOLIDATED SUBS 6,315,695
(7) STUDENT LOAN RECEIVABLE AND OTHER 13,851,166
(8) BOND RESERVE FUND 60,478,008
(9) MEDICAL SCHOOL NAMING RIGHTS 16,449,452
Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 216,822,420
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
MEDICAL PROFESSIONAL LIABILITY FUND 78,654,919
DEFERRED COMPENSATION 26,415,483
THIRD PARTY PAYABLE 26,959,028
POST EMPLOYMENT BENEFITS 17,220,201
PENSION LIABILITY 306,946,536
POST RETIREMENT BENEFITS 19,758,177
INTEREST RATE SWAP VALUATION 14,846,533
ADVANCES BETWEEN FUNDS 6,242,668
LOSSES IN EXCESS OF COSTS 8,145,516
ASSET RETIREMENT OBLIGATIONS FSA 143 4,373,750
ALL OTHER LIABILITIES, NET 796,808
Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 510,359,619
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
  PART IV, LINE 2B: RESIDENT FICA ESCROW LIABILITY - $8,621,998
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: EARNINGS ON ENDOWMENT FUNDS SUPPORT HOSPITAL AND CHARITABLE MISSION.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number

38-1459362
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser)
(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity
(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i)
(vi) Amount paid to
(or retained by)
organization
Yes No
 
RUFFALOCODY
65 KIRKWOOD NORTH ROAD SW
 
CEDAR RAPIDS, IA52404
PHONE SOLICITATIONS   No 97,130 125,152 0
Total .................right arrow 97,130 125,152  
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
MI
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

STAR'S GUITARS
(event type)
(b) Event #2

BROADWAY OPENING NIGHT
(event type)
(c) Other Events

13
(total number)
(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 314,906 245,393 968,643 1,528,942
2 Less: Charitable
contributions . . .
32,681 111,317 614,105 758,103
3 Gross income (line 1
minus line 2) . . .
282,225 134,076 354,538 770,839
VerticalDirectExpenses 4 Cash prizes . . .        
5 Non-cash prizes . .     50,684 50,684
6 Rent/facility costs . . 7,550   248,190 255,740
7 Food and beverages . .        
8 Entertainment . . .        
9 Other direct expenses . 145,810 191,438 150,482 487,730
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 794,154
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow -23,315
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo
(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .     37,201 37,201
VerticalDirectExpenses 2 Cash prizes . . . .     4,906 4,906
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
100.000 %
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow 4,906
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow 32,295
9
Enter the state(s) in which the organization operates gaming activities: MI
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ...........................
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
0 %
b
An outside facility ........................
13b
100.000 %
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
DONALD WILLIAMSON
Address right arrow
16500 WEST TWELVE MILE ROAD
SOUTHFIELD,MI48076
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number

38-1459362
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
No
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) ..
    18,525,098   18,525,098 0.930 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) .
    170,049,444 132,741,854 37,307,590 1.870 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....            
dTotal Charity Care and
Means-Tested Government Programs .....
    188,574,542 132,741,854 55,832,688 2.800 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) ....
    1,922,866   1,922,866 0.100 %
f Health professions education
(from Worksheet 5) ..
    91,167,050 28,325,192 62,841,858 3.160 %
g Subsidized health services
(from Worksheet 6) ..
    36,459,603 28,448,648 8,010,955 0.400 %
h Research (from Worksheet 7)     3,453,514 2,190,601 1,262,913 0.060 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) ..
    125,386   125,386 0.010 %
jTotal Other Benefits ...     133,128,419 58,964,441 74,163,978 3.730 %
kTotal. Add lines 7d and 7j. ..     321,702,961 191,706,295 129,996,666 6.530 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
21,534,947
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
 
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
742,216,229
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
713,874,440
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
28,341,789
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership%
(e) Physicians'
profit % or stock
ownership %
11 BEAUMONT NORTH MACOMB TOWNSHIP ASC LLC
 
