Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 01-01-2013 , 2013, and ending 12-31-2013
BCheck if applicable:
CName of organization
WILLIAM BEAUMONT HOSPITAL
 
Doing Business As
BEAUMONT HEALTH SYSTEM
 
Number and street (or P.O. box if mail is not delivered to street address)
16500 WEST TWELVE MILE ROAD
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SOUTHFIELD, MI480762975
D Employer identification number

38-1459362
E Telephone number

G Gross receipts $ 3,473,721,583
F Name and address of principal officer:
EUGENE MICHALSKI
16500 WEST TWELVE MILE ROAD
SOUTHFIELD,MI480762975
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
HTTPS://WWW.BEAUMONT.EDU
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1956
M State of legal domicile: MI
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: TO PROVIDE THE HIGHEST QUALITY HEALTHCARE SERVICES TO ALL OF OUR PATIENTS EFFICIENTLY, EFFECTIVELY AND COMPASSIONATELY, REGARDLESS OF WHERE THEY LIVE OR THEIR FINANCIAL CIRCUMSTANCES.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 26
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 19
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 22,742
6 Total number of volunteers (estimate if necessary) ............. 6 2,500
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 1,530,523
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 1,363,677
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 27,804,654 32,983,457
9 Program service revenue (Part VIII, line 2g) ......... 2,169,521,928 2,235,008,786
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 43,398,857 59,704,661
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 96,689,034 90,805,030
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 2,337,414,473 2,418,501,934
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 25,421,299 26,024,062
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 1,201,978,326 1,260,158,824
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet6,487,322    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 1,009,805,428 1,053,958,133
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 2,237,205,053 2,340,141,019
19 Revenue less expenses. Subtract line 18 from line 12....... 100,209,420 78,360,915
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 2,752,330,922 2,818,505,326
21 Total liabilities (Part X, line 26)............. 1,796,338,321 1,515,556,369
22 Net assets or fund balances. Subtract line 21 from line 20..... 955,992,601 1,302,948,957
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: WILLIAM BEAUMONT HOSPITAL WILL PROVIDE THE HIGHEST QUALITY HEALTHCARE SERVICES TO ALL ITS PATIENTS SAFELY, EFFECTIVELY AND COMPASSIONATELY, REGARDLESS OF WHERE THEY LIVE OR THEIR FINANCIAL CIRCUMSTANCES.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,078,425,601 including grants of $ 12,794,144 ) (Revenue $ 1,155,541,891 )
WILLIAM BEAUMONT HOSPITAL (DBA BEAUMONT HEALTH SYSTEM ("SYSTEM"), A MICHIGAN NON-PROFIT CORPORATION, OPERATES A BROAD NETWORK OF HEALTH CARE DELIVERY ORGANIZATIONS IN OAKLAND, MACOMB AND WAYNE COUNTIES IN SOUTHEASTERN MICHIGAN. AT ITS CORE, BEAUMONT'S FOCUS IS TO PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES SAFELY, EFFECTIVELY AND COMPASSIONATELY TO ALL PATIENTS IRRESPECTIVE OF THEIR ABILITY TO PAY. THE SYSTEM HAS THREE ACUTE CARE HOSPITALS WITH A TOTAL LICENSED BED COMPLEMENT OF 1,778 BEDS. FOR THE TAX YEAR ENDED DECEMBER 31, 2013, BEAUMONT'S HOSPITALS REGISTERED 98,401 ADMISSIONS, 76,650 TOTAL SURGERIES, 9,358 BIRTHS AND 238,280 EMERGENCY ROOM VISITS. BEAUMONT OPENED ON JAN. 24, 1955, AS A 238-BED COMMUNITY HOSPITAL IN ROYAL OAK, MICHIGAN. TODAY, THAT HOSPITAL IS A 1,070-BED MAJOR ACADEMIC AND REFERRAL CENTER WITH LEVEL I TRAUMA STATUS. IT WAS MICHIGAN'S FIRST MAGNET-DESIGNATED HOSPITAL FOR NURSING EXCELLENCE AND IT IS AN ASSOCIATE MEMBER OF THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS.A SECOND BEAUMONT HOSPITAL OPENED IN TROY IN 1977 AS A 200-BED ACUTE CARE COMMUNITY TEACHING HOSPITAL. IT IS NOW AMONG THE NATION'S BUSIEST COMMUNITY HOSPITALS WITH 458 BEDS. IN 2009, TROY RECEIVED MAGNET STATUS.IN OCTOBER 2007, BEAUMONT BECAME A REGIONAL HEALTH PROVIDER WHEN IT ACQUIRED A THIRD COMMUNITY HOSPITAL WITH 250 BEDS IN GROSSE POINTE.OVER NINETY MEDICAL AND SURGICAL SPECIALTIES ARE REPRESENTED ON THE BEAUMONT MEDICAL STAFFS OF OVER 3,100 PHYSICIANS. A MAJOR TEACHING FACILITY, BEAUMONT HAS 40 ACCREDITED RESIDENCY AND FELLOWSHIP PROGRAMS WITH MORE THAN 450 RESIDENTS AND FELLOWS AND PARTNERED WITH OAKLAND UNIVERSITY TO ESTABLISH THE OAKLAND UNIVERSITY WILLIAM BEAUMONT SCHOOL OF MEDICINE IN 2011. FOR UNDERGRADUATE TRAINING, BEAUMONT IS AFFILIATED WITH THE UNIVERSITY OF MICHIGAN AND WAYNE STATE UNIVERSITY SCHOOLS OF MEDICINE. BEAUMONT ALSO HAS NURSING AFFILIATIONS WITH AREA SCHOOLS, INCLUDING A TOP-RANKED CERTIFIED REGISTERED NURSE ANESTHETIST SCHOOL.AMONG OTHER RECOGNIZED INPATIENT DIVISIONS, BEAUMONT OPERATES HEART, CANCER AND UROLOGY CENTERS WHERE PATIENTS IN THE COMMUNITY AND PATIENTS FROM AROUND THE WORLD RECEIVE STATE OF THE ART TREATMENT WITHOUT REGARD TO THEIR FINANCIAL CIRCUMSTANCES.AS PART OF ITS COMMITMENT TO THE COMMUNITY AND SURROUNDING AREAS, BEAUMONT OPERATES A HIGHLY-REGARDED NEONATAL INTENSIVE CARE UNIT WHICH CARES FOR THE SICKEST BABIES.REGARDING CARE FOR SENIORS IN ITS COMMUNITY, BEAUMONT HAS SPECIAL GERIATRIC SERVICES DEDICATED TO SERVING OLDER ADULTS AND THEIR FAMILIES WITH STATE OF THE ART TECHNOLOGY, TEAMS OF SPECIALISTS AND A HOST OF PROGRAMS SPECIALLY DESIGNED FOR SENIOR CITIZENS.
4b (Code:   ) (Expenses $ 962,285,134 including grants of $ 11,416,285 ) (Revenue $ 980,429,700 )
BEAUMONT'S MISSION EXTENDS BEYOND ITS CAMPUSES WHERE IT IS A LEADER IN PROVIDING OUTPATIENT HEALTH CARE SERVICES TO ALL MEMBERS OF THE COMMUNITY, INCLUDING MEDICAID PATIENTS, UNDERINSURED PATIENTS AND PATIENTS WITH NO INSURANCE AT ALL.THE SYSTEM ALSO INCLUDES NUMEROUS COMMUNITY-BASED MEDICAL CENTERS IN MACOMB, OAKLAND AND WAYNE COUNTIES, HOUSING TWO FAMILY MEDICINE CENTERS, PHYSICIAN OFFICES, AN AMBULATORY SURGICAL CENTER, DIAGNOSTIC RADIOLOGY, LABORATORY AND REHABILITATION SERVICES; EXTENDED CARE CENTERS IN BLOOMFIELD HILLS, SHELBY TOWNSHIP, ST. CLAIR SHORES, SOUTHFIELD AND WEST BLOOMFIELD AND AN ASSISTED-LIVING FACILITY IN ST. CLAIR SHORES; IN-HOME CARE SERVICES INCLUDE NURSING, INFUSION, MEDICAL EQUIPMENT AND HOSPICE AND BEAUMONT HEALTH CENTER IN ROYAL OAK, WITH OUTPATIENT REHABILITATION SERVICES, AN INTERVENTIONAL PAIN CENTER, AN ANTICOAGULATION MEDICINE SERVICE, A HYPERBARIC MEDICINE PROGRAM AND THE BEAUMONT WEIGHT CONTROL. IN 2013, BEAUMONT RECORDED 2,270,842 OUTPATIENT ANCILLARY VISITS SYSTEM-WIDE. ALL OF THESE OUTPATIENT SERVICES ARE PROVIDED TO PATIENTS ON A NON- DISCRIMINATORY BASIS AND IRRESPECTIVE OF ABILITY TO PAY.
4c (Code:   ) (Expenses $ 152,872,182 including grants of $ 1,813,633 ) (Revenue $ 155,759,177 )
THE EMERGENCY CARE CENTERS AT THE THREE HOSPITALS IN THE SYSTEM ARE STAFFED AND EQUIPPED TO HANDLE THE MOST SEVERE ILLNESSES AND INJURIES AS WELL AS MINOR TRAUMAS THAT REQUIRE MEDICAL ATTENTION. BEAUMONT, ROYAL OAK IS A LEVEL 1 TRAUMA CENTER DESIGNATED BY THE AMERICAN COLLEGE OF SURGEONS. THE SYSTEM TREATED 238,280 INDIVIDUALS IN ITS EMERGENCY CENTERS IN 2013. BEAUMONT PROVIDES THESE MEDICAL SERVICES REGARDLESS OF THE PATIENT'S ABILITY TO PAY AND TREATS EVERYONE REGARDLESS OF THEIR FINANCIAL CIRCUMSTANCES.
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet2,193,582,917
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III
Click to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
Yes
 
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IVClick to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV... Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions).... Click to see attachment
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III................... Click to see attachment
19
Yes
 
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II.................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV .......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV
..................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M............. Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
902
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
4
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
22,742
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
26
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
19
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletDONNA ZUK16500 WEST TWELVE MILE ROADSOUTHFIELDMI480762975 (248) 423-2459
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

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

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

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

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) MAUREEN BOWMAN........................................................................
DIRECTOR
50.00
.......................  
X           272,775 0 26,407
(2) BETTY CHU MD........................................................................
DIRECTOR
50.00
.......................  
X           112,344 0 -9,838
(3) LUKE ELLIOTT MD........................................................................
DIRECTOR
50.00
.......................  
X           238,139 0 25,658
(4) DEBRA GUIDO-ALLEN........................................................................
DIRECTOR
50.00
.......................  
X           229,574 0 8,952
(5) PEGGY NOWAK MD........................................................................
DIRECTOR
50.00
.......................  
X           128,911 0 -4,889
(6) PHYLLIS REYNOLDS........................................................................
DIRECTOR
50.00
.......................  
X           157,721 0 20,172
(7) NANCY SUSICK........................................................................
PRESIDENT - TROY
50.00
.......................  
X           406,696 0 29,520
(8) BARBARA J MAHONE........................................................................
VICE CHAIRMAN
6.00
.......................  
X           0 0 0
(9) BENNIE W FOWLER II........................................................................
DIRECTOR
6.00
.......................  
X           775 0 0
(10) GALE R COLWELL........................................................................
DIRECTOR
6.00
.......................  
X           0 0 0
(11) GEOFFREY L HOCKMAN........................................................................
DIRECTOR
6.00
.......................  
X           0 0 0
(12) HADLEY MACK FRENCH........................................................................
DIRECTOR
6.00
.......................  
X           0 0 0
(13) JAMES I ROSENTHAL........................................................................
VICE CHAIRMAN
6.00
.......................  
X           0 0 0
(14) JOHN P HARTWIG........................................................................
DIRECTOR
6.00
.......................  
X           0 0 0
(15) MARK SHAEVSKY........................................................................
DIRECTOR
6.00
.......................  
X           0 0 0
(16) ROBERT C EMDE........................................................................
DIRECTOR
6.00
.......................  
X           0 0 0
(17) ROBERT S TAUBMAN........................................................................
DIRECTOR
6.00
.......................  
X           0 0 0
Form 990 (2013)
Form 990 (2013)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) STEPHEN R HOWARD........................................................................
CHAIRMAN
6.00
.......................  
X           0 0 0
(19) SUSAN E COOPER........................................................................
DIRECTOR
6.00
.......................  
X           0 0 0
(20) VAN E CONWAY........................................................................
DIRECTOR
6.00
.......................  
X           0 0 0
(21) WALTER J WOLPIN........................................................................
DIRECTOR
6.00
.......................  
X           0 0 0
(22) S EVAN WEINER........................................................................
VICE CHAIRMAN
6.00
.......................  
X           0 0 0
(23) WARREN ELLIOTT ROSE........................................................................
DIRECTOR
6.00
.......................  
X           1,520 0 0
(24) THOMAS ANDERSON PHD........................................................................
DIRECTOR
6.00
.......................  
X           0 0 0
(25) CHRISTOPHER J BLAKE........................................................................
TREASURER
6.00
.......................  
X   X       0 0 0
(26) MARTHA JAMES QUAY........................................................................
SECRETARY
6.00
.......................  
X   X       0 0 0
(27) EUGENE F MICHALSKI........................................................................
PRESIDENT AND CEO
50.00
.......................  
X   X       6,352,508 0 -17,420
(28) ANANIAS C DIOKNO MD........................................................................
EXEC VP AND CMO
50.00
.......................  
X           622,784 0 -2,978
(29) NICKOLAS A VITALE........................................................................
EXEC VP AND CFO
50.00
.......................  
    X       567,920 0 44,861
(30) THOMAS M BRISSE........................................................................
EXEC VP AND COO
50.00
.......................  
      X     586,237 0 -10,618
(31) SHANE CERONE........................................................................
PRESIDENT - ROYAL OAK
50.00
.......................  
      X     477,969 0 85,304
(32) SAMUEL FLANDERS MD........................................................................
EXEC VP - QUALITY & SAFETY
50.00
.......................  
      X     653,901 0 85,250
(33) DONNA HOBAN MD........................................................................
SR VP- PHYSICIAN IN CHIEF
50.00
.......................  
      X     395,329 0 31,839
(34) JAY HOLDEN........................................................................
SR VP - HUMAN RESOURCES
50.00
.......................  
      X     345,248 0 15,169
(35) JAMES LYNCH MD........................................................................
SR VP - PHYSICIAN IN CHIEF
50.00
.......................  
      X     373,460 0 57,661
(36) LESLIE ROCHER MD........................................................................
SR VP - PHYSICIAN IN CHIEF
50.00
.......................  
      X     607,085 0 27,349
(37) SUBRA SRIPADA........................................................................
EXEC VP & CIO
50.00
.......................  
      X     529,765 0 59,288
(38) RICHARD SWAINE........................................................................
PRESIDENT - GROSSE POINTE
50.00
.......................  
      X     368,224 0 21,395
(39) DAVID WOOD MD........................................................................
EXEC VP AND CMO
50.00
.......................  
      X     885,292 0 103,194
(40) GREGORY J RAISS MD........................................................................
DIAGNOSTIC RADIOLOGY
50.00
.......................  
        X   1,019,405 0 57,884
(41) SAMIR NOUJAIM MD........................................................................
MEDICAL DIRECTOR IMAGING
50.00
.......................  
        X   1,055,161 0 -70,976
(42) ALAN KOFFRON MD........................................................................
HEALTH SYSTEM CHAIR - SURGERY
50.00
.......................  
        X   865,261 0 40,373
(43) ROBERT S MORDEN MD........................................................................
CHIEF OF PEDIATRIC SURGERY
50.00
.......................  
        X   853,775 0 65,927
(44) MARC SAKWA MD........................................................................
CHIEF OF CARDIOLOGY SURGERY
50.00
.......................  
        X   1,060,259 0 29,031
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 19,168,038 0 718,515
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet1,400
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
CARDIOLOGY ASSOCIATES PC27901 WOODWARD SUITE 300BERKLEYMI48702 CARDIOLOGY 12,112,663
MICHIGAN HEART GROUP PC4600 INVESTMENT DRIVE SUITE 200TROYMI48098 CARDIOLOGY 10,999,202
HOME REHAB SERV OF MI LLC39312 WOODWARD SUITE 100BLOOMFIELD HILLSMI48304 REHABILITATION 7,609,446
ORGAN PROCUREMENT OF MICHIGAN3861 RESEARCH PARK DRIVEANN ARBORMI48108 ORGAN PROCUREMENT 2,872,100
INTELLIGENT CONNECTIONS LLC1025 N CAMPBELL ROADROYAL OAKMI48067 SOFTWARE SUPPORT 2,389,946
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet127
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 1,683,488
b Membership dues....1b  
c Fundraising events....1c 1,078,886
d Related organizations...1d  
e Government grants (contributions)1e 2,499,620
f All other contributions, gifts, grants, and
similar amounts not included above
1f
27,721,463
g Noncash contributions included in lines
1a-1f:$
996,585
h Total. Add lines 1a-1f.......MediumBullet 32,983,457
 Program Service RevenueAmt Business Code
2a INPATIENT 900099 1,098,791,696 1,098,791,696    
b OUTPATIENT 621500 980,457,913 980,429,700 28,213  
c EMERGENCY 900099 155,759,177 155,759,177    
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 2,235,008,786
 OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 13,214,549     13,214,549
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents 2,032,975  
b Less: rental expenses 1,661,169  
c Rental income or (loss) 371,806  
d Net rental income or (loss).......MediumBullet 371,806     371,806
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 1,068,158,000 229,803
b Less: cost or other basis and sales expenses 1,021,536,458 361,233
c Gain or (loss) 46,621,542 -131,430
d Net gain or (loss)..........MediumBullet 46,490,112     46,490,112
8a Gross income from fundraising events (not including
$ 1,078,886
of contributions reported on line 1c). See Part IV, line 18 ..
a 590,903
b Less: direct expenses ...b 798,680
c Net income or (loss) from fundraising events..MediumBullet -207,777   -207,777
9a Gross income from gaming activities.
See Part IV, line 19 ...
a 23,407
b Less: direct expenses ...b 27,243
c Net income or (loss) from gaming activities...MediumBullet -3,836     -3,836
10a Gross sales of inventory, less
returns and allowances .
a 44,581,458
b Less: cost of goods sold ..b 30,834,866
c Net income or (loss) from sales of inventory..MediumBullet 13,746,592   884,873 12,861,719
Miscellaneous Revenue Business Code
11a CAFE, TV & PHONE 900099 19,530,613     19,530,613
b ASSETS REL FROM RESTRI 900099 8,926,715 8,926,715    
c UBI PARTNERSHIPS/OTHER 900099 617,437   617,437  
d All other revenue .... 47,823,480 47,823,480    
e Total. Add lines 11a–11d ...... MediumBullet 76,898,245
12 Total revenue. See Instructions......MediumBullet 2,418,501,934 2,291,730,768 1,530,523 92,257,186
Form 990 (2013)
Form 990 (2013)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
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 United States. See Part IV, line 21 147,301 147,301
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 25,876,761 25,876,761
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 14,910,455   14,910,455  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 992,774,765 939,467,131 49,701,777 3,605,857
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 61,306,501 57,572,753 3,518,873 214,875
9 Other employee benefits ....... 121,261,531 114,704,541 6,023,548 533,442
10 Payroll taxes ........... 69,905,572 65,154,885 4,489,681 261,006
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 4,074,782 1,175,351 2,899,431  
c Accounting ........... 596,700   596,700  
d Lobbying ........... 150,590   150,590  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 1,515,884   1,515,884  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 133,057,840 125,088,500 7,612,436 356,904
12 Advertising and promotion .... 5,620,685 318,228 5,298,926 3,531
13 Office expenses ....... 20,490,296 16,196,378 4,222,302 71,616
14 Information technology ...... 4,497,030 373,718 4,123,312  
15 Royalties .. 166,706 166,706    
16 Occupancy ........... 52,243,852 50,421,197 1,574,310 248,345
17 Travel ............ 5,236,120 4,216,532 924,043 95,545
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 1,293,092 1,200,661 86,051 6,380
20 Interest ........... 50,960,305 50,960,305    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 174,112,510 168,773,583 5,229,780 109,147
23 Insurance .............. 10,997,493 10,661,321 330,313 5,859
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 346,747,572 346,747,572    
b BAD DEBT PROVISION 92,896,702 92,896,702    
c TAXES 53,736,967 53,736,967    
d UBI TAX PROVISION 450,000   450,000  
e All other expenses 95,113,007 67,725,824 26,412,368 974,815
25 Total functional expenses. Add lines 1 through 24e 2,340,141,019 2,193,582,917 140,070,780 6,487,322
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 3,361,111 1 3,784,358
2 Savings and temporary cash investments ......... 172,084,307 2 118,626,716
3 Pledges and grants receivable, net ........... 19,322,053 3 21,449,517
4 Accounts receivable, net ............. 336,639,952 4 366,695,241
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 25,635,632 8 25,856,590
9 Prepaid expenses and deferred charges .......... 39,930,581 9 19,963,062
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 3,353,823,732
b Less: accumulated depreciation ..... 10b 2,027,741,540 1,362,117,703 10c 1,326,082,192
11 Investments—publicly traded securities .......... 470,035,942 11 591,318,679
12 Investments—other securities. See Part IV, line 11 ..... 107,668,668 12 126,532,399
13 Investments—program-related. See Part IV, line 11 ..... 987,218 13 917,789
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 214,547,755 15 217,278,783
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 2,752,330,922 16 2,818,505,326
Liabilities 17 Accounts payable and accrued expenses ......... 231,901,165 17 251,510,649
18 Grants payable .................   18  
19 Deferred revenue ................   19  
20 Tax-exempt bond liabilities ............. 898,862,755 20 893,192,466
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 74,664 21 0
22 Loans and other 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 .. 77,742,834 23 64,937,222
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 587,756,903 25 305,916,032
26 Total liabilities. Add lines 17 through 25......... 1,796,338,321 26 1,515,556,369
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 886,711,311 27 1,229,472,328
28 Temporarily restricted net assets ........... 47,590,495 28 49,477,234
29 Permanently restricted net assets ........... 21,690,795 29 23,999,395
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 955,992,601 33 1,302,948,957
34 Total liabilities and net assets/fund balances ........ 2,752,330,922 34 2,818,505,326
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
2,418,501,934
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
2,340,141,019
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
78,360,915
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
955,992,601
5
Net unrealized gains (losses) on investments ...............
5
382,621
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
268,212,820
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
1,302,948,957
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number

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

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).  
12
12
 
13
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
14
14
 
15
15
 
16a
b
17a
b
18
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2013

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Name of the organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number

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





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, 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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 2
Name of organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number

38-1459362
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

   
RESTRICTED
RESTRICTED
RESTRICTED, RESTRICTEDRESTRICTED

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 3
Name of organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number

38-1459362
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 4
Name of organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number

38-1459362
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total 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 $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  

Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data


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

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

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.SchCMd Bullet Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number

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

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

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

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

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










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2013

Schedule C (Form 990 or 990-EZ) 2013
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 SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ....... 150,590  
c Total lobbying expenditures (add lines 1a and 1b) ................... 150,590  
d Other exempt purpose expenditures ........................ 2,338,993,110  
e Total exempt purpose expenditures (add lines 1c and 1d) ............... 2,339,143,700  
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
1,000,000  
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) ................. 250,000  
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................ 0  
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................ 0  
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) Total
2a Lobbying nontaxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
b Lobbying ceiling amount
(150% of line 2a, column(e))
6,000,000
c Total lobbying expenditures 183,587 171,965 173,497 150,590 679,639
d Grassroots nontaxable amount 250,000 250,000 250,000 250,000 1,000,000
e Grassroots ceiling amount
(150% of line 2d, column (e))
1,500,000
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2013


Schedule C (Form 990 or 990-EZ) 2013
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)).
For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
 
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
 
 
i
Other activities? ..........................
 
 
 
j
Total. Add lines 1c through 1i ...............................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C (Form 990 or 990EZ) 2013

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number

38-1459362
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 14,145,231 12,370,953 11,876,757 11,048,571 10,356,027
b Contributions ........ 1,433,775 1,756,881 475,611 792,825 692,544
c Net investment earnings, gains, and losses 31,401 17,397 18,585 35,361  
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........
         
f Administrative expenses ....          
g End of year balance ...... 15,610,407 14,145,231 12,370,953 11,876,757 11,048,571
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet100.000 %
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land ................. 1,601,045 68,412,423 70,013,468
b Buildings ................ 8,704,381 632,611,862 351,370,578 289,945,665
c Leasehold improvements ............ 167,273 23,133,670 14,525,976 8,774,967
d Equipment ................ 5,627,201 2,263,770,154 1,591,830,157 677,567,198
e Other ................. 2,806,690 346,989,033 70,014,829 279,780,894
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 1,326,082,192
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) BED LICENSES 16,676,455
(2) CASH WHOSE USE IS LIMITED 14,330,187
(3) DEBT RESERVE FUNDS 59,484,468
(4) DEFERRRED COMPENSATION 39,010,222
(5) INVESTMENT IN CONSOLIDATED SUBSIDIARIES 1,069,365
(6) MEDICAL PROFESSIONAL LIABILITY FUND 49,747,196
(7) MEDICAL SCHOOL NAMING RIGHTS 16,449,452
(8) OTHER, NET 401,513
(9) STUDENT LOANS AND OTHER 12,721,985
(10) UNAMORTIZED BOND ISSUANCE COSTS 7,387,940
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 217,278,783
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
ASSET RETIREMENT OBLIGATION FAS 143 4,998,741
DEFERRED COMPENSATION 38,186,166
DEFERRED RENT CREDITS 180,217
ESTIMATED THIRD PARTY PAYABLE 13,371,033
LOSSES IN EXCESS OF COST 8,571,296
MEDICAL PROFESSIONAL LIABILITY FUND 64,880,053
OTHER LIABILITIES, NET -1,939,356
PENSION LIABILITY 150,048,482
POST EMPLOYMENT BENEFITS 9,054,331
POST RETIREMENT BENEFITS 18,565,069
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 305,916,032
2. Liability for uncertain tax positions In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 XIII.) ............ 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 XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 XIII.) ............ 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 XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART IV, LINE 2B: THE LIABILITY IS ZERO AT DECEMBER 31, 2013.
PART V, LINE 4 EARNINGS ON ENDOWMENT FUNDS SUPPORT HOSPITAL AND CHARITABLE MISSION.
Schedule D (Form 990) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image 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.Right pointing arrow large image Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number

38-1459362
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.
1
For grantmakers.Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? ...............................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (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 and investments
in region
CENTRAL AMERICA AND THE CARIBBEAN   0 INVESTMENT   120,000
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 0 0 120,000
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 0 120,000
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
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. Part II can be duplicated 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 non-cash
assistance
(h) Description
of non-cash
assistance
(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 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
 
3
Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013Page 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.
Part III can be duplicated 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) 2013
Schedule F (Form 990) 2013
Page 4
Part IV
Foreign Forms
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, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................
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, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................
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)..............................
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, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................
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)....................................
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)................................................
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
ReturnReference Explanation
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2013
Additional Data


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Software Version:  



SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
right arrowInformation about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number

38-1459362
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.
(i) Name and address of individual
or entity (fundraiser)
(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity
(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i)
(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
(a) Event #1

DRIVE TO BEAT BREAST CANCER
(event type)
(b) Event #2

STARS GUITARS AUCTION
(event type)
(c) Other events

12
(total number)
(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 204,365 294,059 1,171,365 1,669,789
2 Less: Contributions . . 99,711 80,018 899,157 1,078,886
3 Gross income (line 1
minus line 2) . . .
104,654 214,041 272,208 590,903
VerticalDirectExpenses 4 Cash prizes . . .        
5 Noncash prizes . .        
6 Rent/facility costs . . 73,421 2,808 314,373 390,602
7 Food and beverages .        
8 Entertainment . . .        
9 Other direct expenses . 7,219 73,178 327,681 408,078
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 798,680
11 Net income summary. Subtract line 10 from line 3, column (d)........... right arrow -207,777
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo
(c) Other gaming (d) Total gaming (add col.(a) through col.(c))
1 Gross revenue . . . .     23,407 23,407
VerticalDirectExpenses 2 Cash prizes . . . .     3,700 3,700
3 Non-cash prizes . . .     23,543 23,543
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
%
%
100.000 %
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow 27,243
8 Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow -3,836
9
Enter the state(s) in which the organization operates gaming activities: MI
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 3
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ..........................
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
%
b
An outside facility ........................
13b
100.000 %
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
ALVINA RHODES
Address right arrow
16500 WEST TWELVE MILE ROAD
SOUTHFIELD,MI480762975
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).
Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2013
Additional Data


Software ID:  
Software Version:  
SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number

38-1459362
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) ..
    20,354,232   20,354,232 0.910 %
b Medicaid (from Worksheet 3,
column a) ....
    229,188,115 168,278,549 60,909,566 2.710 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
           
d Total Financial Assistance
and Means-Tested
Government Programs .
    249,542,347 168,278,549 81,263,798 3.620 %
Other Benefits
    2,551,042   2,551,042 0.110 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
    87,724,826 34,656,543 53,068,283 2.360 %
g Subsidized health services
(from Worksheet 6) ..
    15,912,520 11,733,412 4,179,108 0.190 %
h Research (from Worksheet 7)     3,369,986 2,499,620 870,366 0.040 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
    147,301   147,301 0.010 %
j Total. Other Benefits ..     109,705,675 48,889,575 60,816,100 2.710 %
k Total. Add lines 7d and 7j .     359,248,022 217,168,124 142,079,898 6.330 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
92,896,702
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
851,770,625
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
869,109,103
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-17,338,478
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
11 BEAUMONT NORTH MACOMB ASC LLC
 
AMBULATORY SURGICAL CENTER 45.000 %   32.560 %
22 BEAUMONT KIDNEY SPECIALTY SERVICES LLC
 
NEPHROLOGY SERVICES 55.900 %   44.100 %
33 GREATER MICHIGAN LITHOTRIPSYLLC
 
TREATMENT OF KIDNEY STONES 10.800 %   17.700 %
44 GREATER MICHIGAN GAMMA KNIFELLC
 
RADIATION TREATMENT OF BRAIN TUMORS 10.370 %   18.000 %
55 GROSSE POINTE COLLABORATIVE SERVICES LLC
 
CARDIOLOGY SERVICES 5.000 %   95.000 %
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?3
Name, address, primary website address, and state license number
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 BEAUMONT HOSPITAL - ROYAL OAK
3601 WEST THIRTEEN MILE ROAD
ROYAL OAK,MI48073
WWW.BEAUMONT.EDU
630030
X X X X   X X      
2 BEAUMONT HOSPITAL - TROY
44201 DEQUINDRE
TROY,MI44201
WWW.BEAUMONT.EDU
630160
X X   X     X      
3 BEAUMONT HOSPITAL - GROSSE POINTE
468 CADIEUX
GROSSE POINTE,MI48230
WWW.BEAUMONT.EDU
820030
X X   X     X      
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
WILLIAM BEAUMONT HOSPITAL ROYAL OAK
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)
1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7 Yes  
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 400.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15   No
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
WILLIAM BEAUMONT HOSPITAL TROY
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)
2
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7 Yes  
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 400.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15   No
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
WILLIAM BEAUMONT HOSPITAL GROSSE POINTE
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)
3
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7 Yes  
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 400.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15   No
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference Explanation
WILLIAM BEAUMONT HOSPITAL, ROYAL OAK PART V, SECTION B, LINE 3: A COMMUNITY NEEDS ASSESSMENT WAS DONE FOR THE BEAUMONT HOSPITALS' SERVICE AREAS TO DETERMINE THE NEEDS OF EACH COMMUNITY THAT THE HOSPITALS SERVE AND TO FORM THE BASIS FOR THE DEVELOPMENT OF AN IMPLEMENTATION PLAN TO ADDRESS SUCH COMMUNITY HEALTH CARE NEEDS. COMMUNITY NEEDS INFORMATION WAS COLLECTED WITH THE ASSISTANCE OF THE LOCAL PLANNING AGENCY AND OTHERS WHO HAVE SPECIALIZED EXPERTISE IN REVIEWING THE HEALTH CARE NEEDS OF THE PARTICULAR COMMUNITIES SERVED BY BEAUMONT HOSPITALS. SUCH DATA WAS ALSO COLLECTED FROM STATE AND NATIONAL HEALTH AGENCIES, GOVERNMENT AGENCIES, UNIVERSITIES, RESEARCH INSTITUTIONS, HEALTH AND HUMAN SERVICE ORGANIZATIONS, PUBLISHED DATA, FOCUS GROUPS, INTERVIEWS AND INFORMAL STUDIES. MEASURES CONSIDERED INCLUDED DEMOGRAPHICS, BIRTH AND DEATH CHARACTERISTICS, DISEASE INCIDENT AND PREVALENCE, HEALTH STATUS AND BEHAVIOR, HEALTH CARE UTILIZATION, SOCIAL AND COMMUNITY ISSUES AND SCHOOL AND STUDENT POPULATION CHARACTERISTICS. WRITTEN RESOURCES AS WELL AS PERSONAL INTERVIEWS WERE ALSO USED TO ASSESS COMMUNITY HEALTH NEEDS. FOR EXAMPLE, THE RECOMMENDATION PROPOSED THAT OUR HEALTH PROFESSIONALS CAN HELP TEACH INDIVIDUALS HOW TO PREVENT DISEASE BY MANAGING CHRONIC DISEASES, BECOMING HEALTHIER, PRACTICING PREVENTATIVE CARE, AND SYMPTOM AND TREATMENT OPTIONS. THE HOSPITAL CONSULTED THE FOLLOWING SOURCES IN CONNECTION WITH ITS COMMUNITY HEALTH NEED ASSESSMENT REPORT:BEAUMONT FAMILY MEDICINE CENTER BEAUMONT EXECUTIVE COMMITTEE BEAUMONT BOARD OF DIRECTORS BEAUMONT COMMUNITY RELATIONS COMMITTEE (BOARD LEVEL) BEAUMONT, ROYAL OAK NURSE COUNCIL BEAUMONT, TROY NURSE COUNCIL BEAUMONT, GROSSE POINTE NURSE COUNCIL BEAUMONT EMPLOYEES CARE CENTERS FOR DISEASE CONTROL (CDC) GROSSE POINTE CHAMBER OF COMMERCE GROSSE POINTE PUBLIC SCHOOL SYSTEM MACOMB COUNTY HEALTH DEPARTMENT MARIAN HIGH SCHOOL MICHIGAN DEPARTMENT OF COMMUNITY HEALTH MICHIGAN HEALTH AND HOSPITAL ASSOCIATION MIGRATION POLICY INSTITUTE: MICHIGAN LANGUAGE & EDUCATION NEW BEGINNINGS ANIMAL RESCUE OAKLAND COUNTY HEALTH DEPARTMENT OAKLAND-MACOMB OB-GYN, INC. OAKLAND UNIVERSITY SERVICES FOR OLDER CITIZENS U.S. DEPARTMENT OF EDUCATION
WILLIAM BEAUMONT HOSPITAL, TROY PART V, SECTION B, LINE 3: A COMMUNITY NEEDS ASSESSMENT WAS DONE FOR THE BEAUMONT HOSPITALS' SERVICE AREAS TO DETERMINE THE NEEDS OF EACH COMMUNITY THAT THE HOSPITALS SERVE AND TO FORM THE BASIS FOR THE DEVELOPMENT OF AN IMPLEMENTATION PLAN TO ADDRESS SUCH COMMUNITY HEALTH CARE NEEDS. COMMUNITY NEEDS INFORMATION WAS COLLECTED WITH THE ASSISTANCE OF THE LOCAL PLANNING AGENCY AND OTHERS WHO HAVE SPECIALIZED EXPERTISE IN REVIEWING THE HEALTH CARE NEEDS OF THE PARTICULAR COMMUNITIES SERVED BY BEAUMONT HOSPITALS. SUCH DATA WAS ALSO COLLECTED FROM STATE AND NATIONAL HEALTH AGENCIES, GOVERNMENT AGENCIES, UNIVERSITIES, RESEARCH INSTITUTIONS, HEALTH AND HUMAN SERVICE ORGANIZATIONS, PUBLISHED DATA, FOCUS GROUPS, INTERVIEWS AND INFORMAL STUDIES. MEASURES CONSIDERED INCLUDED DEMOGRAPHICS, BIRTH AND DEATH CHARACTERISTICS, DISEASE INCIDENT AND PREVALENCE, HEALTH STATUS AND BEHAVIOR, HEALTH CARE UTILIZATION, SOCIAL AND COMMUNITY ISSUES AND SCHOOL AND STUDENT POPULATION CHARACTERISTICS. WRITTEN RESOURCES AS WELL AS PERSONAL INTERVIEWS WERE ALSO USED TO ASSESS COMMUNITY HEALTH NEEDS. FOR EXAMPLE, THE RECOMMENDATION PROPOSED THAT OUR HEALTH PROFESSIONALS CAN HELP TEACH INDIVIDUALS HOW TO PREVENT DISEASE BY MANAGING CHRONIC DISEASES, BECOMING HEALTHIER, PRACTICING PREVENTATIVE CARE, AND SYMPTOM AND TREATMENT OPTIONS. THE HOSPITAL CONSULTED THE FOLLOWING SOURCES IN CONNECTION WITH ITS COMMUNITY HEALTH NEED ASSESSMENT REPORT:BEAUMONT FAMILY MEDICINE CENTER BEAUMONT EXECUTIVE COMMITTEE BEAUMONT BOARD OF DIRECTORS BEAUMONT COMMUNITY RELATIONS COMMITTEE (BOARD LEVEL) BEAUMONT, ROYAL OAK NURSE COUNCIL BEAUMONT, TROY NURSE COUNCIL BEAUMONT, GROSSE POINTE NURSE COUNCIL BEAUMONT EMPLOYEES CARE CENTERS FOR DISEASE CONTROL (CDC) GROSSE POINTE CHAMBER OF COMMERCE GROSSE POINTE PUBLIC SCHOOL SYSTEM MACOMB COUNTY HEALTH DEPARTMENT MARIAN HIGH SCHOOL MICHIGAN DEPARTMENT OF COMMUNITY HEALTH MICHIGAN HEALTH AND HOSPITAL ASSOCIATION MIGRATION POLICY INSTITUTE: MICHIGAN LANGUAGE & EDUCATION NEW BEGINNINGS ANIMAL RESCUE OAKLAND COUNTY HEALTH DEPARTMENT OAKLAND-MACOMB OB-GYN, INC. OAKLAND UNIVERSITY SERVICES FOR OLDER CITIZENS U.S. DEPARTMENT OF EDUCATION
WILLIAM BEAUMONT HOSPITAL, GROSSE POINTE PART V, SECTION B, LINE 3: A COMMUNITY NEEDS ASSESSMENT WAS DONE FOR THE BEAUMONT HOSPITALS' SERVICE AREAS TO DETERMINE THE NEEDS OF EACH COMMUNITY THAT THE HOSPITALS SERVE AND TO FORM THE BASIS FOR THE DEVELOPMENT OF AN IMPLEMENTATION PLAN TO ADDRESS SUCH COMMUNITY HEALTH CARE NEEDS. COMMUNITY NEEDS INFORMATION WAS COLLECTED WITH THE ASSISTANCE OF THE LOCAL PLANNING AGENCY AND OTHERS WHO HAVE SPECIALIZED EXPERTISE IN REVIEWING THE HEALTH CARE NEEDS OF THE PARTICULAR COMMUNITIES SERVED BY BEAUMONT HOSPITALS. SUCH DATA WAS ALSO COLLECTED FROM STATE AND NATIONAL HEALTH AGENCIES, GOVERNMENT AGENCIES, UNIVERSITIES, RESEARCH INSTITUTIONS, HEALTH AND HUMAN SERVICE ORGANIZATIONS, PUBLISHED DATA, FOCUS GROUPS, INTERVIEWS AND INFORMAL STUDIES. MEASURES CONSIDERED INCLUDED DEMOGRAPHICS, BIRTH AND DEATH CHARACTERISTICS, DISEASE INCIDENT AND PREVALENCE, HEALTH STATUS AND BEHAVIOR, HEALTH CARE UTILIZATION, SOCIAL AND COMMUNITY ISSUES AND SCHOOL AND STUDENT POPULATION CHARACTERISTICS. WRITTEN RESOURCES AS WELL AS PERSONAL INTERVIEWS WERE ALSO USED TO ASSESS COMMUNITY HEALTH NEEDS. FOR EXAMPLE, THE RECOMMENDATION PROPOSED THAT OUR HEALTH PROFESSIONALS CAN HELP TEACH INDIVIDUALS HOW TO PREVENT DISEASE BY MANAGING CHRONIC DISEASES, BECOMING HEALTHIER, PRACTICING PREVENTATIVE CARE, AND SYMPTOM AND TREATMENT OPTIONS. THE HOSPITAL CONSULTED THE FOLLOWING SOURCES IN CONNECTION WITH ITS COMMUNITY HEALTH NEED ASSESSMENT REPORT:BEAUMONT FAMILY MEDICINE CENTER BEAUMONT EXECUTIVE COMMITTEE BEAUMONT BOARD OF DIRECTORS BEAUMONT COMMUNITY RELATIONS COMMITTEE (BOARD LEVEL) BEAUMONT, ROYAL OAK NURSE COUNCIL BEAUMONT, TROY NURSE COUNCIL BEAUMONT, GROSSE POINTE NURSE COUNCIL BEAUMONT EMPLOYEES CARE CENTERS FOR DISEASE CONTROL (CDC) GROSSE POINTE CHAMBER OF COMMERCE GROSSE POINTE PUBLIC SCHOOL SYSTEM MACOMB COUNTY HEALTH DEPARTMENT MARIAN HIGH SCHOOL MICHIGAN DEPARTMENT OF COMMUNITY HEALTH MICHIGAN HEALTH AND HOSPITAL ASSOCIATION MIGRATION POLICY INSTITUTE: MICHIGAN LANGUAGE & EDUCATION NEW BEGINNINGS ANIMAL RESCUE OAKLAND COUNTY HEALTH DEPARTMENT OAKLAND-MACOMB OB-GYN, INC. OAKLAND UNIVERSITY SERVICES FOR OLDER CITIZENS U.S. DEPARTMENT OF EDUCATION
WILLIAM BEAUMONT HOSPITAL, ROYAL OAK PART V, SECTION B, LINE 6I: COMMUNITY COALITIONS, PROGRAMS AND EVENTS ARE BEING EXPANDED AND FORMED THROUGHOUT THE SYSTEM TO ADDRESS COMMUNITY NEEDS AND IMPLEMENTATION STRATEGIES.
WILLIAM BEAUMONT HOSPITAL, TROY PART V, SECTION B, LINE 6I: COMMUNITY COALITIONS, PROGRAMS AND EVENTS ARE BEING EXPANDED AND FORMED THROUGHOUT THE SYSTEM TO ADDRESS COMMUNITY NEEDS AND IMPLEMENTATION STRATEGIES.
WILLIAM BEAUMONT HOSPITAL, GROSSE POINTE PART V, SECTION B, LINE 6I: COMMUNITY COALITIONS, PROGRAMS AND EVENTS ARE BEING EXPANDED AND FORMED THROUGHOUT THE SYSTEM TO ADDRESS COMMUNITY NEEDS AND IMPLEMENTATION STRATEGIES.
WILLIAM BEAUMONT HOSPITAL, ROYAL OAK PART V, SECTION B, LINE 20D: FACILITY 1 - WILLIAM BEAUMONT HOSPITAL, ROYAL OAKALL PATIENTS WHO INDICATE THAT THEY ARE UNINSURED RECEIVE AN IMMEDIATE DISCOUNT OF 40% OFF HOSPITAL CHARGES FOR ALL MEDICAL SERVICES PROVIDED. IN ADDITION TO THIS UP-FRONT 40% DISCOUNT, PATIENTS ARE ELIGIBLE FOR ADDITIONAL DISCOUNTS UP TO 100% ON MEDICAL SERVICES PROVIDED BY EACH HOSPITAL ON A SLIDING SCALE BASIS DEPENDING ON THEIR REPORTED ANNUAL FAMILY INCOME LEVELS.
WILLIAM BEAUMONT HOSPITAL, TROY PART V, SECTION B, LINE 20D: FACILITY 2 - WILLIAM BEAUMONT HOSPITAL, TROYALL PATIENTS WHO INDICATE THAT THEY ARE UNINSURED RECEIVE AN IMMEDIATE DISCOUNT OF 40% OFF HOSPITAL CHARGES FOR ALL MEDICAL SERVICES PROVIDED. IN ADDITION TO THIS UP-FRONT 40% DISCOUNT, PATIENTS ARE ELIGIBLE FOR ADDITIONAL DISCOUNTS UP TO 100% ON MEDICAL SERVICES PROVIDED BY EACH HOSPITAL ON A SLIDING SCALE BASIS DEPENDING ON THEIR REPORTED ANNUAL FAMILY INCOME LEVELS.
WILLIAM BEAUMONT HOSPITAL, GROSSE POINTE PART V, SECTION B, LINE 20D: FACILITY 3 - WILLIAM BEAUMONT HOSPITAL, GROSSE POINTEALL PATIENTS WHO INDICATE THAT THEY ARE UNINSURED RECEIVE AN IMMEDIATE DISCOUNT OF 40% OFF HOSPITAL CHARGES FOR ALL MEDICAL SERVICES PROVIDED. IN ADDITION TO THIS UP-FRONT 40% DISCOUNT, PATIENTS ARE ELIGIBLE FOR ADDITIONAL DISCOUNTS UP TO 100% ON MEDICAL SERVICES PROVIDED BY EACH HOSPITAL ON A SLIDING SCALE BASIS DEPENDING ON THEIR REPORTED ANNUAL FAMILY INCOME LEVELS.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?66
Name and address Type of Facility (describe)
1 BEAUMONT MEDICAL CENTER - STERLING HEIGH
44344 44378 DEQUINDRE ROAD
STERLING HEIGHTS,MI48314
OUTPATIENT PHYSICAN CLINIC
2 BEAUMONT HEALTH CENTER - ROYAL OAK
4949 COOLIDGE HIGHWAY
ROYAL OAK,MI48073
REHABILITATION SERVICES
3 BEAUMONT MEDICAL CENTER - WEST BLOOMFIEL
6900 ORCHARD LAKE ROAD
WEST BLOOMFIELD,MI48322
REHABILITATION, RADIOLOGY AND DIAGNOSTIC SERVICES
4 BEAUMONT MEDICAL CENTER - MACOMB
15959 AND 15979 HALL ROAD
MACOMB,MI48044
REHABILITATION, RADIOLOGY AND DIAGNOSTIC SERVICES
5 HEALTH & WELLNESS CENTER - ROCHESTER HIL
1555 S BOULEVARD EAST
ROCHESTER HILLS,MI48307
HEALTH, FITNESS AND REHABILITATION SERVICES
6 UNASOURCE BUILDING MEDICAL CENTER
4550/4600 INVESTMENT DRIVE
TROY,MI48098
REHABILITATON, CARDIOLOGY AND DIAGNOSTIC SERVICES
7 NORTHPOINTE HEART CENTER - BERKLEY WOODW
27901 WOODWARD AVENUE
BERKLEY,MI48072
CARDIOLOGY SERVICES
8 BEAUMONT MEDICAL CENTER - ST CLAIR SHOR
25631 LITTLE MACK AVENUE
SAINT CLAIR SHORES,MI48081
CARDIOLOGY, RADIOLOGY AND DIAGNOSTIC SERVICES
9 BEAUMONT MEDICAL CENTER - STERLING HEIGH
44300 DEQUINDRE ROAD
STERLING HEIGHTS,MI48314
DIALYSIS AND REHABILITATION SERVICES
10 BEAUMONT MEDICAL CENTER - LAKE ORION
1455 SOUTH LAPEER ROAD
LAKE ORION,MI48360
REHABILITATION, RADIOLOGY AND DIAGNOSTIC SERVICES
11 BERKLEY DIALYSIS CENTER
2624 11 MILE ROAD
BERKLEY,MI48072
DIALYSIS SERVICES
12 BEAUMONT MEDICAL CENTER - ROCHESTER HILL
6700 N ROCHESTER ROAD
ROCHESTER HILLS,MI48306
REHABILITATION, RADIOLOGY AND DIAGNOSTIC SERVICES
13 WOUND CARE BPP VASCULAR SERVICES
29645 W 14 MILE ROAD
FARMINGTON HILLS,MI48334
VASCULAR SERVICES AND WOUND CARE
14 BEAUMONT MEDICAL CENTER - BERKLEY
1695 12 MILE ROAD
BERKLEY,MI48072
REHABILITATION, SLEEP EVALUATION AND CHILDREN'S BEHAVIOR DISORDERS
15 RENAL CENTER - KIDNEY DIALYSIS
23223 AND 23231 JOHN R ROAD
HAZEL PARK,MI48030
DIALYSIS SERVICES
16 BEAUMONT MEDICAL CENTER - WARREN
8545 COMMON ROAD
WARREN,MI48093
REHABILITATION, RADIOLOGY AND DIAGNOSTIC SERVICES
17 FAMILY MEDICINE CENTER
44250 DEQUINDRE ROAD
STERLING HEIGHTS,MI48314
OUTPATIENT PHYSICAN CLINIC
18 CARDIOVASCULAR SPECIALISTS
29645 W 14 MILE ROAD
FARMINGTON HILLS,MI48344
VASCULAR SERVICES AND WOUND CARE
19 BEAUMONT KIDNEY SPECIALTY SERVICES
26400 WEST TWELVE MILE ROAD
SOUTHFIELD,MI48034
DIALYSIS SERVICES
20 INTERNISTS OF FARM HILLS
29355 NORTHWESTERN HIGHWAY
SOUTHFIELD,MI48034
OUTPATIENT PHYSICAN CLINIC
21 BEAUMONT REHABILITATION SERVICES
23715 LITTLE MACK AVENUE
SAINT CLAIR SHORES,MI48080
REHABILITATION SERVICES
22 ST CLAIR SHORES FAMILY MEDICINE CENTER
21400 EAST 11 MILE ROAD
SAINT CLAIR SHORES,MI48081
OUTPATIENT PHYSICAN CLINIC
23 NORTHPOINTE HEALTH CENTER - BERKLEY 12 M
1949 12 MILE ROAD
BERKLEY,MI48072
SLEEP EVALUATION AND GERIATRIC MEDICINE
24 GROSSE POINTE PARK INTERNAL MEDICINE CEN
15200 KERCHEVAL
GROSSE POINTE PARK,MI48230
OUTPATIENT PHYSICAN CLINIC
25 INTERNAL MEDICAL OF GP FARMS
131 KERCHEVAL
GROSSE POINTE FARMS,MI48236
OUTPATIENT PHYSICAN CLINIC
26 SHOREPOINTE FAMILY PHYSICIANS
22646 EAST 9 MILE ROAD
SAINT CLAIR SHORES,MI48080
OUTPATIENT PHYSICAN CLINIC
27 ST CLAIR SHORES INTERNISTS
29751 LITTLE MACK AVENUE
ROSEVILLE,MI48066
OUTPATIENT PHYSICAN CLINIC
28 MICHIGAN HEART GROUP - NOVI
39500 10 MILE ROAD
NOVI,MI48375
CARDIOLOGY SERVICES
29 MICHIGAN HEART GROUP - LIVONIA
17940 FARMINGTON ROAD
LIVONIA,MI48152
CARDIOLOGY SERVICES
30 ASSOCIATED FAMILY CARE PHYSICIANS
27070 HOOVER ROAD
WARREN,MI48093
OUTPATIENT PHYSICAN CLINIC AND OBSTETRICS
31 NORTHPOINTE HEART CENTER - SOUTHFIELD
16800 WEST 12 MILE ROAD
SOUTHFIELD,MI48076
CARDIOLOGY SERVICES
32 NEIGHBORHOOD CLUB
17150 WATERLOO STREET
GROSSE POINTE,MI48230
NEIGHBORHOOD CLUB
33 NORTHPOINTE HEART CENTER - STERLING HEIG
44344 DEQUINDRE ROAD
STERLING HEIGHTS,MI48314
CARDIOLOGY SERVICES
34 EASTPOINTE PHYSICIANS
25509 KELLY ROAD
ROSEVILLE,MI48066
OUTPATIENT PHYSICAN CLINIC
35 GENERATIONS MEDICAL BUILDING
35046 WOODWARD AVENUE
BIRMINGHAM,MI48009
DIAGNOSTIC SERVICES
36 ASSOCIATES OF INTERNAL MEDICINE
38865 DEQUINDRE
TROY,MI48083
OUTPATIENT PHYSICAN CLINIC
37 BLS - TROY
3290 WEST BIG BEAVER ROAD
TROY,MI48084
DIAGNOSTIC SERVICES
38 GROSSE POINTE WOODS PHYSICAL THERAPY
20311 MACK AVENUE
GROSSE POINTE WOODS,MI48236
REHABILITATION SERVICES
39 GREATER MICHIGAN LITHOTRIPSY
3601 WEST 13 MILE ROAD
ROYAL OAK,MI48073
LITHOTRIPSY SERVICES
40 INTERNAL MEDICINE & PEDS OF ROYAL OAK
1026 WEST 11 MILE ROAD
ROYAL OAK,MI48067
OUTPATIENT PHYSICAN CLINIC
41 BEVERLY HILLS INTERNAL MEDICINE PSYCH
17392 W 13 MILE ROAD
BEVERLY HILLS,MI48025
OUTPATIENT PHYSICAN CLINIC
42 NORTHWEST CARDIOLOGY GROUP (DR KERNER)
26400 W 12 MILE ROAD
SOUTHFIELD,MI48034
CARDIOLOGY SERVICES
43 OXFORD OUTREACH CLINIC (DRCROSSLEY)
25 S WASHINGTON STREET
OXFORD,MI48371
OUTPATIENT PHYSICAN CLINIC
44 METROPOLITAN MEDICAL CENTER (DR WIETRZY
9230 JOSEPH CAMPAU
HAMTRAMCK,MI48212
OUTPATIENT PHYSICAN CLINIC
45 GP VEIN CENTER
87/89 KERCHEVAL
GROSSE POINTE FARMS,MI48236
VASCULAR SERVICES AND WOUND CARE
46 BLS - FARMINGTON HILLS
23800 ORCHARD LAKE ROAD
FARMINGTON HILLS,MI48336
DIAGNOSTIC SERVICES
47 NEIGHBORHOOD FAMILY MEDICINE
29245 RYAN ROAD
WARREN,MI48092
OUTPATIENT PHYSICAN CLINIC
48 OUTREACH - TROY (DR POLEY)
4550 INVESTMENT DRIVE
TROY,MI48098
OUTPATIENT PHYSICAN CLINIC
49 MACOMB EPN (DR POLEY)
15959 HALL ROAD
MACOMB,MI48044
OUTPATIENT PHYSICAN CLINIC
50 LAKESIDE FAMILY MEDICINE (DR VOLLMER)
25250 KELLY ROAD
ROSEVILLE,MI48066
OUTPATIENT PHYSICAN CLINIC
51 DR O WILLIAM BROWN
31700 TELEGRAPH ROAD
BINGHAM FARMS,MI48025
OUTPATIENT PHYSICAN CLINIC
52 METRO FAMILY MEDICINE
26015 GREENFIELD ROAD
SOUTHFIELD,MI48076
OUTPATIENT PHYSICAN CLINIC
53 NORTHWOOD MEDICAL CENTER - NORTHPOINTEB
27901 WOODWARD AVENUE
BERKLEY,MI48072
OUTPATIENT PHYSICAN CLINIC
54 EYE PROCEDURE CENTER
31157 WOODWARD AVENUE
ROYAL OAK,MI48073
OUTPATIENT PHYSICAN CLINIC
55 OBGYN - (DR HUSSEINI)
25650 KELLY ROAD
ROSEVILLE,MI48066
OUTPATIENT PHYSICAN CLINIC
56 CLEARWATER FAMILY PRACTICE
64321 VAN DYKE ROAD
WASHINGTON TWP,MI48095
OUTPATIENT PHYSICAN CLINIC
57 GREATER MICHIGAN GAMMA KNIFE
3601 WEST 13 MILE ROAD
ROYAL OAK,MI48073
BRAIN TUMOR RADIATION TREATMENT
58 OUTREACH - ST CLAIR SHORES (DR FONSEKA
21327 HARPER
ST CLAIR SHORES,MI48080
OUTPATIENT PHYSICAN CLINIC
59 HOUGH FAMILY CENTER
31815 SOUTHFIELD ROAD
BEVERLY HILLS,MI48025
OUTPATIENT PHYSICAN CLINIC
60 BEAUMONT SPORTS MEDICAL & DETROIT SKATIN
888 DENISON COURT
BLOOMFIELD HILLS,MI48302
REHABILITATION SERVICES
61 NORTHPOINTE HEALTH CENTER - WEST BLOOMFI
33200 WEST 14 MILE ROAD
WEST BLOOMFIELD,MI48322
CARDIOLOGY SERVICES AND DIAGNOSTIC SERVICES
62 OUTREACH - MACOMB (DR SCROGIN)
15959 HALL ROAD
MACOMB,MI48044
OUTPATIENT PHYSICAN CLINIC
63 BON BRAE CENTER - COMMUNITY SERVICES
22300 BON BRAE STREET
SAINT CLAIR SHORES,MI48081
COMMUNITY OUTREACH CLINIC
64 ACADEMIC HEART & VASCULAR
5100 GATEWARE CENTRE
FLINT,MI48507
CARDIOLOGY SERVICES
65 OUTREACH - LATHRUP VILLAGE ( DR SAMAD)
26631 SOUTHFIELD ROAD
LATHRUP VILLAGE,MI48076
OUTPATIENT PHYSICAN CLINIC
66 OUTREACH - CLINTON TOWNSHIP
36015 UTICA RD
CLINTON TWP,MI48035
OUTPATIENT PHYSICAN CLINIC
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.
Form and Line Reference Explanation
WILLIAM BEAUMONT HOSPITAL, ROYAL OAK PART V, SECTION B, LINE 3: A COMMUNITY NEEDS ASSESSMENT WAS DONE FOR THE BEAUMONT HOSPITALS' SERVICE AREAS TO DETERMINE THE NEEDS OF EACH COMMUNITY THAT THE HOSPITALS SERVE AND TO FORM THE BASIS FOR THE DEVELOPMENT OF AN IMPLEMENTATION PLAN TO ADDRESS SUCH COMMUNITY HEALTH CARE NEEDS. COMMUNITY NEEDS INFORMATION WAS COLLECTED WITH THE ASSISTANCE OF THE LOCAL PLANNING AGENCY AND OTHERS WHO HAVE SPECIALIZED EXPERTISE IN REVIEWING THE HEALTH CARE NEEDS OF THE PARTICULAR COMMUNITIES SERVED BY BEAUMONT HOSPITALS. SUCH DATA WAS ALSO COLLECTED FROM STATE AND NATIONAL HEALTH AGENCIES, GOVERNMENT AGENCIES, UNIVERSITIES, RESEARCH INSTITUTIONS, HEALTH AND HUMAN SERVICE ORGANIZATIONS, PUBLISHED DATA, FOCUS GROUPS, INTERVIEWS AND INFORMAL STUDIES. MEASURES CONSIDERED INCLUDED DEMOGRAPHICS, BIRTH AND DEATH CHARACTERISTICS, DISEASE INCIDENT AND PREVALENCE, HEALTH STATUS AND BEHAVIOR, HEALTH CARE UTILIZATION, SOCIAL AND COMMUNITY ISSUES AND SCHOOL AND STUDENT POPULATION CHARACTERISTICS. WRITTEN RESOURCES AS WELL AS PERSONAL INTERVIEWS WERE ALSO USED TO ASSESS COMMUNITY HEALTH NEEDS. FOR EXAMPLE, THE RECOMMENDATION PROPOSED THAT OUR HEALTH PROFESSIONALS CAN HELP TEACH INDIVIDUALS HOW TO PREVENT DISEASE BY MANAGING CHRONIC DISEASES, BECOMING HEALTHIER, PRACTICING PREVENTATIVE CARE, AND SYMPTOM AND TREATMENT OPTIONS. THE HOSPITAL CONSULTED THE FOLLOWING SOURCES IN CONNECTION WITH ITS COMMUNITY HEALTH NEED ASSESSMENT REPORT:BEAUMONT FAMILY MEDICINE CENTER BEAUMONT EXECUTIVE COMMITTEE BEAUMONT BOARD OF DIRECTORS BEAUMONT COMMUNITY RELATIONS COMMITTEE (BOARD LEVEL) BEAUMONT, ROYAL OAK NURSE COUNCIL BEAUMONT, TROY NURSE COUNCIL BEAUMONT, GROSSE POINTE NURSE COUNCIL BEAUMONT EMPLOYEES CARE CENTERS FOR DISEASE CONTROL (CDC) GROSSE POINTE CHAMBER OF COMMERCE GROSSE POINTE PUBLIC SCHOOL SYSTEM MACOMB COUNTY HEALTH DEPARTMENT MARIAN HIGH SCHOOL MICHIGAN DEPARTMENT OF COMMUNITY HEALTH MICHIGAN HEALTH AND HOSPITAL ASSOCIATION MIGRATION POLICY INSTITUTE: MICHIGAN LANGUAGE & EDUCATION NEW BEGINNINGS ANIMAL RESCUE OAKLAND COUNTY HEALTH DEPARTMENT OAKLAND-MACOMB OB-GYN, INC. OAKLAND UNIVERSITY SERVICES FOR OLDER CITIZENS U.S. DEPARTMENT OF EDUCATION
WILLIAM BEAUMONT HOSPITAL, TROY PART V, SECTION B, LINE 3: A COMMUNITY NEEDS ASSESSMENT WAS DONE FOR THE BEAUMONT HOSPITALS' SERVICE AREAS TO DETERMINE THE NEEDS OF EACH COMMUNITY THAT THE HOSPITALS SERVE AND TO FORM THE BASIS FOR THE DEVELOPMENT OF AN IMPLEMENTATION PLAN TO ADDRESS SUCH COMMUNITY HEALTH CARE NEEDS. COMMUNITY NEEDS INFORMATION WAS COLLECTED WITH THE ASSISTANCE OF THE LOCAL PLANNING AGENCY AND OTHERS WHO HAVE SPECIALIZED EXPERTISE IN REVIEWING THE HEALTH CARE NEEDS OF THE PARTICULAR COMMUNITIES SERVED BY BEAUMONT HOSPITALS. SUCH DATA WAS ALSO COLLECTED FROM STATE AND NATIONAL HEALTH AGENCIES, GOVERNMENT AGENCIES, UNIVERSITIES, RESEARCH INSTITUTIONS, HEALTH AND HUMAN SERVICE ORGANIZATIONS, PUBLISHED DATA, FOCUS GROUPS, INTERVIEWS AND INFORMAL STUDIES. MEASURES CONSIDERED INCLUDED DEMOGRAPHICS, BIRTH AND DEATH CHARACTERISTICS, DISEASE INCIDENT AND PREVALENCE, HEALTH STATUS AND BEHAVIOR, HEALTH CARE UTILIZATION, SOCIAL AND COMMUNITY ISSUES AND SCHOOL AND STUDENT POPULATION CHARACTERISTICS. WRITTEN RESOURCES AS WELL AS PERSONAL INTERVIEWS WERE ALSO USED TO ASSESS COMMUNITY HEALTH NEEDS. FOR EXAMPLE, THE RECOMMENDATION PROPOSED THAT OUR HEALTH PROFESSIONALS CAN HELP TEACH INDIVIDUALS HOW TO PREVENT DISEASE BY MANAGING CHRONIC DISEASES, BECOMING HEALTHIER, PRACTICING PREVENTATIVE CARE, AND SYMPTOM AND TREATMENT OPTIONS. THE HOSPITAL CONSULTED THE FOLLOWING SOURCES IN CONNECTION WITH ITS COMMUNITY HEALTH NEED ASSESSMENT REPORT:BEAUMONT FAMILY MEDICINE CENTER BEAUMONT EXECUTIVE COMMITTEE BEAUMONT BOARD OF DIRECTORS BEAUMONT COMMUNITY RELATIONS COMMITTEE (BOARD LEVEL) BEAUMONT, ROYAL OAK NURSE COUNCIL BEAUMONT, TROY NURSE COUNCIL BEAUMONT, GROSSE POINTE NURSE COUNCIL BEAUMONT EMPLOYEES CARE CENTERS FOR DISEASE CONTROL (CDC) GROSSE POINTE CHAMBER OF COMMERCE GROSSE POINTE PUBLIC SCHOOL SYSTEM MACOMB COUNTY HEALTH DEPARTMENT MARIAN HIGH SCHOOL MICHIGAN DEPARTMENT OF COMMUNITY HEALTH MICHIGAN HEALTH AND HOSPITAL ASSOCIATION MIGRATION POLICY INSTITUTE: MICHIGAN LANGUAGE & EDUCATION NEW BEGINNINGS ANIMAL RESCUE OAKLAND COUNTY HEALTH DEPARTMENT OAKLAND-MACOMB OB-GYN, INC. OAKLAND UNIVERSITY SERVICES FOR OLDER CITIZENS U.S. DEPARTMENT OF EDUCATION
WILLIAM BEAUMONT HOSPITAL, GROSSE POINTE PART V, SECTION B, LINE 3: A COMMUNITY NEEDS ASSESSMENT WAS DONE FOR THE BEAUMONT HOSPITALS' SERVICE AREAS TO DETERMINE THE NEEDS OF EACH COMMUNITY THAT THE HOSPITALS SERVE AND TO FORM THE BASIS FOR THE DEVELOPMENT OF AN IMPLEMENTATION PLAN TO ADDRESS SUCH COMMUNITY HEALTH CARE NEEDS. COMMUNITY NEEDS INFORMATION WAS COLLECTED WITH THE ASSISTANCE OF THE LOCAL PLANNING AGENCY AND OTHERS WHO HAVE SPECIALIZED EXPERTISE IN REVIEWING THE HEALTH CARE NEEDS OF THE PARTICULAR COMMUNITIES SERVED BY BEAUMONT HOSPITALS. SUCH DATA WAS ALSO COLLECTED FROM STATE AND NATIONAL HEALTH AGENCIES, GOVERNMENT AGENCIES, UNIVERSITIES, RESEARCH INSTITUTIONS, HEALTH AND HUMAN SERVICE ORGANIZATIONS, PUBLISHED DATA, FOCUS GROUPS, INTERVIEWS AND INFORMAL STUDIES. MEASURES CONSIDERED INCLUDED DEMOGRAPHICS, BIRTH AND DEATH CHARACTERISTICS, DISEASE INCIDENT AND PREVALENCE, HEALTH STATUS AND BEHAVIOR, HEALTH CARE UTILIZATION, SOCIAL AND COMMUNITY ISSUES AND SCHOOL AND STUDENT POPULATION CHARACTERISTICS. WRITTEN RESOURCES AS WELL AS PERSONAL INTERVIEWS WERE ALSO USED TO ASSESS COMMUNITY HEALTH NEEDS. FOR EXAMPLE, THE RECOMMENDATION PROPOSED THAT OUR HEALTH PROFESSIONALS CAN HELP TEACH INDIVIDUALS HOW TO PREVENT DISEASE BY MANAGING CHRONIC DISEASES, BECOMING HEALTHIER, PRACTICING PREVENTATIVE CARE, AND SYMPTOM AND TREATMENT OPTIONS. THE HOSPITAL CONSULTED THE FOLLOWING SOURCES IN CONNECTION WITH ITS COMMUNITY HEALTH NEED ASSESSMENT REPORT:BEAUMONT FAMILY MEDICINE CENTER BEAUMONT EXECUTIVE COMMITTEE BEAUMONT BOARD OF DIRECTORS BEAUMONT COMMUNITY RELATIONS COMMITTEE (BOARD LEVEL) BEAUMONT, ROYAL OAK NURSE COUNCIL BEAUMONT, TROY NURSE COUNCIL BEAUMONT, GROSSE POINTE NURSE COUNCIL BEAUMONT EMPLOYEES CARE CENTERS FOR DISEASE CONTROL (CDC) GROSSE POINTE CHAMBER OF COMMERCE GROSSE POINTE PUBLIC SCHOOL SYSTEM MACOMB COUNTY HEALTH DEPARTMENT MARIAN HIGH SCHOOL MICHIGAN DEPARTMENT OF COMMUNITY HEALTH MICHIGAN HEALTH AND HOSPITAL ASSOCIATION MIGRATION POLICY INSTITUTE: MICHIGAN LANGUAGE & EDUCATION NEW BEGINNINGS ANIMAL RESCUE OAKLAND COUNTY HEALTH DEPARTMENT OAKLAND-MACOMB OB-GYN, INC. OAKLAND UNIVERSITY SERVICES FOR OLDER CITIZENS U.S. DEPARTMENT OF EDUCATION
WILLIAM BEAUMONT HOSPITAL, ROYAL OAK PART V, SECTION B, LINE 6I: COMMUNITY COALITIONS, PROGRAMS AND EVENTS ARE BEING EXPANDED AND FORMED THROUGHOUT THE SYSTEM TO ADDRESS COMMUNITY NEEDS AND IMPLEMENTATION STRATEGIES.
WILLIAM BEAUMONT HOSPITAL, TROY PART V, SECTION B, LINE 6I: COMMUNITY COALITIONS, PROGRAMS AND EVENTS ARE BEING EXPANDED AND FORMED THROUGHOUT THE SYSTEM TO ADDRESS COMMUNITY NEEDS AND IMPLEMENTATION STRATEGIES.
WILLIAM BEAUMONT HOSPITAL, GROSSE POINTE PART V, SECTION B, LINE 6I: COMMUNITY COALITIONS, PROGRAMS AND EVENTS ARE BEING EXPANDED AND FORMED THROUGHOUT THE SYSTEM TO ADDRESS COMMUNITY NEEDS AND IMPLEMENTATION STRATEGIES.
WILLIAM BEAUMONT HOSPITAL, ROYAL OAK PART V, SECTION B, LINE 20D: FACILITY 1 - WILLIAM BEAUMONT HOSPITAL, ROYAL OAKALL PATIENTS WHO INDICATE THAT THEY ARE UNINSURED RECEIVE AN IMMEDIATE DISCOUNT OF 40% OFF HOSPITAL CHARGES FOR ALL MEDICAL SERVICES PROVIDED. IN ADDITION TO THIS UP-FRONT 40% DISCOUNT, PATIENTS ARE ELIGIBLE FOR ADDITIONAL DISCOUNTS UP TO 100% ON MEDICAL SERVICES PROVIDED BY EACH HOSPITAL ON A SLIDING SCALE BASIS DEPENDING ON THEIR REPORTED ANNUAL FAMILY INCOME LEVELS.
WILLIAM BEAUMONT HOSPITAL, TROY PART V, SECTION B, LINE 20D: FACILITY 2 - WILLIAM BEAUMONT HOSPITAL, TROYALL PATIENTS WHO INDICATE THAT THEY ARE UNINSURED RECEIVE AN IMMEDIATE DISCOUNT OF 40% OFF HOSPITAL CHARGES FOR ALL MEDICAL SERVICES PROVIDED. IN ADDITION TO THIS UP-FRONT 40% DISCOUNT, PATIENTS ARE ELIGIBLE FOR ADDITIONAL DISCOUNTS UP TO 100% ON MEDICAL SERVICES PROVIDED BY EACH HOSPITAL ON A SLIDING SCALE BASIS DEPENDING ON THEIR REPORTED ANNUAL FAMILY INCOME LEVELS.
WILLIAM BEAUMONT HOSPITAL, GROSSE POINTE PART V, SECTION B, LINE 20D: FACILITY 3 - WILLIAM BEAUMONT HOSPITAL, GROSSE POINTEALL PATIENTS WHO INDICATE THAT THEY ARE UNINSURED RECEIVE AN IMMEDIATE DISCOUNT OF 40% OFF HOSPITAL CHARGES FOR ALL MEDICAL SERVICES PROVIDED. IN ADDITION TO THIS UP-FRONT 40% DISCOUNT, PATIENTS ARE ELIGIBLE FOR ADDITIONAL DISCOUNTS UP TO 100% ON MEDICAL SERVICES PROVIDED BY EACH HOSPITAL ON A SLIDING SCALE BASIS DEPENDING ON THEIR REPORTED ANNUAL FAMILY INCOME LEVELS.
Schedule H (Form 990) 2013
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number
38-1459362
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC Code section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) VARIOUS COMMUNITY BENEFIT PROGRAMS

 
 
  147,301       GENERAL ASSISTANCE






















2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
10
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
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.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients
(c)Amount of
cash grant
(d)Amount of
non-cash assistance
(e)Method of valuation (book,
FMV, appraisal, other)
(f)Description of non-cash assistance
(1) MEDICAL RESIDENTS STIPENDS 454 25,876,761      












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
SCHEDULE I, PART I, LINE 2 EACH YEAR, WILLIAM BEAUMONT HOSPITAL PROVIDES FINANCIAL SPONSORSHIPS AND DONATIONS TO OTHER WORTHWHILE ORGANIZATIONS WHO SHARE THE HOSPITAL'S MISSION OF PROMOTING HEALTH IN THE COMMUNITY. BEAUMONT'S COMMUNITY RELATIONS CHARITABLE COMMITTEE REVIEWS REQUESTS FOR CONTRIBUTIONS BASED ON NEEDS SUBJECT TO THE AVAILABILITY OF HOSPITAL FUNDS.
Schedule I (Form 990) 2013


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number

38-1459362
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
Yes
 
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (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 as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)MAUREEN BOWMANDIRECTOR (i)
(ii)
246,181
0
15,188
0
11,406
0
25,250
0
1,157
0
299,182
0
0
0
(2)LUKE ELLIOTT MDDIRECTOR (i)
(ii)
238,139
0
0
0
0
0
10,097
0
15,561
0
263,797
0
0
0
(3)DEBRA GUIDO-ALLENDIRECTOR (i)
(ii)
205,507
0
13,501
0
10,566
0
-5,233
0
14,185
0
238,526
0
0
0
(4)PHYLLIS REYNOLDSDIRECTOR (i)
(ii)
138,684
0
10,868
0
8,169
0
7,128
0
13,044
0
177,893
0
0
0
(5)NANCY SUSICKPRESIDENT - TROY (i)
(ii)
347,995
0
29,531
0
29,170
0
11,116
0
18,404
0
436,216
0
0
0
(6)EUGENE F MICHALSKIPRESIDENT AND CEO (i)
(ii)
982,722
0
229,453
0
5,140,333
0
-37,071
0
19,651
0
6,335,088
0
4,590,318
0
(7)ANANIAS C DIOKNO MDEXEC VP AND CMO (i)
(ii)
387,693
0
203,419
0
31,672
0
-28,904
0
25,926
0
619,806
0
0
0
(8)NICKOLAS A VITALEEXEC VP AND CFO (i)
(ii)
484,349
0
69,101
0
14,470
0
27,028
0
17,833
0
612,781
0
0
0
(9)THOMAS M BRISSEEXEC VP AND COO (i)
(ii)
488,112
0
83,813
0
14,312
0
-28,936
0
18,318
0
575,619
0
0
0
(10)SHANE CERONEPRESIDENT - ROYAL OAK (i)
(ii)
431,188
0
36,281
0
10,500
0
61,397
0
23,907
0
563,273
0
0
0
(11)SAMUEL FLANDERS MDEXEC VP - QUALITY & SAFETY (i)
(ii)
517,963
0
103,385
0
32,553
0
68,580
0
16,670
0
739,151
0
0
0
(12)DONNA HOBAN MDSR VP- PHYSICIAN IN CHIEF (i)
(ii)
340,553
0
25,144
0
29,632
0
25,648
0
6,191
0
427,168
0
0
0
(13)JAY HOLDENSR VP - HUMAN RESOURCES (i)
(ii)
273,732
0
42,346
0
29,170
0
1,040
0
14,129
0
360,417
0
0
0
(14)JAMES LYNCH MDSR VP - PHYSICIAN IN CHIEF (i)
(ii)
303,337
0
60,523
0
9,600
0
40,769
0
16,892
0
431,121
0
0
0
(15)LESLIE ROCHER MDSR VP - PHYSICIAN IN CHIEF (i)
(ii)
452,246
0
122,564
0
32,275
0
9,688
0
17,661
0
634,434
0
0
0
(16)SUBRA SRIPADAEXEC VP & CIO (i)
(ii)
424,835
0
74,500
0
30,430
0
57,105
0
2,183
0
589,053
0
0
0
(17)RICHARD SWAINEPRESIDENT - GROSSE POINTE (i)
(ii)
290,046
0
46,201
0
31,977
0
7,473
0
13,922
0
389,619
0
0
0
(18)DAVID WOOD MDEXEC VP AND CMO (i)
(ii)
591,408
0
261,334
0
32,550
0
84,792
0
18,402
0
988,486
0
0
0
(19)GREGORY J RAISS MDDIAGNOSTIC RADIOLOGY (i)
(ii)
436,653
0
13,363
0
569,389
0
39,823
0
18,061
0
1,077,289
0
0
0
(20)SAMIR NOUJAIM MDMEDICAL DIRECTOR IMAGING (i)
(ii)
443,595
0
17,475
0
594,091
0
-93,771
0
22,795
0
984,185
0
0
0
(21)ALAN KOFFRON MDHEALTH SYSTEM CHAIR - SURGERY (i)
(ii)
684,091
0
180,000
0
1,170
0
12,750
0
27,623
0
905,634
0
0
0
(22)ROBERT S MORDEN MDCHIEF OF PEDIATRIC SURGERY (i)
(ii)
771,425
0
59,757
0
22,593
0
39,813
0
26,114
0
919,702
0
0
0
(23)MARC SAKWA MDCHIEF OF CARDIOLOGY SURGERY (i)
(ii)
977,619
0
63,334
0
19,306
0
12,197
0
16,834
0
1,089,290
0
0
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 4B WILLIAM BEAUMONT HOSPITAL PROVIDES CERTAIN SUPPLEMENTAL RETIREMENT BENEFITS TO CERTAIN OFFICERS, KEY EMPLOYEES AND PHYSICIANS. THESE BENEFITS ARE PROVIDED THROUGH A NON QUALIFIED DEFERRED COMPENSATION PLAN, UNDER WHICH THE BENEFITS BEING EARNED ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. TO BECOME ENTITLED TO THE BENEFITS BEING PROVIDED, EACH COVERED EMPLOYEE MUST MEET SPECIFIED REQUIREMENTS RELATING TO FURTHER EMPLOYMENT. UNTIL THOSE REQUIREMENTS ARE SATISFIED, THE EMPLOYEE IS NOT ENTITLED TO THESE AMOUNTS. IF THE EMPLOYEE WERE TO HAVE TERMINATED EMPLOYMENT VOLUNTARILY IN THE YEAR TO WHICH THIS RETURN APPLIES, THOSE SUPPLEMENTAL RETIREMENT BENEFITS WOULD NOT HAVE BEEN PAID OUT. IT SHOULD BE NOTED THAT THESE SUPPLEMENTAL RETIREMENT BENEFITS ARE PART OF A RETIREMENT PROGRAM THAT PROVIDES RETIREMENT INCOME FOR ALL YEARS OF SERVICE THAT THE EMPLOYEE PROVIDES TO THE ORGANIZATION. ANY RETIREMENT BENEFITS SHOULD BE VIEWED AS APPLYING TO THE ENTIRE LENGTH OF THE EMPLOYEE'S SERVICE TO THE ORGANIZATION. LESLIE ROCHER, M.D., NON-QUALIFIED PLAN ACCRUAL, SERRP 457F $49,387 GREGORY J. RAISS, M.D., NON-QUALIFIED PLAN ACCRUAL, SERP $45,135 ROBERT S. MORDEN, M.D., NON-QUALIFIED PLAN ACCRUAL, SERP $37,599 JAMES LYNCH, M.D., NON-QUALIFIED PLAN ACCRUAL, SERP $36,109 ANANIAS C. DIOKNO, M.D., NON-QUALIFIED PLAN ACCRUAL, SERA $33,333 DONNA HOBAN, M.D., NON-QUALIFIED PLAN ACCRUAL, SERP $12,898 DAVID WOOD, M.D., NON-QUALIFIED PLAN ACCRUAL, SERRP 457F $72,042 SAMUEL FLANDERS, M.D., NON-QUALIFIED PLAN ACCRUAL, SERRP 457F $55,830 SHANE CERONE, NON-QUALIFIED PLAN ACCRUAL, SERRP 457F $48,647 NANCY SUSICK, NON-QUALIFIED PLAN ACCRUAL, SERRP 457F, $47,083 SUBRA SRIPADA, NON-QUALIFIED PLAN ACCRUAL, SERRP 457F $44,355 THOMAS M. BRISSE, NON-QUALIFIED PLAN ACCRUAL, SERRP 457F $35,911 NICKOLAS A. VITALE, NON-QUALIFIED PLAN ACCRUAL, SERRP 457F $24,649 JAY HOLDEN, NON-QUALIFIED PLAN ACCRUAL, SERRP 457F $16,935 RICHARD SWAINE, NON-QUALIFIED PLAN ACCRUAL, SERRP 457F $8,766 EUGENE F. MICHALSKI, NON-QUALIFIED PLAN DISTRIBUTION, SERA $5,100,000 SAMIR NOUJAIM, M.D., NON-QUALIFIED PLAN DISTRIBUTION, SERP $574,357 GREGORY J. RAISS, M.D., NON-QUALIFIED PLAN DISTRIBUTION, SERP $564,055
PART I, LINE 5  
PART I, LINE 6 ANANIAS DIOKNO, MD AND LESLIE ROCHER, MD, ARE PROVIDED COMPENSATION UNDER A PRODUCTIVITY-BASED FORMULA THAT IS A FIXED PERCENTAGE OF NET PROFESSIONAL COLLECTIONS, LESS CERTAIN EXPENSES, AND SUBJECT TO A CAP AND OTHER LIMITATIONS AND PROCEDURAL PROTECTIONS THAT ARE DESIGNED TO RESULT IN THE PAYMENT OF NO MORE THAN REASONABLE OR FAIR MARKET COMPENSATION.
Schedule J (Form 990) 2013

Additional Data


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

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number
38-1459362
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A CITY OF ROYAL OAK HOSPITAL FINANCE AUTHORITY
 
36-6004649 780486FJ0 01-28-2009 371,321,584 SEE PART VI   X   X   X
B CITY OF ROYAL OAK HOSPITAL FINANCE AUTHORITY
 
36-6004649 780486FV3 12-15-2009 271,378,201 SEE PART VI   X   X   X
C CITY OF ROYAL OAK HOSPITAL FINANCE AUTHORITY
 
36-6004649   01-26-2012 100,000,000 SEE PART VI   X   X   X
D CITY OF ROYAL OAK HOSPITAL FINANCE AUTHORITY
 
36-6004649   08-14-2012 83,525,000 SEE PART VI   X   X   X
CITY OF ROYAL OAK HOSPITAL FINANCE AUTHORITY
 
36-6004649   12-19-2012 67,755,000 SEE PART VI   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 6,065,000 6,065,000    
2 Amount of bonds legally defeased . . . . . . . . . . .        
3 Total proceeds of issue . . . . . . . . . . . . . . 376,951,093 271,158,746 100,000,000 83,525,000
4 Gross proceeds in reserve funds . . . . . . . . . . . . 37,832,583 21,651,885    
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . .        
7 Issuance costs from proceeds . . . . . . . . . . . . 5,112,447 3,103,740    
8 Credit enhancement from proceeds . . . . . . . . . . .        
9 Working capital expenditures from proceeds . . . . . . . . . 40,025,000 10,856,000    
10 Capital expenditures from proceeds . . . . . . . . . . . 165,892,058 36,737,657    
11 Other spent proceeds . . . . . . . . . . . . . . 128,566,933 199,053,130 100,000,000 83,525,000
12 Other unspent proceeds . . . . . . . . . . . . . .        
13 Year of substantial completion . . . . . . . . . . . . 2009 2010
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X   X   X   X  
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X     X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
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 of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.730 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet        
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.730 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . .
  X   X   X   X
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . .   X   X   X   X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X X   X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . .  
 
 
 
 
 
 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . .                
e Was the hedge terminated? . . . . . .                
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
 
 
 
 
 
 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .   X   X   X   X
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?   X   X   X   X
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
{PART II, LINE 3 DIFFERENCE BETWEEN ISSUE PRICE (PART I) AND TOTAL PROCEEDS (PART II, LINE 3) ARE DUE TO NET INVESTMENT GAINS OR LOSSES.
PART II, LINE 9 AMOUNTS ON PART II, LINE 9 CONSIST OF INTEREST RATE SWAP TERMINATION PAYMENTS.
PART I, COLUMN (F) DESCRIPTION OF PURPOSE BOND A - REFINANCE SERIES R&S ISSUED 3/22/06 AND CONSTRUCTION BOND B - REFINANCE SERIES T&U ISSUED 3/22/06, N ISSUED 5/31/01, O ISSUED 10/4/01, Q ISSUED 10/15/03 BOND C - REFINANCE SERIES M ISSUED 5/31/01 BOND D - REFINANCE SERIES X ISSUED 7/22/10 BOND E - REFINANCE SERIES M ISSUED 5/31/01
Schedule K (Form 990) 2013

Additional Data


Software ID:  
Software Version:  

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

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number
38-1459362
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A CITY OF ROYAL OAK HOSPITAL FINANCE AUTHORITY
 
36-6004649 780486FJ0 01-28-2009 371,321,584 SEE PART VI   X   X   X
B CITY OF ROYAL OAK HOSPITAL FINANCE AUTHORITY
 
36-6004649 780486FV3 12-15-2009 271,378,201 SEE PART VI   X   X   X
C CITY OF ROYAL OAK HOSPITAL FINANCE AUTHORITY
 
36-6004649   01-26-2012 100,000,000 SEE PART VI   X   X   X
D CITY OF ROYAL OAK HOSPITAL FINANCE AUTHORITY
 
36-6004649   08-14-2012 83,525,000 SEE PART VI   X   X   X
CITY OF ROYAL OAK HOSPITAL FINANCE AUTHORITY
 
36-6004649   12-19-2012 67,755,000 SEE PART VI   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 6,065,000 6,065,000    
2 Amount of bonds legally defeased . . . . . . . . . . .        
3 Total proceeds of issue . . . . . . . . . . . . . . 376,951,093 271,158,746 100,000,000 83,525,000
4 Gross proceeds in reserve funds . . . . . . . . . . . . 37,832,583 21,651,885    
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . .        
7 Issuance costs from proceeds . . . . . . . . . . . . 5,112,447 3,103,740    
8 Credit enhancement from proceeds . . . . . . . . . . .        
9 Working capital expenditures from proceeds . . . . . . . . . 40,025,000 10,856,000    
10 Capital expenditures from proceeds . . . . . . . . . . . 165,892,058 36,737,657    
11 Other spent proceeds . . . . . . . . . . . . . . 128,566,933 199,053,130 100,000,000 83,525,000
12 Other unspent proceeds . . . . . . . . . . . . . .        
13 Year of substantial completion . . . . . . . . . . . . 2009 2010
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X   X   X   X  
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X     X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
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 of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.730 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet        
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.730 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . .
  X   X   X   X
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . .   X   X   X   X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X X   X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . .  
 
 
 
 
 
 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . .                
e Was the hedge terminated? . . . . . .                
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
 
 
 
 
 
 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .   X   X   X   X
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?   X   X   X   X
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
{PART II, LINE 3 DIFFERENCE BETWEEN ISSUE PRICE (PART I) AND TOTAL PROCEEDS (PART II, LINE 3) ARE DUE TO NET INVESTMENT GAINS OR LOSSES.
PART II, LINE 9 AMOUNTS ON PART II, LINE 9 CONSIST OF INTEREST RATE SWAP TERMINATION PAYMENTS.
PART I, COLUMN (F) DESCRIPTION OF PURPOSE BOND A - REFINANCE SERIES R&S ISSUED 3/22/06 AND CONSTRUCTION BOND B - REFINANCE SERIES T&U ISSUED 3/22/06, N ISSUED 5/31/01, O ISSUED 10/4/01, Q ISSUED 10/15/03 BOND C - REFINANCE SERIES M ISSUED 5/31/01 BOND D - REFINANCE SERIES X ISSUED 7/22/10 BOND E - REFINANCE SERIES M ISSUED 5/31/01
Schedule K (Form 990) 2013

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number

38-1459362
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2013
Schedule L (Form 990 or 990-EZ) 2013
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) CONWAY MCKENZIE INC
 
SEE BELOW 2,459,731 CONSULTING SERVICES   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
FORM 990 SCHEDULE L, PART IV, COLUMN B VAN E. CONWAY, CURRENT DIRECTOR OF WILLIAM BEAUMONT HOSPITAL, IS THE CHIEF EXECUTIVE OFFICER OF CONWAY MCKENZIE, INC.
Schedule L (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)


Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.

Right pointing arrow large imageInformation about Schedule M (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number

38-1459362
Part I
Types of Property
(a)
Check if applicable
(b)
Number of contributions or items contributed
(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g
(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods .......
     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 23 996,585 FAIR MARKET VALUE
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests ....
       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures .....
       
14 Qualified conservation
contribution—Other ...
       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( )
26 Other Right pointing arrow large image( )
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
...
29
0
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that
it must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
Yes
 
b
If "Yes," describe in Part II.
33
If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2013)
Schedule M (Form 990) (2013)
Page 2
Part II
Supplemental Information. Provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 32B: THE ORGANIZATION USES A THIRD-PARTY BROKER TO SELL PUBLICLY-TRADED SECURITIES RECEIVED AS CONTRIBUTIONS.
Schedule M (Form 990) (2013)
Additional Data


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

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

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number

38-1459362
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11 THE 2013 FORM 990 WAS SUBJECTED TO A MULTI-STEP REVIEW PROCESS CULMINATING IN THE PROVISION OF SUCH FORM TO ALL VOTING MEMBERS OF THE BEAUMONT BOARD OF DIRECTORS PRIOR TO ITS FILING. AFTER PREPARATION OF THE FORM 990 BY BEAUMONT'S CORPORATE TAX MANAGER (TAX MANAGER), THE TAX MANAGER CONDUCTS SEPARATE ONE ON ONE REVIEW SESSIONS WITH THE CHAIRMAN OF THE AUDIT COMMITTEE AND CHIEF FINANCIAL OFFICER TO REVIEW THE FORM FOR COMPLETENESS AND CORRECTNESS. AT THE CONCLUSION OF THESE REVIEWS, AND AFTER MAKING ANY RECOMMENDED CHANGES TO THE FORM 990, THE TAX MANAGER PERFORMED AN ADDITIONAL REVIEW OF THE RETURN WITH THE FULL MEMBERSHIP OF THE AUDIT COMMITTEE. UPON COMPLETION OF THE AUDIT COMMITTEE REVIEW, THE CHAIRMAN OF THE AUDIT COMMITTEE PRESENTED THE RETURN TO THE EXECUTIVE COMMITTEE OF THE FULL BOARD FOR REVIEW AND COMMENT. AS THE FINAL STEP IN THE MULTI-LEVEL REVIEW PROCESS, A COPY OF THE FINAL VERSION OF THE FORM 990 WAS PROVIDED ELECTRONICALLY TO EACH VOTING MEMBER OF BEAUMONT'S GOVERNING BODY BEFORE IT WAS FILED.
FORM 990, PART VI, SECTION B, LINE 12C BEAUMONT HOSPITALS RECOGNIZES THAT IT HAS AN OBLIGATION TO ITS PATIENTS, ITS PAYORS, ITS DESIGNEES AND THE COMMUNITIES IT SERVES TO OBSERVE THE HIGHEST LEVEL OF INTEGRITY TO ENSURE CLINICAL, BUSINESS AND ACADEMIC DECISION MAKING IS NOT COMPROMISED BY FINANCIAL OR OTHER RELATIONSHIPS WITH INDUSTRY. THE CORPORATE COMPLIANCE OFFICE, WITH THE ASSISTANCE OF HUMAN RESOURCES AND SPECIFIC INDIVIDUAL DEPARTMENTS WILL COORDINATE UPON HIRE AND EACH CALENDAR YEAR THEREAFTER, A PROCESS OF OBTAINING CONFLICT OF INTEREST/DISCLOSURE OF REMUNERATION STATEMENTS. ALL AREAS OF INSTITUTION WILL FOLLOW THE HUMAN RESOURCES HIRING PROCESS PROTOCOL TO ASSURE COMPLIANCE WITH THE CONFLICT OF INTEREST PROGRAM. AT ANY TIME WHEN A DESIGNEE BECOMES INVOLVED IN A RELATIONSHIP THAT IS OR MAY BE PERCEIVED TO BE A CONFLICT OF INTEREST, THE DESIGNEE MUST COMPLETE THE CONFLICT OF INTEREST/DISCLOSURE OF REMUNERATION STATEMENT AND FORWARD TO THE CORPORATE COMPLIANCE OFFICER. A CONFLICT OF INTEREST OR NEED TO DISCLOSE REMUNERATION MAY EXIST IF A BEAUMONT DESIGNEE OR ANY MEMBER OF THEIR IMMEDIATE FAMILY RECEIVES COMPENSATION IN ANY FORM FOR SERVICES RENDERED IN ANY CAPACITY TO ANY ORGANIZATION OR INDIVIDUAL THAT HAS ANY PAST, PRESENT OR PROSPECTIVE BUSINESS DEALINGS WITH BEAUMONT, IF SUCH COMPENSATION MIGHT BE REASONABLY CONSTRUED AS TENDING TO PREVENT THE DESIGNEE FROM ACTING SOLELY AND WHOLLY IN THE BEST INTEREST OF BEAUMONT.
FORM 990, PART VI, SECTION B, LINE 15 WILLIAM BEAUMONT HOSPITAL'S (BEAUMONT) BOARD OF DIRECTORS HAS DULY APPOINTED AN ORGANIZATION AND COMPENSATION COMMITTEE (THE "COMMITTEE"), WHICH IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF COMPENSATION AND BENEFITS PROVIDED TO BEAUMONT'S EXECUTIVE MANAGEMENT. THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT GOVERNING THE WORK AND REVIEW PROCESS OF THE COMMITTEE. THE COMMITTEE FOLLOWS THE PROCEDURES DESCRIBED IN THE PHILOSOPHY STATEMENT WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND EMPLOYEE BENEFITS PROVIDED TO BEAUMONT'S SENIOR MANAGEMENT, INCLUDING THE CHIEF EXECUTIVE OFFICER AND OTHER OFFICERS. THE COMMITTEE REVIEWS ALL ASPECTS OF COMPENSATION, INCLUDING CURRENT AND DEFERRED COMPENSATION, AND BENEFITS, INCLUDING QUALIFIED AND NON-QUALIFIED BENEFITS. THE COMMITTEE MEETS FOUR TIMES A YEAR, AND APPROVES COMPENSATION AND BENEFITS ONLY TO THE EXTENT THAT THE COMMITTEE HAS CONCLUDED THAT THE COMPENSATION AND BENEFITS CONSTITUTE NO MORE THAN REASONABLE COMPENSATION FOR EACH EXECUTIVE. THE COMMITTEE CONSISTS OF SIX MEMBERS, ALL OF WHOM ARE DISINTERESTED MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE WORKS WITH AN INDEPENDENT COMPENSATION CONSULTANT TO PREPARE AND REVIEW IN ADVANCE COMPREHENSIVE DATA SHOWING THE COMPENSATION PROVIDED BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS. THE COMMITTEE ALSO PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS DELIBERATIONS AND CONCLUSIONS. AS A RESULT, THE COMMITTEE'S REVIEW PROCESS IS DESIGNED TO SATISFY THE PROCEDURAL CRITERIA NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES. THE COMMITTEE HAS EXPRESSLY DETERMINED THAT THE TOTAL COMPENSATION PROVIDED IS REASONABLE, BASED ON THE REVIEW OF THE MARKET DATA PRESENTED BY THE INDEPENDENT COMPENSATION CONSULTANT AND ON THE REVIEW OF ALL OTHER RELEVANT FACTS AND CIRCUMSTANCES.
FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS NOT CHANGED EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS CAPITAL RELEASED FROM RESTRICTIONS (8,926,715) PENSION ADJUSTMENTS 270,418,739 BEAUMONT NURSING HOME DISTRIBUTIONS 5,499,000 ALL OTHER CHANGES, NET 1,221,796 TOTAL OTHER CHANGE IN NET ASSETS 268,212,820
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


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

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet
Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
WILLIAM BEAUMONT HOSPITAL
 
Employer identification number

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


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity

(1) BEAUMONT UNITED CARE PARTNERS
3601 WEST THIRTEEN MILE ROAD
ROYAL OAK,MI48073
46-2536469
CLINICAL OPERATIONS MI 0 0 WILLIAM BEAUMONT HOSPITAL
 
(2) BEAUMONT WEST BLOOMFIELD ASC LLC
16500 WEST TWELVE MILE ROAD
SOUTHFIELD,MI48076
20-3699064
CLINICAL OPERATIONS MI 0 0 WILLIAM BEAUMONT HOSPITAL
 








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 entity?
Yes No
(1) BEAUMONT MEDICAL TRANSPORTATION SERVICES INC

25400 W EIGHT MILE ROAD

SOUTHFIELD,MI48034
26-0203703
MEDICAL TRANSPORTATION SERVICES MI 501 (C) (3) 11A N/A
Yes
 












For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



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

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




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



(k)
Percentage
ownership


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

26400 WEST TWELVE MILE ROAD
SOUTHFIELD,MI48034
26-2200439
DIALYSIS SERVICES MI N/A
RELATED 75,386 1,589,175   No     No 55.900 %












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
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) BEAUMONT NURSING HOME SERVICES INC

16500 WEST TWELVE MILE ROAD
SOUTHFIELD,MI48076
38-2799842
ASSISTED CARE LIVING MI N/A
C 4,394,721 7,298,084 100.000 % Yes  
(2) BEAUMONT INDEMNITY COMPANY LTD

23 LIME TREE BAY AVENUE
GRAND CAYMAN,GRAND CAYMAN  
CJ
98-0512415
PREMIUM DEPOSITS CJ N/A
C   19,968,197 100.000 % Yes  
(3) BEAUMONT PHYSICIANS INSURANCE COMPANY INC

16500 WEST TWELVE MILE ROAD
SOUTHFIELD,MI48076
27-4261262
PROFESSIONAL INSURANCE MI N/A
C 48,217 3,154,553 100.000 % Yes  








Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) BEAUMONT KIDNEY SPECIALTY SERVICES LLC

A 42,248 FAIR MARKET VALUE
(2) BEAUMONT KIDNEY SPECIALTY SERVICES LLC

D 358,132 FAIR MARKET VALUE
(3) BEAUMONT KIDNEY SPECIALTY SERVICES LLC

L 1,087,504 FAIR MARKET VALUE
(4) BEAUMONT NURSING HOME SERVICES INC

L 130,892 FAIR MARKET VALUE
(5) BEAUMONT NURSING HOME SERVICES INC

R 2,250,000 FAIR MARKET VALUE
(6) BEAUMONT NURSING HOME SERVICES INC

S 5,499,000 FAIR MARKET VALUE
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
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)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V?UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2013
Additional Data


Software ID:  
Software Version: