TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) LIZABETH ARDISANA TRUSTEE	1.00	X			0	0
(2) BRIAN CONNOLLY PRESIDENT AND CEO	40.00	X	X		1,252,810	429,016
(3) SAMIR DABBOUS MD TRUSTEE	40.00	X			244,054	0
(4) MALCOLM HENOCH SVP / CMO	40.00	X		X	515,865	132,317
(5) LEON JUDD TRUSTEE	1.00	X			0	0
(6) ROBERT KRAMER TRUSTEE	1.00	X			0	0
(7) RICHARD KUGHN TRUSTEE	1.00	X			0	0
(8) MARTIN MULLOY TRUSTEE	1.00	X			0	0
(9) JERRY NORCIA TRUSTEE	1.00	X			0	0
(10) TIMOTHY O'BRIEN TRUSTEE	1.00	X			0	0
(11) LESTER ROBINSON TRUSTEE	1.00	X			0	0
(12) ROBERT ROSOWSKI TRUSTEE	1.00	X			0	0
(13) BALA SETTY TRUSTEE	1.00	X			0	0
(14) JOHN LEWIS CHAIRPERSON	1.00	X			0	0
(15) EDGAR SCRIBNER TRUSTEE	1.00	X			0	0
(16) THOMAS SAELI TRUSTEE	1.00	X			0	0
(17) SETH LLOYD SECRETARY, SVP, GEN COUNSEL	40.00		X		256,961	8,778

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) DOUGLAS WELDAY TREASURER, EVP, CFO	40.00	X			641,835	201,953
(19) JOSEPH DIEDERICH EVP COO	40.00	X			714,137	221,716
(20) PAUL CONWAY SVP, HR	40.00		X		322,157	93,773
(21) MAUREEN D'AGOSTINO SVP, ORG. EXCELLENCE	40.00		X		219,260	41,732
(22) MICHAEL GEHEB DIVISION PRESIDENT	40.00		X		629,266	178,256
(23) EDITH HUGHES DIVISION PRESIDENT	40.00		X		327,390	33,796
(24) BARBARA MEDVEC SVP / CNO	40.00		X		307,133	78,602
(25) CARLA O'MALLEY EXECUTIVE DIRECTOR	1.00		X		322,483	113,863
(26) PAULA SMITH SVP / IT	40.00		X		286,351	110,484
(27) MARY ZATINA SVP/ GOVT RELATIONS	40.00		X		253,234	87,998
(28) ERIC WIDNER DIVISION PRESIDENT	40.00		X		306,137	23,683
(29) BRYCE ROSCHE SVP, SERVICE EXCELLENCE	40.00		X		265,189	27,066
(30) JOHN KEUTEN SVP - OAKWOOD ENTERPRISES	40.00		X		322,771	28,404
(31) BILL ISENSTEIN SVP	40.00		X		390,508	29,705
(32) MARK BUSTAMANTE DIVISION PRES - PHYS PRACTICE	40.00		X		326,017	39,612
(33) KEVIN JOSEPH SPRAGUE STAFF PHYSICIAN	40.00			X	930,061	22,987
(34) FREDERICK SONG CHUN JUNN STAFF PHYSICIAN	40.00			X	895,645	32,201
(35) JOHN JOSEPH FATH STAFF PHYSICIAN	40.00			X	677,003	24,593
(36) TEJPAUL SINGH PANNU STAFF PHYSICIAN	40.00			X	551,930	31,456
(37) ARTHUR L RIBA STAFF PHYSICIAN	40.00			X	626,064	35,227

(A) Name and business address	(B) Description of services	(C) Compensation
CARETECH SOLUTIONS INC 901 WILSHIRE DR SUITE 250 TROY,MI48084	INFORMATION TECHNOLOGY SERVICES	25,035,967
PEROT SYSTEMS CORP ARS 12020 COLLECTIONS CNTR DR CHICAGO,IL60693	BILLING SOLUTIONS/OFFICE MANAGEMENT	10,912,823
DEARBORN SURGERY CENTER LLC 1870 MOMENTUM PLACE CHICAGO,IL60689	OUTPATIENT SURGERY SERVICES	7,221,887
MORRISON MANAGEMENT SPECIALISTS INC 5801 PEACHTREE DUNWOODY RD ATLANTA,GA30342	FOOD/RETAIL SERVICES	6,392,051
WAYNE STATE UNIVERSITY 540 E CANFIELD DETROIT,MI48201	CONTRACT PHYS SERVICES	4,336,373
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 148

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	192,341	192,341
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22	10,228,023	10,228,023
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 ....	9,760,669	206,783	9,117,540	436,346
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	85,838		85,838
7	Other salaries and wages	406,745,462	323,320,228	83,425,234
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	19,332,632	15,104,456	4,228,176
9	Other employee benefits .......	28,188,640	22,092,954	6,095,686
10	Payroll taxes ...........	29,685,442	23,193,037	6,492,405
11	Fees for services (non-employees):
a	Management ......	7,454,261	2,457,290	4,996,971
b	Legal .........	1,951,624		1,951,624
c	Accounting ...........	426,900		426,900
d	Lobbying ...........	81,217		81,217
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......	1,096,087		1,096,087
g	Other ..........	87,999,347	59,066,298	28,933,049
12	Advertising and promotion ....	3,239,680	383,912	2,855,768
13	Office expenses .......	11,193,594	4,099,987	7,093,607
14	Information technology ......	13,059,001	6,901,956	6,157,045
15	Royalties ..
16	Occupancy ...........	27,202,553	21,542,361	5,660,192
17	Travel ............	1,132,742	304,367	828,375
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	718,858	495,610	223,248
20	Interest ...........	17,608,738	17,608,738
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	54,538,112	40,126,750	14,411,362
23	Insurance ..............	18,744,025	17,663,218	1,080,807
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 SUPPLIES	103,554,750	103,534,580	20,170	0
b	BAD DEBT	76,724,457	76,724,457	0	0
c	PHARMACEUTICALS	39,910,126	39,910,126	0	0
d	EQUIPMENT RENTAL & MAIN	28,736,318	18,164,988	10,571,330	0
e		0	0	0	0
f	All other expenses	25,805,432	22,536,523	476,507	2,792,402
25	Total functional expenses. Add lines 1 through 24f	1,025,396,869	825,858,983	196,309,138	3,228,748
26	Joint costs. Check here 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

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	-4,190,938	1	-1,148,700
2	Savings and temporary cash investments .......	44,334,228	2	41,101,219
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	84,060,339	4	88,724,809
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 .............	1,330,969	7	2,331,288
8	Inventories for sale or use ..............	14,196,166	8	13,599,949
9	Prepaid expenses and deferred charges ............	10,606,947	9	7,110,319
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	914,269,858
b	Less: accumulated depreciation. .....	10b	619,542,001	319,842,577	10c	294,727,857
11	Investments—publicly traded securities ..........	313,648,611	11	346,689,245
12	Investments—other securities. See Part IV, line 11 ......		12
13	Investments—program-related. See Part IV, line 11 ..	34,746,888	13	39,579,162
14	Intangible assets .........	6,362,778	14	15,010,461
15	Other assets. See Part IV, line 11 ...........	62,077,095	15	130,068,686
16	Total assets. Add lines 1 through 15 (must equal line 34)...	887,015,660	16	977,794,295
	17	Accounts payable and accrued expenses .	92,489,198	17	106,896,226
18	Grants payable ..........		18
19	Deferred revenue ..........	532,308	19	495,437
20	Tax-exempt bond liabilities ..........	343,310,067	20	329,021,835
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	3,090	21
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 ..	8,037,096	23	5,852,429
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities. Complete Part X of Schedule D.....	173,837,414	25	226,620,399
26	Total liabilities. Add lines 17 through 25.....	618,209,173	26	668,886,326
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	268,806,487	27	308,907,969
28	Temporarily restricted net assets .....		28
29	Permanently restricted net assets .....		29
	Organizations that do not follow SFAS 117, check here 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 .....	268,806,487	33	308,907,969
34	Total liabilities and net assets/fund balances .....	887,015,660	34	977,794,295

- TIN:

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.

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

OAKWOOD HEALTHCARE INC

Employer identification number

38-1405141

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.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

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.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

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)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(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?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

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).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

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.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

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:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

OAKWOOD HEALTHCARE INC

Employer identification number

38-1405141

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... 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)

Name of organization OAKWOOD HEALTHCARE INC
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
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	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization OAKWOOD HEALTHCARE INC
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
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
OAKWOOD HEALTHCARE INC

Employer identification number

38-1405141

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

(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

(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

(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

(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:

- TIN:

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

OAKWOOD HEALTHCARE INC

Employer identification number

38-1405141

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

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.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities .................................... SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

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

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 if the filing organization belongs to an affiliated group.
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	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) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -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? ......................................	Yes No

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

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots non-taxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

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

(b)

Amount

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:

Volunteers? .........................................

Yes

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Yes

500

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

28,897

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? If "Yes," describe in Part IV ..........................

Yes

51,820

Total. lines 1c through 1i ...................................

81,217

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

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

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........

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”.

Dues, assessments and similar amounts from members .....................

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).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

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
EXPLANATION OF OTHER LOBBYING ACTIVITIES:	PART II-B, LINE 1I:	OAKWOOD HEALTHCARE INC. ENGAGES OUTSIDE CONSULTANTS TO CONDUCT STATE AND FEDERAL LOBBYING ACTIVITIES ON MATTERS PERTAINING TO NONPROFIT HEALTHCARE. THE FIRMS, SERVICES AND COSTS PROVIDED DURING 2010 PERTAINING TO LOBBYING ARE DISCLOSED ABOVE. ALSO, THE COMPANY (ALONG WITH THE VAST MAJORITY OF HOSPITALS LOCATED IN THE STATE OF MICHIGAN) PAYS ANNUAL DUES TO THE MICHIGAN HEALTH AND HOSPITAL ASSOCIATION, A PORTION OF WHICH PERTAINS TO LOBBYING ACTIVITIES CONDUCTED BY THAT ORGANIZATION.

Schedule C (Form 990 or 990EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

OAKWOOD HEALTHCARE INC

Employer identification number

38-1405141

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 .......

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? ............

Yes No

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. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

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)? ....................................

Yes No

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.

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.

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

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:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

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?........

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

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
1a	Beginning of year balance ....	13,622,220	11,979,183	14,924,119
b	Contributions ........	252,570	253,884	550,373
c	Investment earnings or losses ...	1,283,026	1,954,301	-2,920,938
d	Grants or scholarships .....	94,773	109,800	54,000
e	Other expenditures for facilities and programs ........	219,299	455,348	520,371
f	Administrative expenses ....
g	End of year balance ......	14,843,744	13,622,220	11,979,183

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

65.000 %

Permanent endowment: SchDMd Bullet

35.000 %

Term endowment: SchDMd Bullet

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

Yes

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	17,179,966		17,179,966
b	Buildings ................	284,098,697	181,950,669	102,148,028
c	Leasehold improvements ............	12,178,516	6,838,144	5,340,372
d	Equipment ................	474,566,738	344,241,279	130,325,459
e	Other .................	126,245,941	86,511,909	39,734,032
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				294,727,857

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther 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.)

Part VIII

InvestmentsProgram 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.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) DEFERRED BOND ISSUE COSTS				1,890,561
(2) DUE FROM (TO) AFFILIATES				72,996,196
(3) MISC RECEIVABLES				4,541,475
(4) CAPITAL LEASE				50,640,454





Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........				130,068,686

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes
ACCRUED COMPENSATION		19,015,988
CLAIMS LIABILITY		46,194,624
WORKERS COMPENSATION		3,060,165
ASSET RETIREMENT OBLIGATION		2,460,508
ACCRUED PENSION		93,017,209
DUE TO THIRD PARTY PAYORS		62,871,905



Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		226,620,399
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

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
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	OAKWOOD HEALTHCARE FOUNDATION MAINTAINS ENDOWMENT FUNDS ON BEHALF OF OAKWOOD HEALTHCARE INC. THE INTENDED USE OF OAKWOOD HEALTHCARE FOUNDATION'S ENDOWMENT FUNDS IS TO PROVIDE FUNDS TO SUPPORT THE MISSION AND VISION OF THE OAKWOOD HEALTHCARE SYSTEM. OAKWOOD HEALTHCARE FOUNDATION PROVIDES FUNDING FOR ONGOING CAPITAL AND OPERATIONAL NEEDS, COMMUNITY OUTREACH PROGRAMS, SCHOLARSHIPS AND EDUCATION.
		SCHEDULE D, PART XIV, FIN 48 DISCLOSURE: THE COMPANY HAS ADOPTED FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES (FIN 48) (CODIFIED IN ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES). ACCORDINGLY, OHI HAS REVIEWED ALL TAX POSITIONS, EVALUATED POTENTIAL EXPOSURE, AND FOUND IT NOT TO BE MATERIAL.

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F
(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization
OAKWOOD HEALTHCARE INC

Employer identification number

38-1405141

Part I

General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.

For grantmakers. 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? ...................................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside the
United States.

Activites per Region. (Use Part V if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees or agents in region or independent contractors	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for region/investments in region
	CENTRAL AMERICA & THE CARIBBEAN	0	1	INVESTMENTS	N/A
















3a	Sub-total .....		1			0
b	Total from continuation sheets to Part I ...		0			0
c	Totals (add lines 3a and 3b)		1			0

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2010

Schedule F (Form 990) 2010

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,

Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet

Use Part V if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ..... MediumBullet

Enter total number of other organizations or entities ........................ MediumBullet

Schedule F (Form 990) 2010

Schedule F (Form 990) 2010Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Use Part V if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2010

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2010

Page 5

Part V

Supplemental Information
Complete this part to provide the information (see instructions) required in Part I, line 2, and any additional information.

Identifier	ReturnReference	Explanation
PROCEDURE FOR MONITORING GRANTS OUTSIDE THE U.S.:		SCHEDULE F, PART I, LINE 2: N/A

Schedule F (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

OAKWOOD HEALTHCARE INC

Employer identification number

38-1405141

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

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:

Yes

100% 150% 200% Other

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: .....

Yes

200% 250% 300% 350% 400% Other

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.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

Yes

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?...............

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(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) ..	14,796	11,292	22,156,218	105,479	22,050,738	2.320 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .	277,911	136,986	182,657,790	134,775,296	47,882,494	5.050 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....
dTotal Charity Care and Means-Tested Government Programs .....	292,707	148,278	204,814,008	134,880,775	69,933,232	7.370 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	2,374	100,242	6,660,843	1,316,437	5,344,406	0.560 %
f Health professions education (from Worksheet 5) ..	28	1,659	60,357,636	32,676,449	27,681,187	2.920 %
g Subsidized health services (from Worksheet 6) ..	922	973	3,654,582	2,603,266	1,051,316	0.110 %
h Research (from Worksheet 7)	1	400	755,255	168,796	586,459	0.060 %
i Cash and in-kind contributions to community groups (from Worksheet 8) ..	115	6,162	209,656		209,656	0.020 %
jTotal Other Benefits ...	3,440	109,436	71,637,972	36,764,948	34,873,024	3.670 %
kTotal. Add lines 7d and 7j. ..	296,147	257,714	276,451,980	171,645,723	104,806,256	11.040 %

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.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	4,745	4,745	0 %
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	4,745	4,745

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense (at cost).....

25,235,635

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

109,433

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

Enter total revenue received from Medicare (including DSH and IME).....

388,356,580

Enter Medicare allowable costs of care relating to payments on line 5.....

394,224,274

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-5,867,694

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

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......

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 %	(e) Physicians' profit % or stock ownership %
11 APEX BEHAVORIAL HEALTH PLLC	OUTPATIENT BEHAVIORAL HEALTH SERVICES	25.000 %	66.250 %
22 SLEEP APNEA SPECIALTY CENTER-RIVERVIEW	SLEEP APNEA TESTING AND TREATMENT	30.580 %	61.160 %
33 OAKLANE MEDICAL SUITES	MEDICAL FACILITY	33.440 %	23.900 %
4
5
6
7
8
9
10
11
12
13

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?4 Name and address		Other (Describe)
1	OAKWOOD HOSPITAL & MEDICAL CENTER 18101 OAKWOOD BLVD DEARBORN,MI48124	X	X	X	X	X
2	OAKWOOD ANNAPOLIS HOSPITAL 33155 ANNAPOLIS WAYNE,MI481842493	X	X	X		X
3	OAKWOOD SOUTHSHORE MEDICAL CENTER 5450 FORT STREET TRENTON,MI481834625	X	X	X		X
4	OAKWOOD HERITAGE HOSPITAL 10000 TELEGRAPH TAYLOR,MI481803349	X	X	X		X

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

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

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

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):2

				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

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

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

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):3

				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

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

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

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):4

				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

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

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

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?48
Name and address		Type of Facility (Describe)
1	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
2	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
3	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
4	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
5	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
6	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
7	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
8	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
9	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
10	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
11	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
12	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
13	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
14	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
15	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
16	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
17	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
18	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
19	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
20	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
21	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
22	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
23	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
24	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
25	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
26	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
27	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
28	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
29	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
30	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
31	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
32	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
33	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
34	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
35	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
36	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
37	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
38	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
39	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
40	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
41	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
42	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
43	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
44	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
45	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
46	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
47	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
48	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT

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 I, LINE 3C: N/A
		PART I, LINE 6A: N/A
		PART I, LINE 7: CHARITY CARE (LINE A) USED A COST TO CHARGE RATIO SPECIFIC TO EACH ACUTE CARE BUSINESS UNIT. MEDICAID (LINE B) ALSO USED A BUSINESS UNIT-SPECIFIC COST TO CHARGE RATIO. HEALTH PROFESSIONS EDUCATION (LINE F) USED A COMBINATION OF EXPENSES REPORTED IN THE GENERAL LEDGER, AND ALLOCATIONS FOR SPECIFIC EXPENSES FROM OTHER COST CENTERS TO THE MEDICAL EDUCATION PROGRAM. SUBSIDIZED HEALTH SERVICES (LINE G) USED A COST ACCOUNTING SYSTEM THAT INCLUDES ALL ACUTE CARE FACILITY ACTIVITY.
		PART I, LINE 7G: N/A
		PART I, L7 COL(F): BAD DEBT IN THE AMOUNT OF $877,078 WAS REMOVED FROM THE EXPENSES COUNTED IN THE MEDICAL RESIDENT EDUCATION PORTION OF HEALTH PROFESSIONS EDUCATION. BAD DEBT EXPENSE OF $76,724,457 WAS EXCLUDED FROM TOTAL EXPENSES WHEN COMPUTING THE COST TO CHARGE RATIOS. A FULL COPY OF THE COMMUNITY BENEFIT REPORT CAN BE FOUND AT HTTP://WWW.OAKWOOD.ORG/REPORT-TO-OUR-COMMUNITY
OTHER COMMUNITY BENEFIT INFORMATION	PART I	THE OAKWOOD HEALTHCARE SYSTEM FOUNDATION PROVIDES SIGNIFICANT ASSISTANCE TO STRENGTHEN OAKWOOD'S COMMUNITY BENEFIT PROGRAMS AND SERVICES. IN ADDITION TO PROVIDING THE FUNDS FOR MANY PROGRAMS AND SERVICES, IT EXPENDS OVER $1.7 MILLION DOLLARS TO COVER THE COSTS OF FUND RAISING AND GRANT WRITING THAT IS DIRECTLY ASSOCIATED WITH COMMUNITY BENEFIT PROGRAMMING. TWO LARGE EVENTS WERE HELD IN 2010 THAT WERE SPECIFICALLY PRESENTED TO RAISE FUNDS TO OPERATE THE CENTER FOR EXCEPTIONAL FAMILIES, A MULTIDISCIPLINARY CLINIC FOR CHILDREN WITH PHYSICAL AND COGNITIVE IMPAIRMENTS. MANY OF THE SERVICES PROVIDED BY THE CENTER ARE NOT COVERED BY INSURANCE BUT ARE INTEGRAL TO CARE, WITH OTHER FINANCIAL SUPPORT RAISED FOR OPERATION OF THEIR PHYSICAL LOCATION. NUMEROUS GRANT REQUESTS TO FEDERAL AND STATE FUNDING SOURCES SUCH AS HRSA AND MICHIGAN DEPARTMENT OF COMMUNITY HEALTH AND OTHER PRIVATE FUNDING SOURCES WERE PREPARED, COMPLETED AND SUBMITTED BY THE FOUNDATION ON BEHALF OF PROGRAMS SUCH AS OAKWOODS SCHOOL BASED/SCHOOL LINKED HEALTH CENTERS, PREVENTION PROGRAMS, RYAN WHITE CLINIC FOR HIV CARE, THE CENTER FOR EXCEPTIONAL FAMILIES AND OTHER PROGRAMS THAT BENEFIT OUR COMMUNITY.
		PART II: OAKWOOD HEALTHCARE SYSTEM HAS A STRONG CONNECTION TO THE COMMUNITIES IT SERVES. WE EXEMPLIFY THAT WITH WIDE AND EXTENSIVE PARTICIPATION FROM OUR EMPLOYEES AS BOARD MEMBERS AND VOLUNTEERS OF VARIOUS NON PROFIT AND PROFESSIONAL ORGANIZATIONS. WHAT IS REPORTED IN THE SECTION REGARDING COMMUNITY BUILDING ACTIVITIES ARE THOSE WHERE A DIRECT OUTLAY OF CASH OR STAFF/FACILITY RESOURCES WERE EXPENDED. ACTIVITIES THAT ARE COVERED IN THIS SECTION INCLUDE DUES TO VARIOUS CHAMBERS OF COMMERCE INCLUDING: GREATER DETROIT CHAMBER OF COMMERCE; SOUTHERN WAYNE COUNTY CHAMBER; CANTON AND DEARBORN CHAMBERS OF COMMERCE; AND THE AMERICAN ARAB CHAMBER OF COMMERCE. ALSO INCLUDED ARE COSTS RELATED TO THE COORDINATION AND OFFERING OF COMMUNITY BLOOD DONOR DRIVES (DONE IN PARTNERSHIP WITH THE AMERICAN RED CROSS) AT OUR LOCATIONS THAT ARE TARGETED TO BOTH OUR EMPLOYEES AND MEMBERS OF THE PUBLIC.
		PART III, LINE 4: THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING: BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE AND CURRENT MARKET CONDITIONS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE COMPANY FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES.THE ORGANIZATION CONSIDERS BAD DEBT EXPENSE TO BE A COMMUNITY BENEFIT SINCE THE COSTS OF PROVIDING UNCOMPENSATED SERVICES TO PATIENTS IMPEDES THE ORGANIZATION'S ABILITY TO PROVIDE OTHER CHARITY CARE AND COMMUNITY BENEFIT SERVICES. ALSO, THE PROVISION OF UNCOMPENSATED CARE TO PATIENTS WITHOUT INSURANCE POSITIVELY IMPACTS THE HEALTH OF THE SOUTHEASTERN MICHIGAN COMMUNITIES IN WHICH WE SERVE.
		PART III, LINE 8: THE COST OF MEDICARE SERVICES WAS DETERMINED USING A COST ACCOUNTING SYSTEM THAT INCLUDED ALL ACUTE CARE FACILITY ACTIVITY. THE COST ACCOUNTING SYSTEM ASSIGNS DIRECT AND INDIRECT COST AT A CHARGE CODE LEVEL BASED ON RELATIVE VALUE UNITS AND OTHER ALLOCATION METHODOLOGIES. NET REVENUE AT A PATIENT ACCOUNT LEVEL IS BASED ON ACTUAL PAYMENTS WHERE AVAILABLE, AND MODELED REVENUE WHERE PAYMENT HAS YET TO BE RECEIVED. PATIENTS ARE THEN GROUPED BY PAYOR TO ARRIVE AT SUMMARIZED REVENUE AND COSTS.THE ORGANIZATION CONSIDERS THE MEDICARE SHORTFALL TO BE A COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: 1) SINCE THERE IS AN EXCESS OF EXPENSES OVER MEDICARE REIMBURSEMENT, OHI MUST COVER THE SHORTFALL. AS A RESULT, THE AMOUNT NEEDED TO COVER THE SHORTFALL IS NOT AVAILABLE FOR OTHER CHARITY CARE AND COMMUNITY BENEFIT SERVICES; 2) A SIGNIFICANT PORTION OF SERVICES PROVIDED TO MEDICARE BENEFICIARIES WOULD LIKELY QUALIFY FOR CHARITY CARE ABSENT INSURANCE COVERAGE UNDER THE MEDICARE PROGRAM; AND 3) THE PROVISION OF UNDER COMPENSATED PATIENT CARE TO MEDICARE BENEFICIARIES POSITIVELY IMPACTS THE HEALTH OF THE SOUTHEASTERN MICHIGAN COMMUNITIES IN WHICH WE SERVE.
		PART III, LINE 9B: PATIENTS PRESENTING FOR SERVICES WITHOUT INSURANCE COVERAGE ARE IDENTIFIED AS SELF PAY PATIENTS. FINANCIAL COUNSELING STAFF, IN THE ORGANIZATION'S "OAKASSIST" PROGRAM, ASSESS THIS POPULATION TO DETERMINE IF SOME TYPE OF INSURANCE COVERAGE MAY EXIST, SUCH AS A GOVERNMENTAL SPONSORED INSURANCE PROGRAM, OR IF A SELF PAY DISCOUNT OR CHARITY CARE COVERAGE IS APPROPRIATE. THIS PROCESS IS INITIATED AS CLOSE TO THE DATE OF SERVICE OR PRE-SERVICE AS POSSIBLE. IF THE DETERMINATION OF DISCOUNTING OR OTHER COVERAGE IS NOT FOUND WITHIN AN AVERAGE OF 15 DAYS POST-SERVICE, THE PATIENT WILL RECEIVE A BILLING STATEMENT WITH DIRECTION TO CONTACT AN OAKWOOD REPRESENTATIVE IF FINANCIAL ASSISTANCE OF ANY KIND IS NEEDED. PRIOR TO FORWARDING ACCOUNTS TO A THIRD-PARTY COLLECTION AGENCY, THE ACCOUNTS ARE SCORED TO DETERMINE THE PATIENT'S ABILITY TO PAY AND EITHER DEEMED CHARITY OR BAD DEBT. ACCOUNTS ELIGIBLE FOR CHARITY CARE, PURSUANT TO THE ORGANIZATION'S POLICY, ARE WRITTEN-OFF TO A CHARITY CARE CODE AND NO FURTHER COLLECTION ACTIVITY IS PURSUED. IN CASES WHERE THE ORGANIZATION EXPECTS PAYMENT BUT IS UNABLE TO COLLECT, THE ACCOUNTS ARE CLASSIFIED AS BAD DEBT AND FORWARDED FOR FURTHER COLLECTION ACTIVITY.
		PART VI, LINE 2: OAKWOOD HEALTHCARE SYSTEM USES AN ANNUAL ENVIRONMENTAL ASSESSMENT AS A BASELINE FOR THE DECISION MAKING IN BOTH COMMUNITY BENEFIT PROGRAMMING AND BUSINESS PLANNING. THE COMPREHENSIVE DOCUMENT IS PRODUCED EACH YEAR IN JUNE BY THE STRATEGIC PLANNING DEPARTMENT AFTER FOUR TO SIX MONTHS OF RESEARCH, DATA ANALYSIS AND PREPARATION. KEY LEADERS IN THE ORGANIZATION WHO REPRESENT COMMUNITY BENEFIT AND PATIENT FINANCIAL ASSISTANCE PROGRAMS ARE CONSULTED AS PART OF THE PREPARATION PROCESS. FINDINGS IN EACH YEAR'S REPORT ARE NOT NECESSARILY TIME LIMITED AND CAN BE APPLIED TO OTHER YEARS IN A 2-3 YEAR BUSINESS CYCLE.KEY FEATURES OF THE 2008-2009 DOCUMENT INCLUDED IDENTIFICATION OF AN OPPORTUNITY TO ADDRESS THE EPIDEMIC TYPE 2 DIABETES DIAGNOSIS TREND IN CHILDREN AND ITS RELATION TO INCREASING OBESITY TRENDS. PROGRAMMING RELATED TO CHILDHOOD FITNESS AND FAMILY NUTRITION HAS BEEN EXPANDED AND CREATED TO RESPOND TO THE TRENDS IN BOTH PEDIATRIC AND ADULT POPULATIONS. IN 2009-2010, A KEY RECOMMENDATION FOCUSED ON THE VALUE OF PREVENTATIVE CARE AS SO MANY OF THE LEADING CAUSES OF MORBIDITY AND MORTALITY IN OUR REGION ARE DIRECTLY ATTRIBUTABLE TO CONDITIONS THAT ARE HIGHLY EFFECTED BY DIET, EXERCISE LEVEL, SMOKING STATUS AND OBESITY. POPULATION TRENDS IN THE OAKWOOD HEALTHCARE SYSTEM SERVICE AREA WERE PRESENTED AND ANALYZED. THESE TRENDS SHOWED A SHARP INCREASE IN THE POPULATION OVER 65 YEARS OLD AND DECLINES IN OTHER GROUPS (FOR INSTANCE FEMALES IN THEIR CHILD BEARING YEARS).IMPLICATIONS RELATED TO THE HIGH PROPORTION OF BABY BOOMERS MANAGING MORE THAN ONE CHRONIC CONDITION (INCLUDING HEART DISEASE) AS WELL AS OBESITY AND DIABETES WERE APPLIED TO COMMUNITY BENEFIT PLANNING. DIABETES WAS ALSO SHOWN TO BE MORE PREVALENT IN OUR DIVERSE POPULATIONS OF AFRICAN AMERICANS, HISPANIC AMERICANS, AND IN PEOPLE OF EASTERN INDIAN ORIGIN. THESE NUMBERS, ALONG WITH THE FACT THAT HEART DISEASE, STROKE AND DIABETES ARE CONSISTENTLY AMONG THE TOP DIAGNOSES SEEN IN THE RANKING OF HEALTH STATUS INDICATORS FOR OUR COMMUNITIES, PROVIDE THE BASIS FOR ONE OF OUR LARGEST COMMUNITY OUTREACH PROGRAMS. OAKWOOD'S HEART HEALTH SCREENING AND EDUCATION OUTREACH IS COMPRISED OF BLOOD PRESSURE, TOTAL AND HDL CHOLESTEROL, AND GLUCOSE TESTING, AS WELL AS STROKE SCREENING INSTRUMENTS THAT ARE OFFERED IN CUSTOM PACKAGES TO COMMUNITY, SCHOOL, FAITH COMMUNITY AND OTHER GROUPS. ALL SCREENINGS ARE ACCOMPANIED BY BASIC COUNSELING ABOUT (EACH INDIVIDUAL'S) SCREENING RESULTS AND HOW HE OR SHE CAN MAKE POSITIVE BEHAVIOR CHOICES AND LIFESTYLE ADAPTATIONS TO KEEP THEIR RESULTS IN THE NORMAL RANGE OR TO BRING THEM INTO A LOWER, MORE HEALTHFUL RESULT. DATA FROM BOTH THE WAYNE COUNTY HEALTH DEPARTMENT AND THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH INDICATE THAT OUR SERVICE AREA HAS HIGHER RATES OF HEART DISEASE THAN WHAT IS SEEN IN THE REST OF THE STATE AND ACROSS THE NATION AS A WHOLE.OAKWOOD'S HEART HEALTH OUTREACH AND SCREENING PROGRAMS HAVE BEEN CONSISTENTLY HIGH VOLUME PROGRAMS FOR OVER 20 YEARS AND ARE UTILIZED BY MANY GROUPS, INCLUDING THE COUNTY HEALTH DEPARTMENT. DATA FROM THE ENVIRONMENTAL ASSESSMENT SUPPORT THE NEED FOR THIS PROGRAM YEAR AFTER YEAR, AS THERE HAS BEEN NO SIGNIFICANT SHIFT IN THE LEADING CAUSES OF DEATH IN OUR SERVICE AREA, COUNTY AND STATE. DATA FROM THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH IN 2009 CONFIRMS THAT OUR AREA CONTINUES TO EXHIBIT HIGHER RATES OF ADULT OBESITY, ADULT TOBACCO USE AND HEART DISEASE IN THOSE AGED 18 YEARS OR OLDER AS WELL AS A HIGHER RATE OF DIABETES PREVALENCE AND RELATED DEATHS.DATA PERTAINING TO UNEMPLOYMENT RATES, POVERTY INCIDENCE AND RATES OF INSURANCE COVERAGE ARE ALSO KEY TO OUR YEARLY ENVIRONMENTAL ASSESSMENT. OFFICIAL UNEMPLOYMENT RATES CONTINUED TO INCREASE IN WAYNE COUNTY, SOUTHEASTERN MICHIGAN AND THE STATE IN 2009, WITH WAYNE COUNTY EXHIBITING THE HIGHEST UNEMPLOYMENT RATE IN SOUTHEASTERN MICHIGAN. STATE MEDICAID CASELOADS ARE AT HISTORICALLY HIGH LEVELS, WITH THE NUMBER OF MICHIGAN CITIZENS RELYING ON MEDICAID FOR HEALTH CARE 61% HIGHER THAN IN 1999. THIS FIGURE CONTINUES TO GROW, WITH ONE OUT OF SEVEN MICHIGAN RESIDENTS NOW RELYING ON MEDICAID FOR HEALTH CARE COVERAGE. HOWEVER, STATE LEVEL FUNDING HAS BEEN SLASHED BY MORE THAN $850 MILLION SINCE 1996. THE RATES FOR "TOTALLY UNINSURED" AND THOSE CONSIDERED "UNDERINSURED" ALSO SHOW INCREASES. THIS DATA APPLIES DIRECTLY TO OUR UNCOMPENSATED CARE EXPENDITURES. A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE CAN BE TRACED DIRECTLY TO THE RECESSION AND TO A GROWING NUMBER OF PATIENTS WITH NO HEALTH INSURANCE WHO ARE SEEKING TREATMENT IN THE EMERGENCY DEPARTMENT.DATA USED IN THE OAKWOOD HEALTHCARE SYSTEM ENVIRONMENTAL ASSESSMENT IS COLLECTED FROM A VARIETY OF SOURCES INCLUDING THE WAYNE COUNTY HEALTH DEPARTMENT AND MICHIGAN DEPARTMENT OF COMMUNITY HEALTH; TRADE ORGANIZATIONS SUCH AS THE AMERICAN HOSPITAL ASSOCIATION AND MICHIGAN HEALTH & HOSPITAL ASSOCIATION; THE CENSUS BUREAU; AGENCIES SUCH AS CLARITAS AND THOMSON REUTERS; AND FROM OTHER STATE AND FEDERAL AGENCIES.
		PART VI, LINE 3: OUR FINANCIAL ADVISORY TEAM, OAKASSIST, PROVIDES PRE-SERVICE AND POST-SERVICE SUPPORT TO OUR PATIENTS AND THEIR FAMILIES IN DETERMINING ELIGIBILITY OPTIONS FOR HEALTH CARE COVERAGE. PATIENTS IDENTIFIED WITHOUT INSURANCE COVERAGE ARE ASSESSED AT ALL ACCESS POINTS, THE EMERGENCY DEPARTMENT, AND OUTPATIENT DIAGNOSTIC SCHEDULING, PRIOR TO ELECTIVE PROCEDURES, AND PHYSICIAN OFFICE REFERRALS. PATIENTS ARE PROVIDED INFORMATION OR ASSISTANCE IN REGARD TO ELIGIBILITY WITH THE ORGANIZATIONS CHARITY CARE POLICY OR OTHER FORMS OF FINANCIAL ASSISTANCE AVAILABLE (MEDICAID, ADULT BENEFIT WAIVER, COBRA COVERAGE, VICTIMS OF CRIME, ETC.). POSTERS IDENTIFYING THE FINANCIAL ADVISORY TEAM, OAKASSIST, AND THE AVAILABILITY OF CHARITY CARE ARE VISIBLE IN HIGH TRAFFIC AREAS, SUCH AS THE EMERGENCY DEPARTMENT, OUTPATIENT REGISTRATION AREAS, AND ON THE OAKWOOD.ORG WEBSITE. DOCUMENTATION IS ALSO PRINTED ON THE PATIENT BILLING STATEMENT INCLUDING CONTACT INFORMATION SHOULD A PATIENT REQUIRE ASSISTANCE POST SERVICE.
		PART VI, LINE 4: LOCATED IN SOUTHEAST MICHIGAN, OAKWOOD HEALTHCARE SYSTEM SERVES MORE THAN 900,000 RESIDENTS IN 35 COMMUNITIES STRETCHING ACROSS A 500 SQUARE MILE AREA OF WESTERN WAYNE COUNTY. 75% OF THE OHS SERVICE AREA IS UNDER THE AGE OF 55, WITH 57% BETWEEN THE AGES OF 18 AND 54. WHILE CENSUS NUMBERS TELL US THAT 73% OF OUR SERVICE POPULATION IS CAUCASIAN, THERE ARE SEVERAL CONCENTRATIONS OF AFRICAN AMERICAN, HISPANIC AND ASIAN POPULATIONS. ANCESTRAL BACKGROUND, HOWEVER, IS ONE OF OUR SERVICE AREAS MOST REMARKABLE FEATURES, WITH SOUTHEAST MICHIGAN BEING HOME TO THE LARGEST ARAB POPULATION OUTSIDE OF THE MIDDLE EAST. WHILE THIS POPULATION IS ESTIMATED TO BE WELL IN EXCESS OF 300,000, CENSUS DATA DOES NOT CAPTURE THIS INFORMATION, AS ARAB-AMERICAN IS CONSIDERED AN ANCESTRY.DIVERSITY IN OUR COMMUNITIES IS NOT LIMITED TO CULTURAL/ETHNIC BACKGROUND, WITH POVERTY, UNEMPLOYMENT AND HEALTH-INSURED RATES VARYING WIDELY. OAKWOOD HEALTHCARE SYSTEM COMMUNITY POVERTY RATES RANGE FROM 2% TO 32%, WITH SOME INDIVIDUAL NEIGHBORHOODS OVER 70%. (THESE RATES COMPARE TO A 16.2% RATE FOR OUR STATE.) THE HEALTH UNINSURED RATE IS APPROXIMATELY 18.7% IN OUR GREATER DEARBORN REGION AND AVERAGES 15% ACROSS OUR SERVICE AREA. EMPLOYMENT IN OUR SERVICE AREA HAS BEEN DOMINATED BY THE AUTOMOTIVE INDUSTRY, WITH FORD MOTOR COMPANY OUR SERVICE AREAS LARGEST EMPLOYER AND OAKWOOD HEALTHCARE SYSTEM RANKING SECOND. OUR SERVICE AREA AND STATE CONTINUE TO FEEL THE EFFECTS OF A SUFFERING ECONOMY. AS THE AUTOMOTIVE INDUSTRY, ITS RELATED SUPPLIERS AND OTHER INDUSTRIES CONTINUE TO MAKE ECONOMIC ADJUSTMENTS, FORECLOSURE RATES IN OUR STATE CONTINUE TO REMAIN AMONGST THE HIGHEST IN THE NATION. WHILE MICHIGAN UNEMPLOYMENT RATES ARE AT 10.7%, (COMPARED TO 9.8% NATIONALLY), SOUTHEAST MICHIGAN RATES ARE HIGHER RATE THAN BOTH THE STATE AND NATION, WITH WAYNE COUNTY EXISTING AS ONE OF OUR STATE'S MOST UNEMPLOYED COUNTIES. WHILE THE LEADING CAUSES OF DEATH (I.E. HEART DISEASE, CANCER, STROKE) ARE THE SAME FOR OUR SERVICE AREA, STATE AND THE NATION, OUR SERVICE POPULATION EXHIBITS HIGHER LEVELS OF NEGATIVE RISK FACTORS AND BEHAVIORS (E.G. SMOKING, OBESITY) THAN THE STATE OR NATION. AND WHILE SOUTHEAST MICHIGAN IS BLESSED WITH NUMEROUS QUALITY HEALTHCARE PROVIDERS, MANY COMMUNITY MEMBERS FACE CHALLENGES (E.G. LACK OF EDUCATION, POOR BASIC HEALTH AWARENESS, LACK OF TRANSPORTATION, NO INSURANCE, LAYOFFS, WORKING POOR FAMILIES, AND HIGH RATES OF CRIME, VIOLENCE AND DRUG USE) THAT IMPACT ACCESS TO HEALTHCARE AND/OR AFFECT QUALITY OF LIFE. THE COMMUNITY INITIATIVES HIGHLIGHTED IN THIS NARRATIVE WERE DEVELOPED TO ADDRESS IDENTIFIED CHALLENGES FACED BY SPECIFIC COMMUNITIES AND POPULATIONS.
		PART VI, LINE 6: OAKWOOD HEALTHCARE SYSTEM AND ITS EMPLOYEES, BOARD MEMBERS, PHYSICIANS AND VOLUNTEERS ARE PROUD TO BE INVOLVED IN MAKING OUR COMMUNITY A HEALTHIER PLACE TO LIVE, WORK, AND PLAY.OUR GOVERNING BOARDS ARE COMPRISED OF BUSINESS, CIVIC AND COMMUNITY LEADERS WHO WORK AND/OR LIVE IN THE AREA, AND HAVE A STAKE IN COMMUNITY HEALTH IMPROVEMENT. BOARD MEMBERS ARE ACTIVELY ENGAGED IN OAKWOOD'S MISSION TO PROVIDE EXCELLENCE IN CARE, HEALING AND HEALTH TO THE INDIVIDUALS AND COMMUNITIES WE SERVE. A GOVERNING BOARD STRATEGIC PLANNING COMMITTEE AND MEDICAL STAFF STRATEGIC PLANNING COMMITTEE INTEGRATE THEIR PERSPECTIVES INTO BOTH SHORT AND LONG TERM VISIONING AND PLANNING GEARED TOWARD TO FULFILLING OUR MISSION.EACH OF OUR FOUR ACUTE CARE SITES FEATURES AN OPEN MEDICAL STAFF, WITH ELECTED LEADERSHIP AND ACTIVE COMMITTEE STRUCTURE. IN 2009, THE MEDICAL STAFF AT ONE OAKWOOD SITE EXEMPLIFIED ITS COMMITMENT TO COMMUNITY HEALTH IMPROVEMENT BY OPENING A FREE CLINIC TO SERVE THE PRIMARY CARE MEDICAL NEEDS OF ADULTS WHO WERE LAID OFF FROM FORD MOTOR COMPANY AND VISTEON AND, AS A RESULT, LOST THEIR HEALTH CARE COVERAGE. THE CLINIC IS STAFFED ON A VOLUNTEER BASIS, WITH IN-KIND DONATION OF SPACE AND CLINIC INFRASTRUCTURE COMING FROM OAKWOOD.A SIGNIFICANT PORTION OF THE OAKWOOD HEALTHCARE SYSTEM SERVICE AREA CONSISTS OF FEDERALLY MEDICALLY UNDERSERVED AREAS AS DESIGNATED BY HRSA (HEALTH RESOURCES AND SERVICES ADMINISTRATION). MULTI-LEVEL PARTNERSHIPS AND COLLABORATIONS WITH FEDERALLY QUALIFIED HEALTH CENTERS AND OTHER COMMUNITY BASED CLINICS ARE IN PLACE. DURING THE MID 2000'S, OAKWOOD WAS THE DRIVING FORCE BEHIND THE FIRST SUCCESSFUL FQHC (FEDERALLY QUALIFIED HEALTH CENTER) APPLICATION IN OUT-WAYNE COUNTY. OAKWOOD HAS MAINTAINED A STRONG COLLABORATIVE RELATIONSHIP WITH THAT AGENCY, WHICH NOW HAS TWO LOCATIONS TO BETTER MEET THE PRIMARY CARE NEEDS OF OUR UNINSURED AND UNDERINSURED COMMUNITY MEMBERS. WE ALSO ACTIVELY PARTICIPATE IN WORKGROUPS, COMMITTEES AND BOARDS ASSOCIATED WITH COMMUNITY PROGRAMS SUCH AS THE DETROIT WAYNE COUNTY HEALTH AUTHORITY AND THE VOICES OF DETROIT INITIATIVE-BOTH DEDICATED TO COLLABORATIVE, COMMUNITY BASED SOLUTIONS TO THE CHALLENGES OF THE UNINSURED. INITIATIVES ADDRESS THE NEED FOR ACCESS TO PRIMARY HEALTH CARE AS WELL AS DEVELOPMENT OF A BROAD BASED RESPONSE TO THE NEED FOR EMERGENCY DEPARTMENT DIVERSION FOR PATIENTS IDEALLY SERVED IN A PRIMARY CARE SETTING.IN ADDITION TO THE MANY COMMUNITY HEALTH IMPROVEMENT ACTIVITIES PRESENTED BY ITS COMMUNITY HEALTH, MEDICAL EDUCATION, SCHOOL BASED/SCHOOL LINKED HEALTH CENTERS AND OTHER DEPARTMENTS, OAKWOOD PRESENTS A RADIO PROGRAM FEATURING INFORMATION ABOUT PERSONAL AND FAMILY HEALTH PROMOTION. "CHAMPIONS OF CARE" IS BROADCAST EACH WEEK ON WJR, AN AM RADIO STATION WITH A STRONG GEOGRAPHIC SIGNAL THAT COVERS NOT ONLY OUR IMMEDIATE AREA, BUT ALSO A LARGE PORTION OF THE STATE AND EVEN PARTS OF THE MIDWESTERN REGION.MANY OF OUR EXECUTIVES, MANAGERS AND OTHER EMPLOYEES SERVE AS LEAD VOLUNTEERS OR BOARD DIRECTORS AND OFFICERS FOR KEY NON PROFIT AGENCIES AND GOVERNMENT COMMISSIONS IN THE REGION. THESE INCLUDE ORGANIZATIONS AND AUTHORITIES ASSOCIATED WITH HEALTH CARE, SOCIAL SERVICES, EDUCATION, MUNICIPAL GOVERNANCE, INDUSTRY AND TRADE GROUPS AS WELL AS SERVICE ORGANIZATIONS AND CHAMBERS OF COMMERCE. MANY OAKWOOD EMPLOYEES ALSO OFFER AD-HOC CONSULTING ADVICE.OAKWOOD HAS ALSO MAINTAINED LONG STANDING, DEMONSTRATED PARTNERSHIPS WITH VITAL COMMUNITY AGENCIES SUCH AS ACCESS (SERVING THE ARAB AMERICAN COMMUNITY AND OTHERS WITH HEALTH AND SOCIAL SERVICES AS WELL AS EMPLOYMENT PROGRAMS); SOUTHWEST SOLUTIONS (SOCIAL SERVICES AND HOUSING AGENCY); CABRINI, MAPI AND HOPE CLINICS (FREE MEDICAL CLINICS); FIRST STEP (DOMESTIC VIOLENCE AND SEXUAL ASSAULT RESPONSE AGENCY); AND WESTERN WAYNE FAMILY HEALTH CENTER (FQHC). WE OFFER THESE AGENCIES PROGRAMS AND SERVICES, IN KIND OR DISCOUNTED FEES FOR LAB SERVICES, AND COLLABORATE IN VARIOUS GRANT APPLICATIONS AND COLLABORATIVE PROGRAMS. PARTNERSHIPS ARE ALSO IN PLACE FOR REGIONAL WORKFORCE DEVELOPMENT AND HEALTH INFORMATION TECHNOLOGY. OAKWOOD STAFF ASSISTS IN COMMUNITY JOB FAIRS, AND GIVE JOB ADVICE, RESUME REVIEW AND CONDUCT MOCK INTERVIEWS.OTHER EXAMPLES INCLUDE OUR FOCUSED WORK AND COOPERATION WITH GIFT OF LIFE-MICHIGAN TO SUPPORT ORGAN DONATION AND A WELL DEVELOPED AND EXTENSIVE SPEAKERS BUREAU THAT OFFERS VOLUNTEER OAKWOOD SPEAKERS TO TALK TO COMMUNITY AND OTHER GROUPS ABOUT A BROAD RANGE OF TOPICS. OUR ARTS FOR THE SPIRIT PROGRAM OFFERS ART GALLERY SPACES AVAILABLE TO ALL, 24 HOURS A DAY IN OUR ACUTE CARE SITES AS WELL AS ART ACTIVITY SUCH AS COMMUNITY CREATIVE WRITING WORKSHOPS (WITH PUBLICATION OF A YEARLY JOURNAL) AS WELL AS HANDS-ON ART ACTIVITY CLASSES FOR ALL. WE HAVE A STRONG TRADITION OF BEING A PART OF OUR COMMUNITY, WITH SHARED VISION OF CREATING HEALTH AND WELLNESS FOR ALL AND CONTINUE TO EXPAND THAT OUTREACH WITH EVERY PASSING YEAR.
		PART VI, LINE 7: OAKWOOD HEALTHCARE SYSTEM ACTIVELY SUPPORTS THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH THE OAKWOOD FOUNDATION; EXAMPLES INCLUDE THE LINCOLN/JEFFERSON-BARNS SCHOOL HEALTHCARE CENTER; CHILD AND ADOLESCENT HEALTH CENTERS IN TAYLOR, ROMULUS, AND INKSTER; AN INFECTIOUS DISEASE CLINIC OFFERING CARE FOR BOTH HIV AND TB; THE CENTER FOR EXCEPTIONAL FAMILIES; AND, THE HEALTHY HEARTS FOR WOMEN PROGRAM. THESE AREAS OF FOCUS ARE BASED ON COMMUNITY INTEREST, AS IDENTIFIED THROUGH DESIGNATION OF DONATIONS, AND BASED ON COMMUNITY NEEDS IDENTIFIED IN THE ENVIRONMENTAL ASSESSMENT.OAKWOOD HEALTHCARE SYSTEM HAS A PROACTIVE APPROACH AND PLAN TO ASSIST WITH COMMUNITY CONCERNS RELATED TO COMPREHENSIVE DISASTER PLANNING AND PROTOCOLS FOR SUPPORTING THE COMMUNITY IN A TIME OF NEED. IN ADDITION, TRAUMA PROGRAMS AT EACH HOSPITAL REACH OUT TO THEIR SURROUNDING COMMUNITIES TO REDUCE INJURIES AND POSITIVELY IMPACT THE HEALTH OF THE COMMUNITY.OAKWOOD HEALTHCARE SYSTEM COLLABORATED WITH THE WAYNE COUNTY HEALTH AUTHORITY TO SUPPORT DEVELOPMENT OF A FEDERALLY QUALIFIED HEALTH CENTER (FQHC). THE FQHC OPENED IN 2006 IN THE CITY OF INKSTER TO SERVE THE UNINSURED AND UNDERINSURED POPULATION. THE WESTERN WAYNE FAMILY HEALTH CENTER IS THE RESULT OF A PARTNERSHIP BETWEEN OAKWOOD HEALTHCARE SYSTEM, STARFISH FAMILY SERVICES AND COMMUNITY LEADERS. THE FQHC PROVIDES PRIMARY CARE, MENTAL HEALTH SERVICES, AND DENTAL CARE. THIS PROVED TO BE SO BENEFICIAL TO THE COMMUNITY THAT A SECOND FQHC OPENED IN 2009 IN THE CITY OF TAYLOR THROUGH A PARTNERSHIP WITH THE WAYNE COUNTY HEALTH DEPARTMENT, COMMUNITY CARE SERVICES, AND THE CITY OF TAYLOR. RELATIONSHIPS WITH OTHER AREA FQHCS AND FREE CLINICS ARE ALSO IN PLACE TO SUPPORT SAFETY NET SERVICES TO THE COMMUNITY. OAKWOOD HEALTHCARE SYSTEM PARTICIPATES IN NUMEROUS CIVIC ORGANIZATIONS. SENIOR LEADERS PROMOTE EMPLOYEE PARTICIPATION IN COMMUNITY-BASED ORGANIZATIONS THROUGH STRATEGIES SUCH AS THE CLINICAL ADVANCEMENT PROGRAM, PARISH NURSING, AND THE BRAVO! RECOGNITION PROGRAM. CURRENT COMMUNITY SUPPORT ACTIVITIES INCLUDE: A FINANCIAL COMMITMENT TO CHARITY CARE, COMMUNITY HEALTH, THE OAKWOOD FOUNDATION, PROGRAMS CONDUCTED BY OAKWOOD HEALTHCARE SYSTEM, AND LEADERSHIP AND STAFF PARTICIPATION ON OVER 100 LOCAL, REGIONAL, AND NATIONAL BOARDS AND COMMITTEES.TO TRACK COMMUNITY SUPPORT ACTIVITIES, OAKWOOD HEALTHCARE SYSTEM MAINTAINS A COMMUNITY BENEFIT REPORTING SYSTEM THAT DELINEATES THE PROJECTS IT SUPPORTS, BOTH FROM A VOLUNTEER AND FINANCIAL STANDPOINT. CONTRIBUTIONS TO COMMUNITY HEALTH PROVIDED BY OAKWOOD HEALTHCARE SYSTEM'S COMMUNITY HEALTH DEPARTMENT ARE TRACKED THROUGH A COMPREHENSIVE DATABASE THAT RECORDS HOW MANY UNITS OF SERVICE ARE DELIVERED TO THE COMMUNITY THROUGH VARIOUS OAKWOOD HEALTHCARE SYSTEM PROGRAMS. A UNIT OF SERVICE IS DEFINED AS: RECEIPT OF A SCREENING TEST (SUCH AS A CHOLESTEROL OR BLOOD PRESSURE MEASUREMENT); PARTICIPATION IN A SINGLE SESSION OF A LECTURE OR CLASS; HAVING A ONE TIME FACE-TO-FACE ENCOUNTER WITH A HEALTH EDUCATOR ABOUT USE OF CAR SEATS; OR A CAR SEAT INSTALLATION INSPECTION. ON SOME OCCASIONS A USER MAY RECEIVE MORE THAN ONE SERVICE AT THE SAME ENCOUNTER. 51,500 UNITS OF SERVICE WERE DELIVERED IN 2010. OAKWOODS SCHOOL BASED/SCHOOL LINKED HEALTH CENTERS SERVED OVER 1100 YOUTH IN 2010, WITH HUNDREDS OF FAMILIES RECEIVING OUTREACH INFORMATION ABOUT MEDICAID AND HEALTHY KIDS INSURANCE COVERAGE AS WELL AS ENROLLMENT ASSISTANCE. ALMOST 10,000 CONTACTS WERE MADE WITH YOUTH FOR SUBSTANCE ABUSE AND VIOLENCE PREVENTION INFORMATION.
REPORTS FILED WITH STATES	PART VI, LINE 7	MI

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

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
OAKWOOD HEALTHCARE INC

Employer identification number
38-1405141

Part I

General Information on Grants and Assistance

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? ....................................

Yes No

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	(h) Purpose of grant or assistance
(1) CITY OF DEARBORNPO BOX 4000 DEARBORN,MI48126	38-6004605	GOVERNMENT	24,000	COMMUNITY SUPPORT
(2) CITY OF TAYLOR22805 GODDARD RD TAYLOR,MI48180	38-6006926	GOVERNMENT	10,000	COMMUNITY SUPPORT
(3) DETROIT ECONOMIC CLUB211 W FORT ST SUITE 505 DETROIT,MI48226	38-0508823	501(C)(3)	8,300	COMMUNITY SUPPORT
(4) DETROIT MEDICAL SOCIETY19545 SHREWSBURY RD DETROIT,MI48221	38-2254803	N/A	8,000	COMMUNITY SUPPORT
(5) DETROIT REGIONAL CHAMBER-CITIZENS FOR SMART FUTURE21 KERCHEVAL ST 355 GROSSE POINTE FARMS,MI48236	27-2715107	501(C)(6)	6,400	COMMUNITY SUPPORT
(6) FIRST STEP44567 PINETREE DR PLYMOUTH,MI48170	38-2208980	501(C)(3)	6,416	COMMUNITY SUPPORT
(7) FOUND OF MICH ASSN OF PHYS OF INDIAN ORG (MAPI)28230 ORCHARD LAKE RD SUITE 203 FARMINGTON HILLS,MI48334	38-3032459	501(C)(3)	10,000	COMMUNITY SUPPORT
(8) GREATER DETROIT AREA HEALTH COUNCIL333 W FORT STREET DETROIT,MI48226	38-1360904	501(C)(3)	11,825	COMMUNITY SUPPORT
(9) METROPOLITAN AFFAIRS COALITION535 GRISWOLD ST SUITE 300 DETROIT,MI48226	38-1602801	501(C)(3)	5,000	COMMUNITY SUPPORT
(10) MICHIGAN STATE UNIVERSITY-COLLEGE OF OSTEOPATHIC MEDICINEA308 EAST FEE HALL E LANSING,MI48824	38-6005984	501(C)(3)	9,000	COMMUNITY SUPPORT
(11) NAMI MICHIGAN921 N WASHINGTON LANSING,MI48906	38-2643038	501(C)(3)	20,000	COMMUNITY SUPPORT

Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image

Enter total number of other organizations ................................ . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

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
(1) HELPING HANDS - NEEDY EMPLOYEE ASSISTANCE	46	38,763
(2) EMPLOYEE SCHOLARSHIPS	80	88,774
(3) MEDICAL RESIDENTS STIPENDS	231	10,100,486

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: THE OAKWOOD HEALTHCARE SYSTEM MAKES CONTRIBUTIONS PRIMARILY TO ORGANIZATIONS THAT HAVE BEEN RECOGNIZED BY THE IRS AS TAX-EXEMPT CHARITABLE ORGANIZATIONS UNDER IRC SECTION 501(C)(3). GOVERNMENT GRANTS RECEIVED BY THE OAKWOOD HEALTHCARE SYSTEM ARE MONITORED BY THE RESPECTIVE DEPARTMENTS. OAKWOOD HEALTHCARE INC. FOLLOWS THE GUIDELINES AND IS SUBJECT TO AN A133 AUDIT ANNUALLY UPON MEETING THE EXPENDITURE THRESHOLD. THE OAKWOOD HEALTHCARE SYSTEM AWARDS SCHOLARSHIPS ANNUALLY TO EMPLOYEES. THE EMPLOYEES APPLY AND APPLICATIONS ARE REVIEWED BY AN IMPARTIAL SELECTION COMMITTEE. THE COMMITTEE IS COMPRISED OF REPRESENTATIVES FROM HUMAN RESOURCES, NURSING/ALLIED HEALTH, VOLUNTEER SERVICES, FINANCE AND THE FOUNDATION. APPLICANTS ARE SCORED USING SEVERAL KEY CRITERIA THEN RANKED ACCORDINGLY. THE OAKWOOD HEALTHCARE SYSTEM ALSO PROVIDES GRANTS TO EMPLOYEES IN THEIR GREATEST TIME OF NEED AS A RESULT OF PERSONAL CRISIS OR CATASTROPHIC EVENTS THROUGH THE HELPING HANDS FUND. THE HELPING HANDS FUND IS ADMINISTERED THROUGH HUMAN RESOURCES AND A COMMITTEE HAS BEEN ESTABLISHED TO REVIEW REQUESTS AND MAKE RECOMMENDATIONS. ELIGIBILITY CRITERIA HAVE BEEN ESTABLISHED WITH A MAXIMUM PAYMENT. IN CONJUNCTION WITH THE ORGANIZATION'S GRADUATE MEDICAL EDUCATION PROGRAM SUMMARIZED IN PROGRAM SERVICE ACCOMPLISHMENTS, OAKWOOD HEALTHCARE, INC. PAID MEDICAL RESIDENT STIPENDS IN THE AMOUNT OF $10,100,486 DURING 2010. OAKWOOD HEALTHCARE SYSTEM MONITORS USE OF GRANT FUNDS THROUGH ITS PAYROLL AND HUMAN RESOURCES DEPARTMENTS AS THESE GRANTS ARE GENERALLY MADE IN CONNECTION WITH THE EMPLOYEE'S COMPENSATION.

Schedule I (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

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

OAKWOOD HEALTHCARE INC

Employer identification number

38-1405141

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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....

Yes

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? ....

Yes

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

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.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

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 ............

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 .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

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
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) BRIAN CONNOLLY	(i) (ii)	647,887 0	297,531 0	307,392 0	419,337 0	9,679 0	1,681,826 0	101,897 0
(2) SAMIR DABBOUS MD	(i) (ii)	243,608 0	0 0	446 0	0 0	0 0	244,054 0	0 0
(3) MALCOLM HENOCH	(i) (ii)	328,793 0	135,300 0	51,772 0	115,002 0	17,315 0	648,182 0	67,696 0
(4) SETH LLOYD	(i) (ii)	246,164 0	0 0	10,797 0	6,145 0	2,633 0	265,739 0	0 0
(5) DOUGLAS WELDAY	(i) (ii)	364,172 0	174,379 0	103,284 0	179,050 0	22,903 0	843,788 0	74,254 0
(6) JOSEPH DIEDERICH	(i) (ii)	435,635 0	237,107 0	41,395 0	218,193 0	3,523 0	935,853 0	105,313 0
(7) PAUL CONWAY	(i) (ii)	190,301 0	81,850 0	50,006 0	74,988 0	18,785 0	415,930 0	37,495 0
(8) MAUREEN D'AGOSTINO	(i) (ii)	169,939 0	33,955 0	15,366 0	19,745 0	21,987 0	260,992 0	0 0
(9) MICHAEL GEHEB	(i) (ii)	387,448 0	189,196 0	52,622 0	160,325 0	17,931 0	807,522 0	83,077 0
(10) EDITH HUGHES	(i) (ii)	230,582 0	56,074 0	40,734 0	17,478 0	16,318 0	361,186 0	0 0
(11) BARBARA MEDVEC	(i) (ii)	196,323 0	80,729 0	30,081 0	74,691 0	3,911 0	385,735 0	39,046 0
(12) CARLA O'MALLEY	(i) (ii)	184,599 0	77,664 0	60,220 0	96,534 0	17,329 0	436,346 0	34,415 0
(13) PAULA SMITH	(i) (ii)	189,551 0	61,934 0	34,866 0	96,492 0	13,992 0	396,835 0	19,875 0
(14) MARY ZATINA	(i) (ii)	145,094 0	68,761 0	39,379 0	69,388 0	18,610 0	341,232 0	27,497 0
(15) ERIC WIDNER	(i) (ii)	234,085 0	30,261 0	41,791 0	15,235 0	8,448 0	329,820 0	0 0
(16) BRYCE ROSCHE	(i) (ii)	190,853 0	41,659 0	32,677 0	10,023 0	17,043 0	292,255 0	0 0
(17) JOHN KEUTEN	(i) (ii)	243,214 0	49,597 0	29,960 0	11,687 0	16,717 0	351,175 0	0 0
(18) BILL ISENSTEIN	(i) (ii)	317,794 0	23,546 0	49,168 0	11,354 0	18,351 0	420,213 0	0 0
(19) MARK BUSTAMANTE	(i) (ii)	267,100 0	35,517 0	23,400 0	16,633 0	22,979 0	365,629 0	0 0
(20) KEVIN JOSEPH SPRAGUE	(i) (ii)	192,828 0	688,432 0	48,801 0	11,785 0	11,202 0	953,048 0	0 0
(21) FREDERICK SONG CHUN JUNN	(i) (ii)	731,178 0	89,807 0	74,660 0	12,456 0	19,745 0	927,846 0	0 0
(22) JOHN JOSEPH FATH	(i) (ii)	580,755 0	87,500 0	8,748 0	11,668 0	12,925 0	701,596 0	0 0
(23) TEJPAUL SINGH PANNU	(i) (ii)	541,289 0	0 0	10,641 0	12,361 0	19,095 0	583,386 0	0 0
(24) ARTHUR L RIBA	(i) (ii)	430,515 0	151,718 0	43,831 0	34,142 0	1,085 0	661,291 0	0 0

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, LINE 1A	OAKWOOD HEALTHCARE, INC. HAS A FORMAL EXPENSE REIMBURSMENT POLICY, WHICH APPLIES TO ALL TYPES OF REIMBURSEMENT. OAKWOOD HEALTHCARE, INC. DOES NOT HAVE A SPECIFIC POLICY REGARDING THE PROVISION OF TAX GROSS-UP PAYMENTS. HOWEVER, CERTAIN COPORATE POLICIES (E.G. "EMPLOYEE RECOGNITION AWARDS") PROVIDE FOR TAX GROSS-UP PAYMENTS. ALSO, EXECUTIVE EMPLOYMENT AGREEMENTS PROVIDE FOR TAX GROSS-UP PAYMENTS AND DISCRETIONARY CHARITABLE SPENDING ACCOUNTS IN LIMITED INSTANCES. THE ORGANIZATION'S PAYROLL DEPARTMENT DETERMINED TAX GROSS-UP PAYMENTS WERE APPROPRIATE IN LIMITED INSTANCES WHERE AN INDIVIDUAL DID NOT HAVE A NET PAYMENT DUE TO THEM (E.G. TAXABLE VALUE OF GUEST TRAVEL) IN THE TAX YEAR AND THE FINANCIAL IMPACT WAS MINOR.
	PART I, LINE 4B	OAKWOOD HEALTHCARE, INC. HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) THAT IS LIMITED TO THE FOLLOWING PARTICIPANTS: BRIAN CONNOLLY, PRESIDENT AND CEO; J. JOSEPH DIEDERICH, EVP AND COO; DOUGLAS WELDAY, EVP AND CFO; AND MICHAEL GEHEB, SITE PRESIDENT - OAKWOOD HOSPITAL AND MEDICAL CENTER. DURING 2010, MR. CONNOLLY RECEIVED A PAYMENT OF $217,552 AND MR. WELDAY RECEIVED A PAYMENT OF $35,118 PURSUANT TO THE PLAN PROVISIONS.
SUPPLEMENTAL INFORMATION	PART III	PART I, LINE 5A: OAKWOOD HEALTHCARE, INC. HAS SHORT-TERM AND LONG-TERM INCENTIVE PLANS FOR EXECUTIVES. INCENTIVE AWARDS ARE CALCULATED BASED ON THE ACHIEVEMENT OF MULTIPLE TARGETS, INCLUDING THE ATTAINMENT OF GROSS REVENUE TARGETS. PART I, LINE 5B: OAKWOOD HEALTHCARE, INC.'S GROSS REVENUE TARGETS, USED FOR PURPOSES OF DETERMINING SHORT-TERM AND LONG-TERM INCENTIVE AWARDS FOR EXECUTIVES, INCLUDE THE REVENUES OF OAKWOOD HEALTHCARE, INC. AND ITS AFFILIATE ORGANIZATIONS.

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

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
OAKWOOD HEALTHCARE INC

Employer identification number
38-1405141

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
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	MICHIGAN STATE HOSPITAL FINANCE AUTHORITY	38-2889417	59465E5E9	11-13-2003	138,465,000	REFUNDING 1993		X		X		X
B	MICHIGAN STATE HOSPITAL FINANCE AUTHORITY	38-2889417	59465HGA8	04-24-2007	106,875,000	FIN. HOSPITAL/PARTIAL REFUNDING 1994/1995		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired. . . . .	55,670,000		9,460,000
2 Amount of bonds defeased . . . .
3 Total proceeds of issue . . . .	138,465,000		107,305,653
4 Gross proceeds in reserve funds . .	13,846,500		7,701,679
5 Capitalized interest from proceeds.
6 Proceeds in refunding escrow. . . . .
7 Issuance costs from proceeds . . .	1,172,186		906,933
8 Credit enhancement from proceeds.
9 Working capital expenditures from proceeds . .
10 Capital expenditures from proceeds . .	25,000,000		25,000,000
11 Other spent proceeds . .
12 Other unspent proceeds. . .
13 Year of substantial completion . . .	2008		2008
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue?	X		X
15 Were the bonds issued as part of an advance refunding issue?		X		X
16 Has the final allocation of proceeds been made? . .	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .	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
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .		X		X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

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
b Are there any research agreements that may result in private business use of bond-financed property? . .		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
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 . . . . . . . . . . . . .
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 .
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

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
2 Is the bond issue a variable rate issue?		X		X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?		X		X
b Name of provider .	NA		NA
c Term of hedge . .
d Was the hedge superintegrated? .
e Was a hedge terminated? .
4a Were gross proceeds invested in a GIC? .	X			X
b Name of provider .	CITIGROUP GBL MKTS INC GIC #45041811		NA
c Term of GIC . .	10.000000000000
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .	X
5 Were any gross proceeds invested beyond an available temporary period? .		X		X
6 Did the bond issue qualify for an exception to rebate? . . .		X		X

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
FORM 990, SCHEDULE K, PART 1 & PART II		DIFFERENCES BETWEEN THE ISSUE PRICE (PART I, COLUMN (E)) AND TOTAL PROCEEDS OF ISSURE (PART II, LINE 3 (B)) ARE DUE TO INVESTMENT EARNINGS.

Schedule K (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

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

OAKWOOD HEALTHCARE INC

Employer identification number

38-1405141

Identifier	Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 3		OAKWOOD HEALTHCARE, INC. HAS OUTSOURCED THE MANAGEMENT DUTIES OF DIETARY SERVICES, CLINICAL ENGINEERING, FACILITY SERVICES, ENVIRONMENTAL SERVICES, LAUNDRY SERVICES AND NON-CLINICAL SERVICES WITHIN THE COMPANY'S PHYSICIAN PRACTICE DIVISION. ALL COMPANIES ENGAGED TO PROVIDE MANAGERIAL SERVICES FOR THE ORGANIZATION REPORT DIRECTLY TO SITE ADMINISTRATORS AND/OR CORPORATE DIRECTORS EMPLOYED BY OAKWOOD HEALTHCARE, INC.
FORM 990, PART VI, SECTION B, LINE 11		THE ORGANIZATION'S PROCESS FOR PREPARATION AND REVIEW OF FORM 990 INCLUDES PREPARATION BY AN OUTSIDE ACCOUNTING FIRM AND REVIEW BY LEADERSHIP WITHIN THE FINANCE DEPARTMENT. THE FORM 990 WAS THEN PRESENTED TO THE ORGANIZATION'S AUDIT AND COMPLIANCE COMMITTEE. FINALLY, THE FORM 990 WAS REVIEWED AT A REGULARLY SCHEDULED MEETING OF THE ORGANIZATION'S BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS.
	FORM 990, PART VI, SECTION B, LINE 12C	OAKWOOD HEALTHCARE, INC. ANNUALLY REQUIRES ITS BOARD MEMBERS, EXECUTIVE LEADERSHIP (INCLUDING OFFICERS AND KEY EMPLOYEES) AND CERTAIN INDEPENDENT CONTRACTORS TO REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. PERIODIC (ONCE A YEAR) CONFLICTS EDUCATION IS PROVIDED TO BOARD MEMBERS AND OTHER PERSONS WHO ATTEND THE BOARD MEETING WHERE SUCH EDUCATION IS PROVIDED. BOARD MEMBERS, EXECUTIVE LEADERS AND KEY INDEPENDENT CONTRACTORS ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST ON AN ANNUAL BASIS BY COMPLETING A WRITTEN QUESTIONNAIRE. OAKWOOD HEALTHCARE, INC.'S DIRECTOR OF BOARD RELATIONS IS RESPONSIBLE FOR ENSURING 100% COMPLIANCE WITH THE DISCLOSURE PROCESS AND ANY POTENTIAL CONFLICT IS CLEARED BY THE DIRECTOR OF BOARD RELATIONS PURSUANT TO THE CONFLICT OF INTEREST POLICY. FAILURE TO COMPLY WITH THE REQUEST FOR DISCLOSURE COULD RESULT IN REMOVAL FROM THE BOARD. ANNUAL CONFLICT DISCLOSURE STATEMENTS, INCLUDING RESPONSES REQUIRED FOR FORM 990 DISCLOSURE PURPOSES, ARE REVIEWED BY THE OAKWOOD HEALTHCARE, INC. BUSINESS PRACTICES OFFICER (COMPLIANCE OFFICER), THE DIRECTOR OF BOARD RELATIONS, THE SR VP OF ORGANIZATIONAL EXCELLENCE, ACCREDITATION & COMPLIANCE, THE PRESIDENT & CEO, THE BOARD CHAIRPERSONS AND GENERAL COUNSEL. PERSONS REVIEWING THE DISCLOSURES ADDRESS ANY QUESTIONS TO THE RESPONDENT TO ENSURE COMPLETENESS OF RESPONSE. BOARD MEMBERS, EXECUTIVES, OTHER EMPLOYEES AND PARTIES INVOLVED IN TRANSACTIONS WITH THE REPORTING ORGANIZATION ARE REQUIRED TO DECLARE POTENTIAL CONFLICTS VIA THE WRITTEN RESPONSE. IF A POTENTIAL CONFLICT ARISES AFTER SUBMISSION OF THE WRITTEN RESPONSE, THE PARTY MUST AFFIRMATIVELY DISCLOSE SUCH POTENTIAL AS OUTLINED IN THE CONFLICTS STATEMENT. THIS POLICY IS OUTLINED IN THE COVER LETTER THAT IS SENT WITH THE REQUEST FOR WRITTEN RESPONSE TO THE CONFLICT OF INTEREST POLICY. THE RECIPIENT IS DIRECTED TO REPORT A CONFLICT THAT ARISES AT ANY TIME IMMEDIATELY TO THE PRESIDENT AND CEO OR DIRECTOR OF BOARD RELATIONS. IN THE EVENT A POTENTIAL CONFLICT IS RAISED IN THE WRITTEN RESPONSE AND THE INDIVIDUAL HAS NOT PREVIOUSLY RAISED THE POTENTIAL CONFLICT WITH APPROPRIATE PERSONS, THE POTENTIAL CONFLICT WILL BE RAISED EITHER BY THE BOARD CHAIR, OUTSIDE GENERAL COUNSEL, THE DIRECTOR OF BOARD RELATIONS OR ANY OTHER MEMBER OR MEETING PARTICIPANT BASED ON THEIR REVIEW OF THE ANNUAL DISCLOSURE STATEMENTS. IN THE EVENT IT IS DETERMINED THAT A CONFLICT IN FACT EXISTS, THE CONFLICTED PARTY IS RESTRICTED TO COMMUNICATING FACTUAL INFORMATION REGARDING THE TRANSACTION OR DECISION AND IS NOT PERMITTED TO PARTICIPATE IN BOARD DELIBERATIONS OR VOTING ON THAT MATTER. POTENTIAL AND ACTUAL CONFLICTS THAT ARE REPORTED AS PART OF THE ANNUAL WRITTEN STATEMENT OR OTHERWISE BROUGHT TO THE BOARD'S ATTENTION ARE RECORDED IN THE BOARD MINUTES, ALONG WITH THE BOARD'S ACTION TAKEN IN RESPONSE TO THE CONFLICT.
	FORM 990, PART VI, SECTION B, LINE 15	OAKWOOD HEALTHCARE, INC. DETERMINES OR APPROVES THE COMPENSATION OF ALL OFFICERS, TRUSTEES, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES. ON AN ANNUAL BASIS, AN INDEPENDENT CONSULTANT IS ENGAGED BY THE EXECUTIVE COMMITTEE OF THE BOARD AND EVALUATES THE COMPENSATION PACKAGES OF THE PRESIDENT, CEO AND OTHER SENIOR EXECUTIVES. THE CONSULTANT REVIEWS THE COMPETITIVENESS OF THESE EXECUTIVES' COMPENSATION RELATIVE TO MARKET COMPENSATION LEVELS AND ENSURES THAT SHORT- AND LONG-TERM INCENTIVE PLAN PAYMENTS ARE COMMENSURATE WITH ACTUAL BUSINESS PERFORMANCE. IN ITS ANNUAL REVIEWS, THE CONSULTANT UTILIZES MULTIPLE PUBLISHED COMPENSATION SURVEYS TO COMPARE THE BASE SALARY LEVELS AND SHORT- AND LONG-TERM INCENTIVE AWARD OPPORTUNITIES OF THE PRESIDENT AND CEO AND OTHER SENIOR EXECUTIVES RELATIVE TO COMPARABLE EXECUTIVE POSITIONS AT OTHER HEALTHCARE ORGANIZATIONS ACROSS THE COUNTRY WITH APPROXIMATELY $1.0B IN ANNUAL NET REVENUE. THE ANNUAL REVIEW MEETS THE REQUIREMENTS FOR OBTAINING AN INDEPENDENT COMPENSATION STUDY FOR PURPOSES OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR EXECUTIVE COMPENSATION. IN GATHERING RELEVANT MARKET COMPENSATION DATA FOR ITS EVALUATION, THE CONSULTANT FOLLOWS ITS STANDARD AND GENERALLY ACCEPTED METHODOLOGY FOR STUDIES OF EXECUTIVE COMPENSATION IN TAX EXEMPT ORGANIZATIONS, INCLUDING THE FOLLOWING STEPS: A)RESEARCHING THE FACTS AND CIRCUMSTANCES SPECIFIC TO OAKWOOD HEALTHCARE, INC. AND SUBSIDIARIES (E.G., ORGANIZATIONAL STRUCTURE, BUSINESS GOALS, FINANCIAL PERFORMANCE, AND OTHER RELEVANT FACTORS ABOUT THE ORGANIZATION); B)UNDERSTANDING THE DUTIES AND SCOPE OF RESPONSIBILITIES OF THE EXECUTIVE POSITIONS IN ORDER TO MATCH THE POSITIONS TO SIMILAR POSITIONS USING RELEVANT SURVEY SOURCES; AND C)ANALYZING MARKET DATA TO DERIVE AN ASSESSMENT OF THE COMPETITIVE RANGE OF MARKET PRACTICE FOR TOTAL COMPENSATION FOR EACH EXECUTIVE POSITION. FOLLOWING THE COMPLETION OF ITS ANNUAL COMPENSATION EVALUATIONS, THE CONSULTANT CONSULTS WITH THE PRESIDENT AND CEO REGARDING THE COMPENSATION OF OTHER SENIOR EXECUTIVES. SIMILARLY, THE CONSULTANT CONSULTS DIRECTLY WITH OAKWOOD HEALTHCARE, INC.'S EXECUTIVE COMMITTEE OF THE BOARD TO DEVELOP RECOMMENDATIONS REGARDING THE COMPENSATION OF THE PRESIDENT AND CEO, ABSENT THE PRESENCE OF THE PRESIDENT AND CEO FOR THESE DISCUSSIONS. IN SUMMARY, OAKWOOD HEALTHCARE, INC. AND THE CONSULTANT FOLLOW THE FOLLOWING GUIDELINES IN REVIEWING AND FINALIZING THE PAY OF SENIOR EXECUTIVES: A)THE COMPENSATION ARRANGEMENTS ARE APPROVED BY THE INDEPENDENT MEMBERS OF THE BOARD EXECUTIVE COMMITTEE; B)THE EXECUTIVE COMMITTEE OBTAINS AND RELIES UPON APPROPRIATE DATA AS TO COMPARABILITY; E.G., COMPENSATION PAID BY SIMILARLY-SITUATED ORGANIZATIONS FOR POSITIONS WITH SIMILAR SCOPES OF RESPONSIBILITY; AND C)THE COMMITTEE DOCUMENTS THE BASIS FOR ITS DETERMINATIONS; I.E., THE RECORDS INCLUDE THE ELEMENTS OF COMPENSATION CONSIDERED, THE DECISIONS MADE, AND THE RATIONALE FOR THE DECISIONS.
	FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION TO THE PUBLIC UPON REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 5:	NET UNREALIZED GAINS ON INVESTMENTS: 13,391,655. PRIOR PERIOD ADJUSTMENTS: 6. WRITE DOWN OF SOFTWARE IMPLEMENTATION -6,417,686. INTERUNIT TRANSFERS 3,204,157. PENSION & POSTRETIREMENT LIAB ADJ -16,315,737. TOTAL TO FORM 990, PART XI, LINE 5: -6,137,605.
HOURS DEVOTED TO RELATED ORGANIZATIONS:	FORM 990, PART VII:	IN ADDITION TO THE HOURS DEVOTED TO OAKWOOD HEALTHCARE, INC., LIZABETH ARDISANA, MARK ANTHONY BUSTAMANTE, BRIAN CONNOLLOY, PAUL CONWAY, SAMIR DABBOUS, MAUREEN D'AGOSTINO, JOSEPH DIEDERICH, MICHEL GEHEB, MALCOM HENOCH, EDITH HUGHES, BILL ISENSTEIN, LEON JUDD, JOHN KEUTEN, ROBERT KRAMER, RICHARD KUGHN, JOHN LEWIS, SETH LLOYD, BARBARA MEDVEC, MARTIN MULLOY, JERRY NORCIA, TIMOTHY O'BRIEN, CARLA O'MALLEY, LESTER ROBINSON, BRYCE ROSCHE, ROBERT ROSOWSKI, THOMAS SAELI, EDGAR SCRIBNER, BALA SETTY, PAULA SMITH, DOUGLAS WELDAY, ERIC WIDNER, MARY ZATINA, DEVOTE TIME WEEKLY TO SEVERAL ORGANIZATIONS. THEIR TIME IS SPLIT AS FOLLOWS: LIZABETH ARDISANA DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. MARK ANTHONY BUSTAMANTE DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. BRIAN CONNOLLY DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES; 1 HOUR TO OAKWOOD UNITED HOSPITALS, INC.; 4 HOURS TO OAKWOOD HEALTH FOUNDATION; AND 1 HOUR TO OAKWOOD MEDICAL ENTERPRISES, INC. & SUBS. PAUL CONWAY DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. SAMIR DABBOUS DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. MAUREEN D'AGOSTINO DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. JOSEPH DIEDERICH DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES; 1 HOUR TO OAKWOOD UNITED HOSPITALS, INC.; 4 HOURS TO OAKWOOD HEALTH FOUNDATION, AND 2 HOURS TO OAKWOOD HEALTH PROMOTIONS. MICHAEL GEHEB DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES; AND 1 HOUR TO OAKWOOD UNITED HOSPITAL, INC. MALCOM HENOCH DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. EDITH HUGHES DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. BILL ISENSTEIN DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. LEON JUDD DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES; AND 1 HOUR TO OAKWOOD UNITED HOSPITALS, INC. ROBERT KRAMER DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES;AND 1 HOUR TO OAKWOOD HEALTH FOUNDATION. RICHARD KUGHN DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES; 1 HOUR TO OAKWOOD HEALTH CARE SERVICES; AND 1 HOUR TO OAKWOOD HEALTH FOUNDATION. JOHN LEWIS DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. SETH LLOYD DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES; 1 HOUR TO OAKWOOD UNITED HOSPITALS, INC.; 1 HOUR TO OAKWOOD MEDICAL ENTERPRISES, INC. & SUBS.; AND 1 HOUR TO MIDWEST MEDICAL CENTER. BARBARA MEDVEC DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. MARTIN MULLOY DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. JERRY NORCIA DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. TIMOTHY O'BRIEN DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. CARLA O'MALLEY DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES; AND 40 HOURS TO OAKWOOD HEALTH FOUNDATION. LESTER ROBINSON DEVOTES APPROXIMAATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. BRYCE ROSCHE DEVOTES APPROXIMAATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. ROBERT ROSOWSKI DEVOTES APPROXIMATELY 1HOUR TO OAKWOOD HOME CARE SERVICES; AND 1 HOUR TO OAKWOOD HEALTH FOUNDATION. THOMAS SAELI DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. EDGAR SCRIBNER DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. BALA SETTY DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. PAULA SMITH DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. DOUGLS WELDAY DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES; 1 HOUR TO OAKWOOD UNITED HOSPITALS, INC.; 2 HOURS TO OAKWOOD HEALTH PROMOTIONS; 20 HOURS TO OAKWOOD MEDICAL ENTERPRISES, INC. & SUBS,; AND 5 HOURS TO MIDWEST MEDICAL CENTER. MARY ZATINA DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES.
PRIVATE BUSINESS USE:	SCHEDULE K, PART III, LINE 3C:	OAKWOOD HEALTHCARE SYSTEM ROUTINELY ENGAGES IN-HOUSE COUNSEL TO REVIEW MANAGEMENT AND SERVICE CONTRACTS.

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:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

OAKWOOD HEALTHCARE INC

Employer identification number

38-1405141

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) AMBULATORY MEDICAL CLINICS PLLC 15500 LUNDY PARKWAY DEARBORN,MI48126 32-0072212	AMBULATORY MEDICAL SERVICES	MI			N/A
(2) OAKWOOD GROUP VIII LLC 15500 LUNDY PARKWAY DEARBORN,MI48126 30-0326803	AMBULATORY MEDICAL SERVICES	MI			N/A
(3) OAKWOOD GROUP VII LLC 15500 LUNDY PARKWAY DEARBORN,MI48126 30-0326800	AMBULATORY MEDICAL SERVICES	MI			N/A
(4) OAKWOOD CRITICAL CARE LLC 15500 LUNDY PARKWAY DEARBORN,MI48126 38-3582590	AMBULATORY MEDICAL SERVICES	MI			N/A
(5) OAKWOOD HEALTHCARE GROUP III LLC 15500 LUNDY PARKWAY DEARBORN,MI48126 38-3513234	AMBULATORY MEDICAL SERVICES	MI			N/A
(6) OAKWOOD YOUTH PROGRAMS LLC 15500 LUNDY PARKWAY DEARBORN,MI48126 38-3532225	AMBULATORY MEDICAL SERVICES	MI			N/A
(7) NEUROSOURCE LLC 15500 LUNDY PARKWAY DEARBORN,MI48126 38-3532220	AMBULATORY MEDICAL SERVICES	MI			N/A
(8) OAKWOOD GROUP IX LLC 15500 LUNDY PARKWAY DEARBORN,MI48126 38-3593302	AMBULATORY MEDICAL SERVICES	MI			N/A
(9) OAKWOOD AMBULATORY LLC 15500 LUNDY PARKWAY DEARBORN,MI48126 38-3593303	AMBULATORY MEDICAL SERVICES	MI			N/A
(10) OAKWOOD HEALTHCARE GROUP II LLC 15500 LUNDY PARKWAY DEARBORN,MI48126 38-3513233	AMBULATORY MEDICAL SERVICES	MI			N/A
(11) OAKWOOD PROFESSIONAL BILLING 15500 LUNDY PARKWAY DEARBORN,MI48126 38-3532227	AMBULATORY MEDICAL SERVICES	MI			N/A
(12) OAKWOOD CANTON IMAGING LLC 15500 LUNDY PARKWAY DEARBORN,MI48126 26-0120158	RADIOLOGY SERVICES	MI			N/A
(13) OAKWOOD INFUSION SERVICES LLC 1633 FAIRLANE CIRCLE SUITE 165 ALLEN PARK,MI48101 31-1552387	HOME INFUSION SERVICES	MI	226,524	1,271,659	N/A
(14) OAKWOOD HEALTHCARE GROUP I LLC 15500 LUNDY PARKWAY DEARBORN,MI48126 38-3513232	AMBULATORY MEDICAL SERVICES	MI			N/A
(15) OAKWOOD ACCOUNTABLE CARE ORGANIZATION LLC 15500 LUNDY PARKWAY DEARBORN,MI48126 27-4627368	HEALTHCARE MANAGEMENT	MI

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
(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	Yes	No
(1) OAKWOOD UNITED HOSPITALS INC 15500 LUNDY PARKWAY DEARBORN,MI48126 38-2837961	PROVIDE FACILITIES FOR OAKWOOD HEALTHCARE INC.	MI	501(C)(3)	SCHEDULE A, LINE 11A	N/A	Yes
(2) OAKWOOD HOME CARE SERVICES 1633 FAIRLANE CIRCLE NO 100 ALLEN PARK,MI48101 38-2877338	HOME HEALTH SERVICES	MI	501(C)(3)	SCHEDULE A, LINE 9	N/A	Yes
(3) OAKWOOD HEALTH PROMOTIONS INC 16351 ROTUNDA DRIVE DEARBORN,MI48120 38-2601965	ASSISTED AND RESIDENT CARE FACILITIES	MI	501(C)(3)	SCHEDULE A, LINE 9	N/A	Yes
(4) OAKWOOD HEALTHCARE FOUNDATION 15500 LUNDY PARKWAY DEARBORN,MI48126 38-3432073	SUPPORT OAKWOOD HEALTHCARE INC'S HEALTH CARE SYSTEM	MI	501(C)(3)	SCHEDULE A, LINE 11A	N/A	Yes
(5) MICHIGAN MOBILE PET IMAGING 15500 LUNDY PARKWAY DEARBORN,MI48126 33-1086165	MOBILE PET SCANNING	MI	501(C)(3)	SCHEDULE A, LINE 11C	N/A	Yes

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

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 VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) DEARBORN SCHAEFFER OFFICE COMPANY LLC ONE TOWNE SQUARE SUITE 1600 SOUTHFIELD,MI48076 26-2448025	REAL ESTATE	MI	N/A	INVESTMENT	-551,417	52,994,528		No			No	99.000 %
(2) SLEEP APNEA SPECIALTY CENTER LLC 15500 LUNDY PARKWAY DEARBORN,MI48126 02-0779595	HEALTH CARE	MI	N/A	RELATED	85,314	102,523		No		Yes		30.580 %
(3) MAPLE MILLENNIUM MEDICAL CENTER LLC 5456 MAPLE ROAD STERLING HEIGHTS,MI48310 90-0096984	AMBULATORY SURGICAL CENTER	MI	N/A	RELATED		10,000,000		No			No	100.000 %

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) OAKWOOD ENTERPRISES INC 15500 LUNDY PARKWAY DEARBORN,MI48126 38-2601930	NON-RESIDENTIAL LEASING	MI	N/A	C	8,540,884	30,780,829	100.000 %
(2) BIOMEDICAL DEVICES INC 15500 LUNDY PARKWAY DEARBORN,MI48126 38-2831548	INACTIVE	MI	OAKWOOD ENTERPRISES INC	C			100.000 %
(3) OAKWOOD ASSURANCE COMPANY LTD BARCLAYS HOUSE 3RD FLOOR SHEDDEN GEORGETOWN,GRAND CAYMAN, BWI CJ 98-0128325	REINSURANCE	CJ	N/A	C			100.000 %
(4) MIDWEST MEDICAL CENTER 15500 LUNDY PARKWAY DEARBORN,MI48126 26-3683446	HEALTH CARE SERVICES	MI	N/A	C	22,325,973	5,930,721	100.000 %

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

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 . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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) OAKWOOD HEALTHCARE FOUNDATION	C	4,881,175	CAPITAL CONTRIBUTIONS TO OTHERS
(2) OAKWOOD HEALTHCARE FOUNDATION	B	2,792,043	CAPITAL CONTRIBUTIONS TO OTHERS
(3) OAKWOOD HEALTHCARE FOUNDATION	O	2,760,713	COST
(4) OAKWOOD HEALTH PROMOTIONS INC	P	8,680,302	COST
(5) OAKWOOD HEALTH PROMOTIONS INC	O	84,092	COST
(6) OAKWOOD HOMECARE SERVICES	P	2,515,147	COST
(7) OAKWOOD ENTERPRISES INC	J	3,411,821	COST
(8) OAKWOOD ENTERPRISES INC	P	3,684,749	COST
(9) OAKWOOD ASSURANCE COMPANY LTD	Q	5,043,100	COST
(10) OAKWOOD ASSURANCE COMPANY LTD	R	5,852,120	COST
(11) OAKWOOD UNITED HOSPITALS INC	Q	3,763,476	COST

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 VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

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
	SCHEDULE R, PART V	TRANSACTIONS WITH RELATED ORGANIZATIONS - AMOUNTS INVOLVED: AMOUNTS REPORTED AT SCHEDULE R, PART V, LINE 2, COLUMN (C) ARE PER THE ORGANIZATION'S BOOKS AND RECORDS WHICH ARE KEPT IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES.

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PROVIDE EXCELLENCE IN CARE, HEALING AND HEALTH TO THE INDIVIDUALS AND COMMUNITIES WE SERVE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	13
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	9,619
6	Total number of volunteers (estimate if necessary) ....	6	1,056
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	13,655,688
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	1,257,250

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	6,724,287	6,500,809
9	Program service revenue (Part VIII, line 2g) .........	983,829,730	1,039,313,369
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	2,370,751	21,848,521
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	4,075,230	3,973,257
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	996,999,998	1,071,635,956
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	10,413,115	10,420,364
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)	473,520,365	493,798,683
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 3,228,748
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	502,768,569	521,177,822
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	986,702,049	1,025,396,869
19	Revenue less expenses. Subtract line 18 from line 12......	10,297,949	46,239,087
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	887,015,660	977,794,295
21	Total liabilities (Part X, line 26)............	618,209,173	668,886,326
22	Net assets or fund balances. Subtract line 21 from line 20 .....	268,806,487	308,907,969

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 670,790,021 including grants of $ 319,878 ) (Revenue $ 968,433,525 )
	PATIENT CARE SERVICESOAKWOOD HEALTHCARE SYSTEM (OHS) OPERATES FOUR ACUTE CARE HOSPITALS AND 40 PRIMARY CARE/SPECIALTY CARE SITES. WITH A TOTAL OF 1,281 LICENSED ACUTE CARE BEDS, OAKWOOD CARED FOR APPROXIMATELY 58,000 ADMISSIONS AND AVERAGED A DAILY INPATIENT CENSUS OF 785 PATIENTS IN 2010. WITH ALMOST 189,000 EMERGENCY ROOM VISITS ACROSS FIVE LOCATIONS AND 199,800 ACUTE CARE OUTPATIENT REGISTRATIONS, OAKWOOD OFFERS A COMPREHENSIVE MENU OF SERVICES ACROSS THE CONTINUUM, INCLUDING TRAUMA, ACUTE CARE, REHABILITATION AND MENTAL HEALTH SERVICES. OAKWOOD CURRENTLY HOLDS APPROXIMATELY 37% OF THE INPATIENT MARKET SHARE IN A PRIMARY SERVICE AREA COVERING 500 SQUARE MILES SERVING A POPULATION OF ALMOST 1 MILLION PEOPLE. OAKWOOD CLINICIANS DELIVER EVIDENCE BASED CARE USING PROTOCOLS AND STANDARD ORDER SETS AND WAS THE FIRST SYSTEM IN SOUTHEASTERN MICHIGAN TO VOLUNTARILY PROVIDE QUALITY AND PRICING INFORMATION ON ITS WEBSITE. OAKWOOD HAS DEVELOPED A SET OF KEY SERVICE LINES THAT REPRESENT NEARLY 48% OF THE INPATIENT ADMISSIONS. THE SERVICE LINES FOCUS ON HEART AND VASCULAR SERVICES, WOMENS HEALTH, ORTHOPAEDICS, NEUROSCIENCES AND CANCER CARE.

4b	(Code: ) (Expenses $ 59,794,615 including grants of $ 10,100,486 ) (Revenue $ 32,676,449 )
	GRADUATE MEDICAL EDUCATIONOAKWOOD OFFERS ALLOPATHIC, OSTEOPATHIC AND PODIATRIC MEDICAL RESIDENCY PROGRAMS TO ENHANCE THE DELIVERY OF PATIENT CARE. THERE ARE APPROXIMATELY 90 FACULTY AND OVER 200 MEDICAL RESIDENTS COVERING 21 PROGRAMS. PROGRAMS INCLUDE PRIMARY CARE SPECIALTIES, OB/GYN, GERIATRICS, RADIOLOGY, PODIATRY, TRANSITIONAL EDUCATION AND OTHERS. OAKWOOD PARTICIPATES IN WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE (WSU SOM) SPONSORED PROGRAMS INCLUDING OTOLARYNGOLOGY, UROLOGY, PHYSICAL MEDICINE AND REHABILITATION AND ORTHOPAEDICS RESIDENCY PROGRAMS. ALL OF THE ALLOPATHIC RESIDENCY PROGRAMS ARE AFFILIATED WITH THE NATIONALLY RANKED WSU SOM. THE OSTEOPATHIC PROGRAMS ARE AFFILIATED WITH MICHIGAN STATE UNIVERSITY'S COLLEGE OF OSTEOPATHIC MEDICINE. THE RESIDENCY PROGRAMS HAVE FILLED NEARLY 100% OF THEIR SLOTS OFFERED IN THE MATCH OVER THE LAST 3 YEARS AND HAVE GRADUATING CLASSES WITH NEAR 90% BOARD PASS RATES OVER THE LAST 3 YEARS AS WELL. THE SYSTEM PARTICIPATES IN APPROXIMATELY 15 CLINICAL TRIALS AND IS ACTIVE IN ORIGINAL RESEARCH. OAKWOOD'S MEDICAL EDUCATION PROGRAMS ARE ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION AND THE AMERICAN OSTEOPATHIC ASSOCIATION.

4c	(Code: ) (Expenses $ 95,274,347 including grants of $ ) (Revenue $ )
	UNCOMPENSATED AND UNDER-COMPENSATED CARE SERVICESOAKWOOD'S UNCOMPENSATED CARE FOR OUR COMMUNITIES IS EXEMPLIFIED BY CARE PROVIDED TO NEEDY PERSONS NEEDING EMERGENCY AND INPATIENT CARE AS WELL AS OTHER SERVICES. OAKWOOD DELIVERED PATIENT CARE SERVICES TO OUR COMMUNITY'S UN-INSURED AND UNDER-INSURED THROUGH OUR CHARITY CARE (OAKASSIST) PROGRAM. OAKWOOD WROTE OFF OVER 14,700 CASES AT AN ESTIMATED $70 MILLION IN CHARGES AT A COST OF APPROXIMATELY $22 MILLION TO CHARITY CARE IN 2010. FEDERAL POVERTY GUIDELINES, ABSENCE OF ASSETS, CREDIT SCORES AND A NUMBER OF OTHER CRITERIA ARE USED TO ENSURE THAT OAKWOOD PROVIDES THE CARE TO THE MOST DESERVING OF OUR POPULATION. ANOTHER COMPONENT TO OAKWOOD'S TOTAL UNCOMPENSATED CARE IS MADE UP OF BAD DEBT AND LOSSES INCURRED ON MEDICAID BUSINESS. IN 2010, OAKWOOD WROTE OFF APPROXIMATELY $76.7 MILLION IN BAD DEBT AT A COST OF APPROXIMATELY $25.2 MILLION. IN ADDITION, 17% TO 18% OF OAKWOOD'S PATIENT REVENUE IS FROM THE MEDICAID PROGRAMS. UNFORTUNATELY, MEDICAID REIMBURSEMENT IS INSUFFICIENT TO COVER COSTS OF THE CARE AND FALLS SHORT BY APPROXIMATELY $48.9 MILLION. IN TOTAL, OAKWOOD PROVIDED ALMOST $95.3 MILLION IN UNCOMPENSATED CARE IN 2010 AS WE LIVE UP TO OUR MISSION OF PROVIDING EXCELLENCE IN HEALTH AND HEALING TO ALL THOSE IN THE COMMUNITIES WE SERVE.

4d	Other program services. (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 825,858,983

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	11,584,261	0	2,027,218

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		4,881,175
e	Government grants (contributions)1e		1,619,634

f	All other contributions, gifts, grants, and similar amounts not included above1f
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			6,500,809
			Business Code
2a	PATIENT CARE SERVICES		900,099	1,006,636,920	965,941,703	13,622,835	27,072,382
b	GRADUATE MEDICAL EDU.		900,099	32,676,449	32,676,449
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			1,039,313,369
3	Investment income (including dividends, interest
	and other similar amounts).....			10,860,247			10,860,247
4	Income from investment of tax-exempt bond proceeds..
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross Rents	1,034,721
b	Less: rental expenses	1,035,285
c	Rental income or (loss)	-564
d	Net rental income or (loss).......			-564	-23,148	22,584
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	352,943,331	325,706
b	Less: cost or other basis and sales expenses	342,099,940	180,823
c	Gain or (loss)	10,843,391	144,883
d	Net gain or (loss)..........			10,988,274			10,988,274
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	GIFT SHOP		900,099	1,163,513			1,163,513
b	CAFETERIA REVENUE		624,410	984,662			984,662
c	CHILD CARE		453,220	655,537			655,537
d	All other revenue ....			1,170,109		10,269	1,159,840
e	Total. Add lines 11a–11d ......			3,973,821
12	Total revenue. See Instructions....			1,071,635,956	998,595,004	13,655,688	52,884,455


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			-4,190,938	1	-1,148,700
2	Savings and temporary cash investments .......			44,334,228	2	41,101,219
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			84,060,339	4	88,724,809
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 .............			1,330,969	7	2,331,288
8	Inventories for sale or use ..............			14,196,166	8	13,599,949
9	Prepaid expenses and deferred charges ............			10,606,947	9	7,110,319
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	914,269,858
b	Less: accumulated depreciation. .....	10b	619,542,001	319,842,577	10c	294,727,857
11	Investments—publicly traded securities ..........			313,648,611	11	346,689,245
12	Investments—other securities. See Part IV, line 11 ......				12
13	Investments—program-related. See Part IV, line 11 ..			34,746,888	13	39,579,162
14	Intangible assets .........			6,362,778	14	15,010,461
15	Other assets. See Part IV, line 11 ...........			62,077,095	15	130,068,686
16	Total assets. Add lines 1 through 15 (must equal line 34)...			887,015,660	16	977,794,295
17	Accounts payable and accrued expenses .			92,489,198	17	106,896,226
18	Grants payable ..........				18
19	Deferred revenue ..........			532,308	19	495,437
20	Tax-exempt bond liabilities ..........			343,310,067	20	329,021,835
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			3,090	21
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 ..			8,037,096	23	5,852,429
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....			173,837,414	25	226,620,399
26	Total liabilities. Add lines 17 through 25.....			618,209,173	26	668,886,326
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			268,806,487	27	308,907,969
28	Temporarily restricted net assets .....				28
29	Permanently restricted net assets .....				29
	Organizations that do not follow SFAS 117, check here 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 .....			268,806,487	33	308,907,969
34	Total liabilities and net assets/fund balances .....			887,015,660	34	977,794,295

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................	Yes	No