AMBULATORY SURGICAL CENTER 60.700 %   32.200 %
22 BEAUMONT WEST BLOOMFIELD ASC LLC
 
AMBULATORY SURGICAL CENTER 72.860 %   19.900 %
33 BEAUMONT KIDNEY SPECIALTY SERVICES LLC
 
NEPHROLOGY SERVICES 55.900 %   44.100 %
44 GREATER MICHIGAN LITHOTRIPSY LLC
 
TREATMENT OF KIDNEY STONES 10.820 %   17.700 %
55 GREATER MICHIGAN GAMMA KNIFE LLC
 
RADIATION TREATMENT OF BRAIN TUMORS 10.370 %   18.000 %
66 GROSSE POINTE COLLABORATIVE SERVICES LLC
 
VASCULAR AND CARDIOLOGY SERVICES 5.000 %   95.000 %
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?3
Name and address
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 WILLIAM BEAUMON HOSPITAL - ROYAL OAK
3601 WEST THIRTEEN MILE ROAD
ROYAL OAK,MI48073
X X X X X X X   HOSPITAL
2 WILLIAM BEAUMONT HOSPITAL - TROY
44201 DEQUINDRE
TROY,MI48085
X X     X   X   HOSPITAL
3 WILLIAM BEAUMONT HOSPITAL - GROSSE POINT
468 CADIEUX
GROSSE POINTE,MI48230
X X     X   X   HOSPITAL
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:NOT REQUIRED
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?65
Name and address Type of Facility (Describe)
1 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
2 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
3 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
4 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
5 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
6 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
7 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
8 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
9 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
10 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
11 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
12 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
13 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
14 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
15 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
16 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
17 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
18 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
19 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
20 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
21 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
22 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
23 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
24 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
25 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
26 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
27 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
28 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
29 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
30 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
31 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
32 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
33 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
34 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
35 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
36 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
37 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
38 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
39 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
40 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
41 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
42 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
43 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
44 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
45 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
46 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
47 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
48 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
49 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
50 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
51 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
52 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
53 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
54 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
55 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
56 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
57 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
58 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
59 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
60 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
61 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
62 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
63 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
64 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
65 BEAUMONT HEALTH CENTER
4949 COOLIDGE
ROYAL OAK,MI48073
REHABILITATION FACILITY
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
    PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE. THE HOSPITAL'S ESTIMATE FOR ITS ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTION BY PAYOR. WILLIAM BEAUMONT HOSPITAL USES A METHODICAL CALCULATION TO GATHER THE COSTS, BOTH DIRECT AND INDIRECT, TO THE ORGANIZATION TO RENDER CARE. THIS COST TO OPERATE IS CONVERTED TO A RATIO WHICH IS APPLIED TO TOTAL BAD DEBT WHICH IN TURN CALCULATES THE AMOUNT AT COST OR THE COST OF THE HOSPITAL TO OPERATE AND PROVIDE THE SERVICE.A NUMBER OF PATIENTS ARE TRULY UNABLE TO PAY THEIR OUT-OF-POCKET LIABILITY, BUT DO NOT COMPLETE THE PROCESS REQUIRED TO APPLY FOR FINANCIAL ASSISTANCE UNDER BEAUMONT'S CHARITY CARE POLICY. THESE PATIENTS WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE PAPERWORK, SO THE BAD DEBT EXPENSE ASSOCIATED WITH TREATING THEM SHOULD BE TREATED AS COMMUNITY BENEFIT. THE ADMINISTRATIVE REQUIREMENTS TO DETERMINE WHETHER PATIENTS WHO DO NOT COOPERATE WITH THE FINANCIAL ASSISTANCE PROCESS WOULD HAVE QUALIFIED FOR CHARITY CARE CAN BE BURDENSOME, PARTICULARLY FOR SMALL BALANCES, SO A REASONABLE ESTIMATE, BASED ON BROAD DEMOGRAPHIC DATA, SHOULD BE SUFFICIENT TO JUSTIFY COMMUNITY BENEFIT TREATMENT. BEAUMONT CONTINUES SERVICING PATIENTS EVEN AFTER THE PATIENTS HAVE GENERATED SIGNIFICANT BAD DEBT AND THIS IS EVIDENCE THAT THE CARE IS GIVEN FOR COMMUNITY BENEFIT MOTIVATIONS. BEAUMONT CAN NOT AND DOES NOT REFUSE SERVICE TO PATIENTS THAT GENERATE BAD DEBT AND THIS IS EVIDENCE THAT THE CARE IS GIVEN FOR COMMUNITY BENEFIT MOTIVATIONS.
    PART III, LINE 8: IN LIGHT OF THE RELATIVELY LOW PAYMENT RATES PROVIDED BY THE MEDICARE PROGRAM, AND BECAUSE OF THE IMPORTANCE OF SERVING THE HEALTH CARE NEEDS OF THE THESE IMPORTANT MEMBERS OF THE COMMUNITY, BEAUMONT BELIEVES THAT LOSSES RELATED TO SERVING THESE POPULATIONS PROVIDE A SIGNIFICANT BENEFIT TO THE COMMUNITY.THE SOURCE USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS THE HOSPITAL'S MEDICARE COST REPORT.
    PART VI, LINE 2: A COMMUNITY NEEDS ASSESSMENT WAS DONE FOR THE BEAUMONT HOSPITALS' SERVICE AREAS TO DETERMINE THE NEEDS OF EACH COMMUNITY THAT THE HOSPITALS SERVE AND TO FORM THE BASIS FOR THE DEVELOPMENT OF AN IMPLEMENTATION PLAN TO ADDRESS SUCH COMMUNITY HEALTH CARE NEEDS. COMMUNITY NEEDS INFORMATION WAS COLLECTED WITH THE ASSISTANCE OF THE LOCAL PLANNING AGENCY AND OTHERS WHO HAVE SPECIALIZED EXPERTISE IN REVIEWING THE HEALTH CARE NEEDS OF THE PARTICULAR COMMUNITIES SERVED BY BEAUMONT HOSPITALS. SUCH DATA WAS ALSO COLLECTED FROM STATE AND NATIONAL HEALTH AGENCIES, GOVERNMENTAL AGENCIES, UNIVERSITIES, RESEARCH INSTITUTIONS, HEALTH AND HUMAN SERVICE ORGANIZATIONS, PUBLISHED DATA, FOCUS GROUPS, INTERVIEWS AND INFORMAL STUDIES. THE COMMUNITY NEEDS ASSESSMENT IS MADE WIDELY AVAILABLE BY BEAUMONT ON ITS WEBSITE, WHERE IT IS CONTAINED WITHIN BEAUMONT'S COMMUNITY BENEFIT REPORT.MEASURES CONSIDERED INCLUDED DEMOGRAPHICS, BIRTH AND DEATH CHARACTERISTICS, DISEASE INCIDENCE AND PREVALENCE, HEALTH STATUS AND BEHAVIOR, HEALTH CARE UTILIZATION, SOCIAL AND COMMUNITY ISSUES AND SCHOOL AND STUDENT POPULATION CHARACTERISTICS. WRITTEN RESOURCES AS WELL AS PERSONAL INTERVIEWS WERE ALSO USED TO ASSESS COMMUNITY HEALTH NEEDS. FOR EXAMPLE, THE RECOMMENDATION PROPOSED THAT OUR HEALTH PROFESSIONALS CAN HELP TEACH INDIVIDUALS HOW TO PREVENT DISEASE BY MANAGING CHRONIC DISEASES, BECOMING HEALTHIER, PRACTICING PREVENTATIVE CARE, SYMPTOM AND TREATMENT OPTIONS. TO THAT END, BEAUMONT IS COMMITTED TO THE COMMUNITY AND HAS A WEALTH OF COMMUNITY HEALTH EDUCATION PROGRAMS OFFERED WITHIN, AND OUTSIDE, OUR SYSTEM. IN ALIGNMENT WITH BEAUMONT HOSPITALS' MISSION TO PROVIDE HEALTH AND WELLNESS PROGRAMS TO THE COMMUNITY, A COUNCIL ON COMMUNITY HEALTH AND WELLNESS REVIEW COMMITTEE WAS FORMED. THE COUNCIL REVIEWS ALL CURRENT PROGRAMS OFFERED TO THE COMMUNITY AND EVALUATES PROPOSED COMMUNITY SERVICES AND PROGRAMS. THE COUNCIL TRACKS THE PROGRAMS FOR UTILIZATION, EFFECTIVENESS AND STANDARDIZATION OF QUALITY. THE COUNCIL MEMBERS HOLD A VARIETY OF RESOURCES AND SKILLS ALLOWING THEM TO CREATE DYNAMIC AND EVIDENCE-BASED PROGRAMS AND PARTNERSHIPS WITHIN THE COMMUNITY. CREATION OF THE COUNCIL RESULTED IN A SYSTEM-WIDE COLLABORATIVE EFFORT TO PROVIDE THE COMMUNITIES WE SERVE WITH EXCELLENT HEALTH AND WELLNESS PROGRAMMING.
    PART VI, LINE 3: BEAUMONT'S GOAL IS TO EDUCATE AND INFORM ALL UNINSURED AND UNDERINSURED PATIENTS AS TO THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR HEALTH CARE SERVICES AND CHARITY CARE SERVICES THROUGHOUT THE COURSE OF THEIR TREATMENT AT A BEAUMONT HOSPITAL AND BEYOND. WHEN A PATIENT PRESENTS THEMSELVES FOR CARE AT BEAUMONT, AT THE TIME OF SCHEDULING AND/OR REGISTRATION, ALL UNINSURED INDIVIDUALS ARE GIVEN A PACKAGE EXPLAINING OPTIONS AVAILABLE FOR GOVERNMENT MEDICAL COVERAGE, THE AVAILABILITY OF FINANCIAL ASSISTANCE, THE AVAILABILITY OF NO-INTEREST PAYMENT PLANS AND THE EXISTENCE OF CHARITY CARE IF NEEDED. INTERPRETERS ARE MADE AVAILABLE FOR ANY PATIENT FOR WHOM ENGLISH IS NOT THEIR PRIMARY LANGUAGE. INCLUDED IN THE PACKAGE IS A PAPER APPLICATION FOR MEDICAID FROM THE MICHIGAN DEPARTMENT OF HUMAN SERVICES (DHS) ALONG WITH AN INFORMATIONAL BOOKLET ON MEDICAID. ACCESS TO AN ONLINE APPLICATION SERVICE WITH THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH IS ALSO PROVIDED. PATIENT WAITING AREAS HAVE PAMPHLETS IN VARIOUS LOCATIONS DESCRIBING THE AVAILABILITY OF FREE OR DISCOUNTED CARE FOR THE UNINSURED AND UNDERINSURED. IN ADDITION, BEAUMONT CONTRACTS WITH AN OUTSIDE COMPANY CALLED ADVOMAS TO ASSIST UNINSURED INDIVIDUALS IN THE APPLICATION PROCESS AND SEARCH FOR ANY FORM OF FINANCIAL ASSISTANCE THROUGH OTHER PROGRAMS. BEAUMONT PATIENT FINANCIAL SERVICES REPRESENTATIVES ARE ALSO AVAILABLE FOR ASSISTANCE RELATING TO THE APPLICATION PROCESS AND ARE ALSO AVAILABLE AFTER THE CARE HAS BEEN PROVIDED VIA A TELEPHONE NUMBER MADE AVAILABLE TO PATIENTS. THESE FINANCIAL SERVICE REPRESENTATIVES ALSO PROVIDE THE UNINSURED WITH ASSISTANCE PRIOR TO RECEIVING CARE, BEFORE A BILL IS RECEIVED, AFTER A BILL IS RECEIVED OR TO HELP ANY INDIVIDUAL REQUEST A PAYMENT PLAN. LASTLY, ALL INVOICES FOR PATIENT CARE SERVICES INCLUDE A NOTICE AS TO THE AVAILABILITY OF FINANCIAL ASSISTANCE OR FREE CARE IF THE PERSON IS UNABLE TO AFFORD THE CARE PROVIDED.
    PART VI, LINE 4: WILLIAM BEAUMONT HOSPITAL TREATED PATIENTS FROM ALMOST EVERY COUNTY IN MICHIGAN, WITH PATIENTS COMING FROM CANADA AND OTHER COUNTRIES FOR USE OF OUR SPECIALTY SERVICES. APPROXIMATELY 97% OF TOTAL DISCHARGES CAME FROM THE SOUTHEAST MICHIGAN SEVEN COUNTY AREAS OF LIVINGSTON, MACOMB, MONROE, OAKLAND, ST. CLAIR, WASHTENAW AND WAYNE. 3% OF OUR DISCHARGES CAME FROM OUTSIDE OF SOUTHEAST MICHIGAN.THE TOTAL POPULATION OF THE SOUTHEAST MICHIGAN SEVEN COUNTY AREA IS APPROXIMATELY 4,786,000 OF WHICH 51% ARE FEMALE AND 49% ARE MALE. OVER 54% OF THE POPULATION IS THIRTY-FIVE YEARS OR OLDER WITH THE HIGHEST CONCENTRATION IN THE RANGE OF THIRTY-FIVE THROUGH FIFTY-FOUR. APPROXIMATELY 87% OF THE POPULATION AGE OF TWENTY-FIVE YEARS AND OLDER HAVE A HIGH SCHOOL EDUCATION OR GREATER, WHICH IS IN LINE WITH THE EDUCATION LEVEL DISTRIBUTION PERCENTAGE FOR THE ENTIRETY OF THE UNITED STATES. THE HOUSEHOLD INCOME OF OUR PATIENT BASE VARIES AS BEAUMONT SERVES ALL INDIVIDUALS IN NEED OF CARE. FOR SENIORS, HEALTH NEEDS BECOME MORE CRITICAL. BEAUMONT HAS DEVELOPED INNOVATIVE GERIATRIC SERVICES DEDICATED TO SERVING OLDER ADULTS AND THEIR FAMILIES. BEAUMONT'S SERVICES OFFER SENIORS A BETTER QUALITY OF LIFE. BEAUMONT'S ROYAL OAK HOSPITAL HAS THE THIRD HIGHEST NUMBER OF MEDICARE ADMISSIONS OF ANY HOSPITAL IN THE COUNTRY.
    PART VI, LINE 6: BEAUMONT HOSPITALS IS A ONE OF THE PREMIER MEDICAL FACILITIES IN THE UNITED STATES AND A HEALTH CARE LEADER OF UNPARALLELED QUALITY. BEAUMONT FOCUSES ON PATIENT CARE, EDUCATION AND RESEARCH WITH A MISSION TO DELIVER THE HIGHEST QUALITY HEALTH CARE SERVICES. WITH THREE HOSPITALS, IN ROYAL OAK, TROY AND GROSSE POINTE, MICHIGAN, BEAUMONT'S REPUTATION FOR EXCELLENCE IS RECOGNIZED NATIONALLY AS A MAJOR TEACHING, RESEARCH AND REFERRAL HEALTH SYSTEM.BEAUMONT, ROYAL OAK HAS BEEN NAMED REPEATEDLY TO THE U.S. NEWS & WORLD REPORT "BEST HOSPITALS" LISTS. IT WAS MICHIGAN'S FIRST MAGNET-DESIGNATED HOSPITAL FOR NURSING EXCELLENCE AND IS AN ASSOCIATE MEMBER OF THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS.THE MANY AWARDS BEAUMONT HAS RECEIVED OVER THE YEARS - FOR LEADERSHIP, INNOVATION, EDUCATION, QUALITY AND SAFETY ARE A TESTAMENT TO A HIGHLY SKILLED MEDICAL TEAM, WHICH CONSISTENTLY RANKS AMONG THE BEST IN THE NATION. THE MEDICAL STAFFS AT THE ROYAL OAK, TROY AND GROSSE POINTE HOSPITALS INCLUDE MORE THAN 3,700 PHYSICIANS IN MORE THAN 91 SPECIALTY AREAS. A MAJOR TEACHING FACILITY, BEAUMONT HAS 37 ACCREDITED RESIDENCY AND FELLOWSHIP PROGRAMS WITH MORE THAN 400 RESIDENTS (PHYSICIANS IN TRAINING) AND FELLOWS. BEAUMONT IS PARTNERING WITH OAKLAND UNIVERSITY TO ESTABLISH A MEDICAL SCHOOL, SCHEDULED TO BEGIN CLASSES IN 2011. THIS INVOLVEMENT WILL HELP ATTRACT MORE MEDICAL TALENT TO THE REGION WE SERVE WHICH WILL BENEFIT OUR PATIENTS AND THE COMMUNITY.BEAUMONT IS COMMITTED TO A HEALTHY COMMUNITY AND TAKES AN ACTIVE ROLE IN THE WELL-BEING OF THE CITIZENS OF THE TRI-COUNTY AREA. TODAY, MORE THAN EVER, OUR GOAL IS A HEALTHY COMMUNITY. WE ARE CONCERNED ABOUT THE HEALTH CARE NEEDS OF ALL OF THE PEOPLE IN OUR AREA-REGARDLESS OF INCOME OR PLACE OF RESIDENCE. IN FACT, COMMUNITY GIVING IS PART OF OUR MISSION: "WE WILL PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES TO ALL OF OUR PATIENTS EFFICIENTLY, EFFECTIVELY AND COMPASSIONATELY, REGARDLESS OF WHERE THEY LIVE OR OF THEIR FINANCIAL CIRCUMSTANCES."WE PARTNER WITH COMMUNITY ORGANIZATIONS TO ADDRESS THE HEALTH CARE NEEDS OF THE POPULATIONS WE SERVE. EACH YEAR, BEAUMONT PROVIDES FINANCIAL SPONSORSHIPS AND DONATION TO OTHER WORTHWHILE ORGANIZATIONS WHO SHARE OUR MISSION OF PROMOTING HEALTH IN OUR COMMUNITY. BEAUMONT STAFF AND PHYSICIANS DONATED HUNDREDS OF HOURS IN SERVICE TO OUR COMMUNITY IN 2010. THEIR EFFORTS INCLUDED HEALTH EDUCATION CLASSES, SUPPORT GROUPS AND PROGRAMS THAT ADDRESS ESSENTIAL COMMUNITY NEEDS SUCH AS DOMESTIC VIOLENCE, THE OBESITY EPIDEMIC AND HEART HEALTH FOR WOMEN. WE SPONSOR AND SUPPORT HUNDREDS OF INITIATIVES TO EDUCATE AND INFORM OUR COMMUNITY WITH HEALTH CARE PROGRAMS IN LOCAL SCHOOLS, SENIOR CITIZEN CENTERS, AND MANY OTHER VENUES. WE PARTNER WITH ORGANIZATIONS LIKE FIRE AND POLICE DEPARTMENTS, THE AMERICAN HEART ASSOCIATION AND THE BOYS AND GIRLS CLUBS OF AMERICA. BEAUMONT INVESTS IN OUR REGION BECAUSE WE CARE ABOUT THE OVERALL QUALITY OF LIFE OF THE PEOPLE IN OUR NEIGHBORHOOD AND BEYOND. BEAUMONT HAS A LONG TRADITION OF HEALING IN THE COMMUNITY AND HELPING PATIENTS WITHOUT INSURANCE. IN OUR STRUGGLING ECONOMY, MANY FAMILIES FIND THEMSELVES WITHOUT HEALTH CARE. BEAUMONT BELIEVES THAT ALL PATIENTS SHOULD BE TREATED WITH DIGNITY AND RESPECT REGARDLESS OF THEIR FINANCIAL CIRCUMSTANCES. AS PART OF OUR COMMITMENT TO PATIENTS IN NEED, BEAUMONT HELPS THESE INDIVIDUALS NAVIGATE THE HEALTH CARE SYSTEM AND GAIN ACCESS TO THE PROGRAMS THAT OFFER BENEFITS, SUCH AS MICHIGAN'S MICHILD PROGRAM, MEDICAID AND MEDICARE. BEAUMONT PARTNERS WITH MANY NON-PROFIT ORGANIZATIONS TO HELP THOSE WHO ARE IN NEED. WE WORK WITH COVENANT COMMUNITY CARE, INC., A NON-PROFIT ORGANIZATION AND FEDERALLY QUALIFIED HEALTH CENTER THAT PROVIDES PRIMARY HEALTH CARE TO THE UNINSURED AND UNDERINSURED OF OAKLAND AND WAYNE COUNTIES. BEAUMONT ALSO PROVIDES FREE CARE AT THE NEWTON HEALTH CENTER, A SCHOOL-BASED CLINIC. S.A.Y. CLINIC IN DETROIT IS A NEW INITIATIVE WHERE BEAUMONT ACTIVELY PARTICIPATES IN A 24-HOUR CLINIC TO SERVE THE HOMELESS.IN RECOGNITION OF BEAUMONT'S HIGH STANDARD OF CARE, IN 2009, BEAUMONT BECAME A MEMBER OF THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITAL AND RELATED INSTITUTIONS. BEAUMONT'S CHILDREN'S HOSPITAL HAS THIRTY-SIX DIFFERENT PEDIATRIC MEDICAL AND SURGICAL SUBSPECIALTIES ALONG WITH EIGHTY-THREE PEDIATRIC SUB-SPECIALISTS AND MORE THAN TWO HUNDRED BOARD-CERTIFIED PEDIATRICIANS. BOARD-CERTIFIED NEONATOLOGISTS ARE AVAILABLE IN THE HOSPITAL 24-HOURS A DAY, CARING FOR PREMATURE AND SICK NEWBORNS. BECAUSE OF THE QUALITY OF BEAUMONT'S SERVICES, PATIENTS AROUND THE WORLD-INSURED OR NOT-HAVE COME TO BEAUMONT FOR CARE. BEAUMONT, ROYAL OAK HAS THE ONLY LEVEL 1 TRAUMA DESIGNATION BY THE AMERICAN COLLEGE OF SURGEONS IN OAKLAND AND MACOMB COUNTIES. THESE TWO COUNTIES HAVE A COMBINED POPULATION OF OVER 2 MILLION PEOPLE. BEAUMONT ALSO HAS A NEONATAL INTENSIVE CARE UNIT, WHICH CARES FOR THE SICKEST BABIES-SOME COME FROM ALL OVER THE STATE TO BE TREATED IN OUR HOSPITAL. BEAUMONT'S OUTPATIENT CLINICS ALSO CARE FOR UNDERINSURED AND MEDICAID PATIENTS AS WELL AS PATIENTS WITH NO INSURANCE AT ALL.THE DESIRE TO MEET THE NEEDS OF THE POPULATION HAS LED BEAUMONT TO PROVIDE MILLIONS OF DOLLARS IN COMMUNITY BENEFIT SERVICES IN 2010, INCLUDING CHARITY AND UNPAID CARE; UNFUNDED COSTS OF GOVERNMENT HEALTH PLANS AND PROGRAMS; PROGRAMS FOR THE COMMUNITY; UNFUNDED COST OF RESEARCH AND MEDICAL EDUCATION; AND SPONSORSHIPS AND DONATIONS.
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number
38-1459362
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed
......................... lBullet
(a) Name and address of organization
or government
(b) EIN (c) IRC Code section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) COMMUNITY BENEFIT PROGRAMS
 
 
  125,386       GENERAL SUPPORT






















2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
19
3
Enter total number of other organizations ................................ . Bullet Image
19
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients
(c)Amount of
cash grant
(d)Amount of
non-cash assistance
(e)Method of valuation (book,
FMV, appraisal, other)
(f)Description of non-cash assistance
(1) MEDICAL RESIDENT STIPENDS 400 23,022,461      













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: EACH YEAR, WILLIAM BEAUMONT HOSPITAL PROVIDES FINANCIAL SPONSERSHIPS AND DONATIONS TO OTHER WORTHWHILE ORGANIZATIONS WHO SHARE THE HOSPITAL'S MISSION OF PROMOTING HEALTH IN THE COMMUNITY. BEAUMONT'S COMMUNITY RELATIONS CHARITABLE COMMITTEE REVIEWS REQUESTS FOR CONTRIBUTIONS BASED ON NEEDS SUBJECT TO THE AVAILABILITY OF HOSPITAL FUNDS.
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number

38-1459362
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) ANANIAS C DIOKNO MD (i)
(ii)
521,361
0
192,212
0
33,374
0
87,194
0
29,263
0
863,404
0
0
0
(2) EUGENE F MICHALSKI (i)
(ii)
653,218
0
750
0
34,937
0
642,071
0
26,606
0
1,357,582
0
0
0
(3) KAREN BARBARA CARBONE MD (i)
(ii)
214,625
0
50,000
0
5,808
0
12,250
0
5,917
0
288,600
0
0
0
(4) KENNETH J MATZICK (i)
(ii)
328,782
0
0
0
26,043
0
24,645
0
8,710
0
388,180
0
0
0
(5) PHYLLIS REYNOLDS (i)
(ii)
156,375
0
750
0
9,597
0
8,051
0
14,626
0
189,399
0
0
0
(6) DENNIS R HERRICK (i)
(ii)
349,831
0
750
0
32,814
0
269,352
0
13,101
0
665,848
0
0
0
(7) NICKOLAS A VITALE (i)
(ii)
305,808
0
750
0
12,670
0
66,833
0
17,288
0
403,349
0
0
0
(8) A NEIL JOHNSON MD (i)
(ii)
491,144
0
750
0
15,540
0
189,709
0
20,414
0
717,557
0
0
0
(9) CHARLES SHANLEY MD (i)
(ii)
496,879
0
155,438
0
26,730
0
26,810
0
14,960
0
720,817
0
0
0
(10) DONNA HOBAN MD (i)
(ii)
281,106
0
77,909
0
27,186
0
12,250
0
6,299
0
404,750
0
0
0
(11) ERIC HUNT (i)
(ii)
236,912
0
750
0
10,020
0
47,366
0
19,283
0
314,331
0
0
0
(12) JAY HOLDEN (i)
(ii)
169,375
0
750
0
19,091
0
61,845
0
17,361
0
268,422
0
0
0
(13) JOHN D LABRIOLA (i)
(ii)
191,012
0
0
0
2,405,094
0
143,817
0
8,553
0
2,748,476
0
1,878,515
0
(14) LESLIE ROCHER MD (i)
(ii)
452,848
0
46,445
0
31,246
0
220,012
0
20,061
0
770,612
0
0
0
(15) MARK A JOHNSON (i)
(ii)
253,368
0
0
0
8,945
0
87,491
0
11,013
0
360,817
0
0
0
(16) PAUL MISCH MD (i)
(ii)
254,564
0
750
0
30,995
0
95,950
0
34,918
0
417,177
0
0
0
(17) RICHARD SWAINE (i)
(ii)
269,442
0
750
0
30,978
0
74,340
0
14,843
0
390,353
0
0
0
(18) ROGER S HOWARD MD (i)
(ii)
271,442
0
750
0
28,152
0
60,141
0
23,716
0
384,201
0
0
0
(19) RONALD P LILEK (i)
(ii)
109,068
0
0
0
194,417
0
59,240
0
25,300
0
388,025
0
0
0
(20) SAMUEL FLANDERS MD (i)
(ii)
458,059
0
750
0
31,497
0
80,961
0
20,088
0
591,355
0
0
0
(21) SHANE CERONE (i)
(ii)
427,164
0
750
0
10,500
0
45,429
0
17,062
0
500,905
0
0
0
(22) SUBRA SRIPADA (i)
(ii)
284,259
0
750
0
26,615
0
12,250
0
6,362
0
330,236
0
0
0
(23) THOMAS M BRISSE (i)
(ii)
342,834
0
750
0
10,650
0
83,519
0
15,466
0
453,219
0
0
0
(24) ALVARO MARTINEZ MD (i)
(ii)
652,390
0
215,750
0
436,114
0
42,265
0
20,424
0
1,366,943
0
0
0
(25) DARLENE FINK MD (i)
(ii)
320,175
0
2,864
0
554,302
0
74,003
0
20,723
0
972,067
0
0
0
(26) EDWARD BERNACKI JR MD (i)
(ii)
244,974
0
148,813
0
462,432
0
65,805
0
29,176
0
951,200
0
0
0
(27) JOHN WATTS MD (i)
(ii)
397,333
0
213,176
0
565,038
0
151,773
0
17,481
0
1,344,801
0
0
0
(28) ROBERT S MORDEN MD (i)
(ii)
645,036
0
298,663
0
20,107
0
117,250
0
28,938
0
1,109,994
0
0
0
(29) PAUL S PEABODY (i)
(ii)
0
0
0
0
337,536
0
147,361
0
15,367
0
500,264
0
0
0
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  PART I, LINES 4A-B SEVERANCE OR CHANGE-OF-CONTROL PAYMENTS EMPLOYEE NAME: JOHN LABRIOLA DESCRIPTION: SEVERANCE PAYMENT AMOUNT: 339,921 EMPLOYEE NAME: RONALD LILEK DESCRIPTION: SEVERANCE PAYMENT AMOUNT: 157,289 EMPLOYEE NAME: PAUL PEABODY DESCRIPTION: SEVERANCE PAYMENT AMOUNT: 320,721 NON-QUALIFIED DEFERRED COMPENSATION WILLIAM BEAUMONT HOSPITAL PROVIDES CERTAIN SUPPLEMENTAL RETIREMENT BENEFITS TO CERTAIN OFFICERS AND KEY EMPLOYEES AND PHYSICIANS. THESE BENEFITS ARE PROVIDED THROUGH A NONQUALIFIED DEFERRED COMPENSATION PLAN, UNDER WHICH THE BENEFITS BEING EARNED ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. TO BECOME ENTITLED TO THE BENEFITS PROVIDED, EACH COVERED EMPLOYEE MUST MEET SPECIFIED REQUIREMENTS RELATING TO FURTHER EMPLOYMENT. UNTIL THOSE REQUIREMENTS ARE SATISFIED, THE EMPLOYEE IS NOT ENTITLED TO THESE AMOUNTS. IF THE EMPLOYEE WERE TO HAVE TERMINATED EMPLOYMENT VOLUNTARILY IN THE YEAR TO WHICH THIS RETURN APPLIES, THESE SUPPLEMENTAL RETIREMENT BENEFITS WOULD NOT HAVE BEEN PAID OUT. IT SHOULD ALSO BE NOTED THAT THESE SUPPLEMENTAL RETIREMENT BENEFITS ARE PART OF A RETIREMENT PROGRAM THAT PROVIDES RETIREMENT INCOME FOR ALL YEARS OF SERVICE THAT THE EMPLOYEE PROVIDES TO THE ORGANIZATION. ANY RETIREMENT BENEFITS SHOULD BE VIEWED AS APPLYING TO THE ENTIRE LENGTH OF THE EMPLOYEE'S SERVICE FOR THE ORGANIZATION. EMPLOYEE NAME: EUGENE MICHALSKI DESCRIPTION: NON-QUALIFIED PLAN ACCRUAL PLAN: SERA AMOUNT: 572,215 EMPLOYEE NAME: DENNIS HERRICK DESCRIPTION: NON-QUALIFIED PLAN ACCRUAL PLAN: SERA AMOUNT: 102,864 EMPLOYEE NAME: NICKOLAS VITALE DESCRIPTION: NON-QUALIFIED PLAN ACCRUAL PLAN: SERP 457F AMOUNT: 44,799 EMPLOYEE NAME: ANANIAS DIOKNO, MD DESCRIPTION: NON-QUALIFIED PLAN ACCRUAL PLAN: SERA AMOUNT: 50,000 EMPLOYEE NAME: A. NEIL JOHNSON, MD DESCRIPTION: NON-QUALIFIED PLAN ACCRUAL PLAN: SERP AND SERRP 457F AMOUNT: 131,560 EMPLOYEE NAME: SAMUEL FLANDERS, MD DESCRIPTION: NON-QUALIFIED PLAN ACCRUAL PLAN: SERRP 457F AMOUNT: 68,711 EMPLOYEE NAME: MARK JOHNSON DESCRIPTION: NON-QUALIFIED PLAN ACCRUAL PLAN: SERRP 457F AMOUNT: 49,802 EMPLOYEE NAME: JOHN LABRIOLA DESCRIPTION: NON-QUALIFIED PLAN DISTRIBUTION PLAN: SERA AMOUNT: 2,014,679 EMPLOYEE NAME: SHANE CERONE DESCRIPTION: NON-QUALIFIED PLAN ACCRUAL PLAN: SERRP 457F AMOUNT: 33,179 EMPLOYEE NAME: LESLIE ROCHER, MD DESCRIPTION: NON-QUALIFIED PLAN ACCRUAL PLAN: SERRP 457F AMOUNT: 132,114 EMPLOYEE NAME: ROGER HOWARD, MD DESCRIPTION: NON-QUALIFIED PLAN ACCRUAL PLAN: SERP AMOUNT: 18,023 EMPLOYEE NAME: RICHARD SWAINE DESCRIPTION: NON-QUALIFIED PLAN ACCRUAL PLAN: SERRP 457F AMOUNT: 43,153 EMPLOYEE NAME: RONALD LILEK DESCRIPTION: NON-QUALIFIED PLAN ACCRUAL PLAN: SERRP 457F AMOUNT: 39,644 EMPLOYEE NAME: ALVARO MARTINEZ, MD DESCRIPTION: NON-QUALIFIED PLAN DISTRIBUTION PLAN: SERP AMOUNT: 422,869 EMPLOYEE NAME: JOHN WATTS, MD DESCRIPTION: NON-QUALIFIED PLAN DISTRIBUTION PLAN: SERP AMOUNT: 543,204 EMPLOYEE NAME: ROBERT MORDEN, MD DESCRIPTION: NON-QUALIFIED PLAN ACCRUAL PLAN: SERP AMOUNT: 44,271 EMPLOYEE NAME: DARLENE FINK, MD DESCRIPTION: NON-QUALIFIED PLAN DISTRIBUTION PLAN: SERP AMOUNT: 548,970 EMPLOYEE NAME: EDWARD BERNACKI, JR., MD DESCRIPTION: NON-QUALIFIED PLAN DISTRIBUTION PLAN: SERP AMOUNT: 443,037 EMPLOYEE NAME: PAUL PEABODY DESCRIPTION: NON-QUALIFIED PLAN ACCRUAL PLAN: SERA AMOUNT: 107,832
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number
38-1459362
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer
(i) Pool
financing
Yes No Yes No Yes No
A CITY OF ROYAL OAK HOSPITAL FINANCE AUTHORITY
 
38-6004649 780486FJ0 01-28-2009 377,321,584 CONSTRUCTION AND REFINANCING SERIES R & S ISSUED 3/22/06.   X   X   X
B CITY OF ROYAL OAK HOSPITAL FINANCE AUTHORITY
 
38-6004649 780486FV3 12-15-2009 271,378,201 SEE SUPPLEMENTAL STATEMENT   X   X   X
C CITY OF ROYAL OAK HOSPITAL FINANCE AUTHORITY
 
38-6004649 NONEAVAIL 08-14-2009 20,000,000 INFORMATION TECHNOLOGY   X   X   X
D CITY OF ROYAL OAK HOSPITAL FINANCE AUTHORITY
 
38-6004649 NONEAVAIL 08-31-2009 13,151,438 MEDICAL EQUIPMENT   X   X   X
CITY OF ROYAL OAK HOSPITAL FINANCE AUTHORITY
 
38-6004649 NONEAVAIL 10-15-2009 5,487,247 MEDICAL EQUIPMENT   X   X   X
CITY OF ROYAL OAK HOSPITAL FINANCE AUTHORITY
 
38-6004649 780486GD2 07-27-2010 83,525,000 REFINANCING SERIES P ISSUED 5/15/03   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . . 3,069,439   3,069,439 2,380,810
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 376,951,093 271,158,746 20,000,600 13,154,367
4 Gross proceeds in reserve funds . . 37,354,655 21,408,219    
5 Capitalized interest from proceeds.        
6 Proceeds in refunding escrow. . . . .        
7 Issuance costs from proceeds . . . 5,112,447 3,103,740    
8 Credit enhancement from proceeds.        
9 Working capital expenditures from proceeds . . 40,025,000 10,856,000    
10 Capital expenditures from proceeds . . 165,892,058 36,737,657 20,000,600 13,154,367
11 Other spent proceeds . . 128,566,933 199,053,130    
12 Other unspent proceeds. . .        
13 Year of substantial completion . . . 2009 2010 2010 2010
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? X   X   X   X  
15 Were the bonds issued as part of an advance refunding issue?   X   X   X   X
16 Has the final allocation of proceeds been made? . . X     X X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .   X   X   X   X
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use? X   X     X   X
b Are there any research agreements that may result in private business use of bond-financed property? . .   X   X   X   X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet        
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet        
6 Total of lines 4 and 5 . . .. . . . . .        
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X   X   X
2 Is the bond issue a variable rate issue?   X   X   X   X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X   X   X   X
b Name of provider .  
 
 
 
 
 
 
 
c Term of hedge . .        
d Was the hedge superintegrated? .                
e Was a hedge terminated? .                
4a Were gross proceeds invested in a GIC? .   X   X   X   X
b Name of provider .  
 
 
 
 
 
 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X   X   X   X
6 Did the bond issue qualify for an exception to rebate? . . . X   X   X   X  
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
    PART I B (F) CONSTRUCTION AND REFINANCING SERIES T & U ISSUED 3/22/06, SERIES N ISSUED 5/31/01, SERIOS O ISSUED 10/4/01 AND SERIES Q ISSUED 10/15/03 DIFFERENCE BETWEEN PART I COLUMN E (ISSUE PRICE) AND PART II LINE 3 (PROCEEDS OF ISSUE) IS DUE TO EARNINGS OR LOSS ON INVESTMENTS DURING THE PROJECT PHASE. AMOUNTS ON PART II, LINE 9 CONSIST OF SWAP TERMINATION PAYMENTS.
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number
38-1459362
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer
(i) Pool
financing
Yes No Yes No Yes No
A CITY OF ROYAL OAK HOSPITAL FINANCE AUTHORITY
 
38-6004649 780486FJ0 01-28-2009 377,321,584 CONSTRUCTION AND REFINANCING SERIES R & S ISSUED 3/22/06.   X   X   X
B CITY OF ROYAL OAK HOSPITAL FINANCE AUTHORITY
 
38-6004649 780486FV3 12-15-2009 271,378,201 SEE SUPPLEMENTAL STATEMENT   X   X   X
C CITY OF ROYAL OAK HOSPITAL FINANCE AUTHORITY
 
38-6004649 NONEAVAIL 08-14-2009 20,000,000 INFORMATION TECHNOLOGY   X   X   X
D CITY OF ROYAL OAK HOSPITAL FINANCE AUTHORITY
 
38-6004649 NONEAVAIL 08-31-2009 13,151,438 MEDICAL EQUIPMENT   X   X   X
CITY OF ROYAL OAK HOSPITAL FINANCE AUTHORITY
 
38-6004649 NONEAVAIL 10-15-2009 5,487,247 MEDICAL EQUIPMENT   X   X   X
CITY OF ROYAL OAK HOSPITAL FINANCE AUTHORITY
 
38-6004649 780486GD2 07-27-2010 83,525,000 REFINANCING SERIES P ISSUED 5/15/03   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . . 3,069,439   3,069,439 2,380,810
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 376,951,093 271,158,746 20,000,600 13,154,367
4 Gross proceeds in reserve funds . . 37,354,655 21,408,219    
5 Capitalized interest from proceeds.        
6 Proceeds in refunding escrow. . . . .        
7 Issuance costs from proceeds . . . 5,112,447 3,103,740    
8 Credit enhancement from proceeds.        
9 Working capital expenditures from proceeds . . 40,025,000 10,856,000    
10 Capital expenditures from proceeds . . 165,892,058 36,737,657 20,000,600 13,154,367
11 Other spent proceeds . . 128,566,933 199,053,130    
12 Other unspent proceeds. . .        
13 Year of substantial completion . . . 2009 2010 2010 2010
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? X   X   X   X  
15 Were the bonds issued as part of an advance refunding issue?   X   X   X   X
16 Has the final allocation of proceeds been made? . . X     X X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .   X   X   X   X
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use? X   X     X   X
b Are there any research agreements that may result in private business use of bond-financed property? . .   X   X   X   X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet        
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet        
6 Total of lines 4 and 5 . . .. . . . . .        
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X   X   X
2 Is the bond issue a variable rate issue?   X   X   X   X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X   X   X   X
b Name of provider .  
 
 
 
 
 
 
 
c Term of hedge . .        
d Was the hedge superintegrated? .                
e Was a hedge terminated? .                
4a Were gross proceeds invested in a GIC? .   X   X   X   X
b Name of provider .  
 
 
 
 
 
 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X   X   X   X
6 Did the bond issue qualify for an exception to rebate? . . . X   X   X   X  
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
    PART I B (F) CONSTRUCTION AND REFINANCING SERIES T & U ISSUED 3/22/06, SERIES N ISSUED 5/31/01, SERIOS O ISSUED 10/4/01 AND SERIES Q ISSUED 10/15/03 DIFFERENCE BETWEEN PART I COLUMN E (ISSUE PRICE) AND PART II LINE 3 (PROCEEDS OF ISSUE) IS DUE TO EARNINGS OR LOSS ON INVESTMENTS DURING THE PROJECT PHASE. AMOUNTS ON PART II, LINE 9 CONSIST OF SWAP TERMINATION PAYMENTS.
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE M
(Form 990)


Department of the Treasury
Internal Revenue Service
NonCash Contributions
Right pointing arrow large imageComplete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number

38-1459362
Part I
Types of Property
(a)
Check if applicable
(b)
Number of Contributions or items contributed
(c)
Contribution amounts reported on
Form 990, Part VIII, line 1g
(d)
Method of determining
contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods .......
     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 9 190,833 FAIR MARKET VALUE
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests ....
       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures .....
       
14 Qualified conservation
contribution—Other ...
       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( )
26 Other Right pointing arrow large image( )
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
...
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell non-cash
contributions? ............................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) 2010
Schedule M (Form 990) 2010
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33. Also complete this part for any additional information.
Identifier Return Reference Explanation
DESCRIPTION OF ARRANGEMENT: PART I, LINE 30B: NET REVENUES ASSOCIATED WITH THE SALE OF PUBLICLY TRADED SECURITIES DONATED TO THE HOSPITAL RECORDED ON FORM 990 PART VIII LINES 7A - 7D.
Schedule M (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number

38-1459362
Identifier Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11   THE 2010 FORM 990 WAS SUBJECTED TO A MULTI-STEP REVIEW PROCESS CULMINATING IN THE PROVISION OF SUCH FORM TO ALL VOTING MEMBERS OF THE BEAUMONT BOARD OF DIRECTORS PRIOR TO ITS FILING. AFTER PREPARATION OF THE FORM 990 BY BEAUMONT'S CORPORATE TAX MANAGER (TAX MANAGER), THE TAX MANAGER CONDUCTS SEPARATE ONE ON ONE REVIEW SESSIONS WITH THE CHAIRMAN OF THE AUDIT COMMITTEE AND CHIEF FINANCIAL OFFICER TO REVIEW THE FORM FOR COMPLETENESS AND CORRECTNESS. AT THE CONCLUSION OF THESE REVIEWS, AND AFTER MAKING ANY RECOMMENDED CHANGES TO THE FORM 990, THE TAX MANAGER PERFORMED AN ADDITIONAL REVIEW OF THE RETURN WITH THE FULL MEMBERSHIP OF THE AUDIT COMMITTEE. UPON COMPLETION OF THE AUDIT COMMITTEE REVIEW, THE CHAIRMAN OF THE AUDIT COMMITTEE PRESENTED THE REVIEW OF THE RETURN TO THE EXECUTIVE COMMITTEE OF THE FULL BOARD FOR REVIEW AND COMMENT. AS THE FINAL STEP IN THE MULTI-LEVEL REVIEW PROCESS, A COPY OF THE FINAL VERSION OF THE FORM 990 WAS PROVIDED ELECTRONICALLY TO EACH VOTING MEMBER OF BEAUMONT'S GOVERNING BODY BEFORE IT WAS FILED.
  FORM 990, PART VI, SECTION B, LINE 12C BEAUMONT HOSPITALS RECOGNIZES THAT IT HAS AN OBLIGATION TO ITS PATIENTS, ITS PAYORS, ITS DESIGNEES AND THE COMMUNITIES IT SERVES TO OBSERVE THE HIGHEST LEVEL OF INTEGRITY TO ENSURE CLINICAL, BUSINESS AND ACADEMIC DECISION MAKING IS NOT COMPROMISED BY FINANCIAL OR OTHER RELATIONSHIPS WITH INDUSTRY. THE CORPORATE COMPLIANCE OFFICE, WITH THE ASSISTANCE OF HUMAN RESOURCES AND SPECIFIC INDIVIDUAL DEPARTMENTS, WILL COORDINATE, UPON HIRE AND EACH CALENDAR YEAR THEREAFTER, A PROCESS OF OBTAINING CONFLICT OF INTEREST/DISCLOSURE OF REMUNERATION STATEMENTS. ALL AREAS OF THE INSTITUTION WILL FOLLOW THE HUMAN RESOURCES HIRING PROCESS PROTOCOL TO ASSURE COMPLIANCE WITH THE CONFLICT OF INTEREST PROGRAM. AT ANY TIME WHEN A DESIGNEE BECOMES INVOLVED IN A RELATIONSHIP THAT IS OR MAY BE PERCEIVED TO BE A CONFLICT OF INTEREST, THE DESIGNEE MUST COMPLETE THE CONFLICT OF INTEREST/DISCLOSURE OF REMUNERATION STATEMENT AND FORWARD TO THE CORPORATE COMPLIANCE OFFICER. A CONFLICT OF INTEREST OR NEED TO DISCLOSE REMUNERATION MAY EXIST IF A BEAUMONT DESIGNEE OR ANY MEMBER OF THEIR IMMEDIATE FAMILY RECEIVES COMPENSATION IN ANY FORM FOR SERVICES RENDERED IN ANY CAPACITY TO ANY ORGANIZATION OR INDIVIDUAL THAT HAS ANY PAST, PRESENT OR PROSPECTIVE BUSINESS DEALINGS WITH BEAUMONT, IF SUCH COMPENSATION MIGHT BE REASONABLY CONSTRUED AS TENDING TO PREVENT THE DESIGNEE FROM ACTING SOLELY AND WHOLLY IN THE BEST INTEREST OF BEAUMONT.
  FORM 990, PART VI, SECTION B, LINE 15 WILLIAM BEAUMONT HOSPITAL'S (BEAUMONT) BOARD OF DIRECTORS HAS DULY APPOINTED AN ORGANIZATION AND COMPENSATION COMMITTEE (THE "COMMITTEE"), WHICH IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF COMPENSATION AND BENEFITS PROVIDED TO BEAUMONT'S EXECUTIVE MANAGEMENT. THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT GOVERNING THE WORK AND REVIEW PROCESS OF THE COMMITTEE. THE COMMITTEE FOLLOWS THE PROCEDURES DESCRIBED IN THE PHILOSOPHY STATEMENT WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND EMPLOYEE BENEFITS PROVIDED TO BEAUMONT'S SENIOR MANAGEMENT, INCLUDING THE CHIEF EXECUTIVE OFFICER AND OTHER OFFICERS. THE COMMITTEE REVIEWS ALL ASPECTS OF COMPENSATION, INCLUDING CURRENT AND DEFERRED COMPENSATION, AND BENEFITS, INCLUDING QUALIFIED AND NON-QUALIFIED BENEFITS. THE COMMITTEE MEETS AT LEAST TWO TIMES A YEAR, AND APPROVES COMPENSATION AND BENEFITS ONLY TO THE EXTENT THAT THE COMMITTEE HAS CONCLUDED THAT THE COMPENSATION AND BENEFITS CONSTITUTE NO MORE THAN REASONABLE COMPENSATION FOR EACH EXECUTIVE. THE COMMITTEE CONSISTS OF SIX MEMBERS, ALL OF WHOM ARE INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE WORKS WITH AN INDEPENDENT COMPENSATION CONSULTANT TO PREPARE AND REVIEW IN ADVANCE COMPREHENSIVE DATA SHOWING THE COMPENSATION PROVIDED BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS. THE COMMITTEE ALSO PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS DELIBERATIONS AND CONCLUSIONS. AS A RESULT, THE COMMITTEE'S REVIEW PROCESS IS DESIGNED TO SATISFY THE PROCEDURAL CRITERIA NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES. THE COMMITTEE HAS EXPRESSLY DETERMINED THAT THE TOTAL COMPENSATION PROVIDED IS REASONABLE, BASED ON THE REVIEW OF THE MARKET DATA PRESENTED BY THE INDEPENDENT COMPENSATION CONSULTANT AND ON THE REVIEW OF ALL OTHER RELEVANT FACTS AND CIRCUMSTANCES.
  FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: UNREALIZED GAINS ON INVESTMENTS -10,563,723. CHANGE IN VALUE OF INTEREST RATE SWAPS -965,824. MINIMUM POST RETIREMENT LIABILITY ADJUSTMENT -51,321,733. DIVIDENDS FROM BEAUMONT NURSING HOME SERVICES 5,316,400. FUNDS RELEASED TO OPERATIONS FROM TEMPORARILY RESTRICTED NET ASSETS -7,809,286. ALL OTHER, NET -1,121,445. TOTAL TO FORM 990, PART XI, LINE 5: -66,465,611.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number

38-1459362
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income



(e)
End-of-year assets


(f)
Direct controlling
entity









(1) BEAUMONT SERVICES COMPANY LLC
30963 WOODWARD AVENUE
ROYAL OAK,MI48073
36-4185416
FACILITIES MANAGEMENT MI 748,514   N/A










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section



(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled organization
Yes No
(1) BEAUMONT MEDICAL TRANSPORTATION SERVICES INC

25400 W EIGHT MILE ROAD

SOUTHFIELD,MI48034
26-0203703
MEDICAL TRANSPORTATION SERVICES MI 501(C)(3) 11A N/A
 
No












For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) BEAUMONT KIDNEY SPECIALTY SERVICES LLC

100 EAST BIG BEAVER ROAD SUITE 800
TROY,MI48083
26-2200439
DIALYSIS SERVICES MI N/A
RELATED -373,490 185,085   No   Yes   55.900 %
(2) BEAUMONT MACOMB TOWNSHIP ASC LLC

15979 HALL ROAD SUITE 200
MACOMB,MI48044
20-2632548
AMBULATORY SERVICES MI N/A
RELATED -396,446 2,385,673   No   Yes   59.300 %
(3) BEAUMONT WEST BLOOMFIELD ASC LLC

100 EAST BIG BEAVER ROAD SUITE 800
TROY,MI480831204
20-3699064
AMBULATORY SERVICES MI N/A
RELATED -1,480,934 3,173,230   No   Yes   72.860 %








Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



(b)
Primary activity



(c)
Legal domicile
(state or
foreign
country)
(d)
Direct controlling
entity


(e)
Type of entity
(C corp, S corp,
or trust)

(f)
Share of total income



(g)
Share of
end-of-year
assets

(h)
Percentage
ownership


(1) BEAUMONT NURSING HOME SERVICES INC
16500 WEST TWELVE MILE ROAD
SOUTHFIELD,MI480342975
38-2799842
ASSISTED CARE LIVING MI N/A
C 4,039,381 17,193,191 100.000 %
(2) BEAUMONT INDEMNITY COMPANY INC
23 LIME TREE BAY AVE
BUILDING 4, 2ND FLOOR, GRAND CAYMAN    
CJ
98-0512415
PROFESSIONAL INSURANCE CJ N/A
C 47,629 24,714,668 100.000 %
(3) BEAUMONT PHYSICIANS INSURANCE COMPANY INC
16500 WEST TWELVE MILE ROAD
SOUTHFIELD,MI480342975
27-4261262
PROFESSIONAL INSURANCE MI N/A
C -82,101 250,000 100.000 %








Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization
(b)
Transaction
type(a-r)
(c)
Amount involved
(d)
Method of determining amount involved
(1) BEAUMONT MACOMB TOWNSHIP ASC LLC

A 925,995 FAIR MARKET VALUE
(2) BEAUMONT MACOMB TOWNSHIP ASC LLC

K 3,105,251 FAIR MARKET VALUE
(3) BEAUMONT WEST BLOOMFIELD ASC LLC

A 289,838 FAIR MARKET VALUE
(4) BEAUMONT WEST BLOOMFIELD ASC LLC

D 3,894,161 FAIR MARKET VALUE
(5) BEAUMONT WEST BLOOMFIELD ASC LLC

K 2,759,789 FAIR MARKET VALUE
(6) BEAUMONT NURSING HOME SERVICES INC

K 547,643 FAIR MARKET VALUE
(7) BEAUMONT NURSING HOME SERVICES INC

Q 2,700,000 FAIR MARKET VALUE
(8) BEAUMONT NURSING HOME SERVICES INC

R 5,050,000 FAIR MARKET VALUE
(9) BEAUMONT MACOMB TOWNSHIP ASC LLC

D 2,872,721 FAIR MARKET VALUE
(10) BEAUMONT KIDNEY SPECIALTY SERVICES INC

K 152,482 FAIR MARKET VALUE
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Are all
partners
section
501(c)(3)
organizations?
(e)
Share of
end-of-year
assets
(f)
Disproprtionate allocations?
(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065)
(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


Software ID:  
Software Version: