TY 2018 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) ALICIA BOLER DAVIS...................................................................... DIRECTOR	2.00 ................. 8.00	X		0	0	0
(2) CHRISTOPHER BLAKE...................................................................... DIRECTOR	2.00 ................. 8.00	X		0	0	0
(3) DAVID WOOD...................................................................... DIRECTOR	2.00 ................. 56.00	X		1,910,312	0	463,484
(4) GEOFFREY HOCKMAN...................................................................... DIRECTOR	2.00 ................. 10.00	X		0	0	0
(5) GERSON COOPER...................................................................... DIRECTOR	2.00 ................. 10.00	X		0	0	0
(6) HARRIS MAINSTER DO...................................................................... DIRECTOR	2.00 ................. 8.00	X		0	0	0
(7) JOHN FOX...................................................................... PRESIDENT & CEO	2.00 ................. 58.00	X	X	4,260,149	0	1,672,732
(8) JOHN LEWIS...................................................................... CHAIRPERSON	2.00 ................. 8.00	X		0	0	0
(9) JOHN NEMES...................................................................... SECRETARY / TREASURER	2.00 ................. 8.00	X	X	0	0	0
(10) JULIE FREAM...................................................................... VICE CHAIRPERSON	2.00 ................. 8.00	X	X	0	0	0
(11) MALCOLM HENOCH MD...................................................................... DIRECTOR (END 12/31/18)	2.00 ................. 62.00	X		0	800,498	224,077
(12) MARTHA QUAY...................................................................... DIRECTOR	2.00 ................. 8.00	X		0	0	0
(13) RONALD HALL JR...................................................................... DIRECTOR	2.00 ................. 8.00	X		0	0	0
(14) STEPHEN HOWARD...................................................................... VICE CHAIRPERSON	2.00 ................. 8.00	X		0	0	0
(15) THOMAS SAELI...................................................................... DIRECTOR	2.00 ................. 8.00	X		0	0	0
(16) TIMOTHY O'BRIEN...................................................................... DIRECTOR	2.00 ................. 8.00	X		0	0	0
(17) WILLIAM GOLDSMITH...................................................................... DIRECTOR	2.00 ................. 8.00	X		0	0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) JOHN KERNDL........................................................................ EVP & CHIEF FINANCIAL OFFICER	2.00 .......................56.00	X				952,634	0	413,192
(19) AARON GILLINGHAM........................................................................ CHIEF HUMAN RESOURCES OFFICER	50.00 .......................0.00		X			497,213	0	234,968
(20) CAROLYN WILSON........................................................................ EVP & CHIEF OPERATING OFFICER	50.00 .......................0.00		X			1,595,940	0	598,841
(21) JAMES LYNCH........................................................................ CMO-TROY/INT. PRES. GP	50.00 .......................0.00		X			780,076	0	190,054
(22) LESLIE ROCHER........................................................................ CMO - ROYAL OAK	50.00 .......................0.00		X			2,638,769	0	260,786
(23) NANCY SUSICK........................................................................ PRESIDENT TROY	50.00 .......................0.00		X			934,524	0	254,249
(24) NICHOLAS GILPIN........................................................................ CMO - GROSSE POINTE	50.00 .......................0.00		X			345,819	0	99,996
(25) RICHARD SWAINE........................................................................ PRESIDENT GROSSE POINTE	50.00 .......................0.00		X			1,219,456	0	61,110
(26) ROSANNA MORRIS........................................................................ PRESIDENT ROYAL OAK	50.00 .......................0.00		X			885,450	0	209,274
(27) SAMUEL FLANDERS MD........................................................................ EVP OPERATIONS & CHIEF OF HR	50.00 .......................0.00		X			1,559,162	0	247,072
(28) SUBRA SRIPADA........................................................................ EVP & CHIEF OF INFORMATION	50.00 .......................0.00		X			1,440,110	0	375,161
(29) SUSAN GRANT........................................................................ EVP & CNO	50.00 .......................0.00		X			1,304,349	0	344,380
(30) DUANE MEZWA........................................................................ FACULTY PHYSICIAN	50.00 .......................0.00			X		1,389,156	0	38,870
(31) MARC SAKWA........................................................................ CHIEF CARDIOVASCULAR SURGEON	50.00 .......................0.00			X		1,490,795	0	39,200
(32) MICHAEL E MADDENS........................................................................ FACULTY PHYSICIAN	50.00 .......................0.00			X		1,009,938	0	34,028
(33) RICHARD BRONSTEEN........................................................................ OBSTETRICAL ULTRASONOGRAPHER	50.00 .......................0.00			X		978,130	0	39,202
(34) STEVEN RIMAR........................................................................ VASCULAR SURGEON	50.00 .......................0.00			X		1,011,366	0	33,706
(35) JOHN KEUTEN........................................................................ FORMER OFFICER (END 2016)	0.00 .......................0.00				X	0	137,410	0
(36) BRIAN CONNOLLY........................................................................ FORMER KEY EMPLOYEE (END 2014)	0.00 .......................0.00				X	0	1,420,614	178
(37) JAY HOLDEN........................................................................ FORMER KEY EMPLOYEE (END 2014)	0.00 .......................0.00				X	224,726	0	4,491

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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 12, check only one box.)

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

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

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

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

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

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

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

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

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

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

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

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

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 VI.)..
11	Total support. Add lines 7 through 10

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

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

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2017. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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

Schedule A (Form 990 or 990-EZ) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2017. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

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

Schedule A (Form 990 or 990-EZ) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

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

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

WILLIAM BEAUMONT HOSPITAL

Employer identification number

38-1459362

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

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

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization WILLIAM BEAUMONT HOSPITAL

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization WILLIAM BEAUMONT HOSPITAL			Employer identification number 38-1459362
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

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

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

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

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

Yes No

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

Yes No

If "Yes," describe in Part IV.

Part I-C

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

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

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

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

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

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

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 Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

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) ...............................	221,426
c	Total lobbying expenditures (add lines 1a and 1b) ...................................................................	221,426
d	Other exempt purpose expenditures ........................................................................	2,733,200,636
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............................................	2,733,422,062
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? ...................................................................................................................		Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(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	147,247	238,298	258,975	221,426	865,946

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) 2018

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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

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

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

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

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

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

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

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

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

Other activities? ...................................................................................................................

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

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

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

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

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

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

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

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

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) 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."

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

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

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

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

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

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

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

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

Part IV

Supplemental Information

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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation

Schedule C (Form 990 or 990EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on 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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds 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? ...................................

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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 7/25/06, and not on a historic structure listed in the National Register ...	2d

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

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

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

Yes No

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

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

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

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" on Form 990, Part IV, line 8.

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.

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)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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) 2018

Page 2

Part III

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

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

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

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	24,351,052	18,618,182	17,936,215	16,492,604	15,610,407
b	Contributions ...	7,715,045	8,330,424	663,077	1,441,110	871,283
c	Net investment earnings, gains, and losses	-2,088,427	1,137,826	18,890	2,501	10,914
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	161,270	3,735,380
f	Administrative expenses ....	6,536,660
g	End of year balance ......	23,279,740	24,351,052	18,618,182	17,936,215	16,492,604

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

44.830 %

Permanent endowment SchDMd Bullet

46.170 %

Temporarily restricted endowment SchDMd Bullet

9.000 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

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

Yes

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

3a(i)

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

3a(ii)

Yes

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

Yes

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" on 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	86,214,302		87,815,347
b	Buildings ....	589,349	563,004,354	322,186,735	241,406,968
c	Leasehold improvements		35,500,235	27,952,517	7,547,718
d	Equipment ....	1,081,294	2,748,254,549	2,300,386,565	448,949,278
e	Other .....	26,957,337	1,083,154,619	448,575,047	661,536,909
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					1,447,256,220

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on 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........
(3) Other (A) CASH EQUIVALENT	31,940,348	F
(B) EQUITY	50,240,493	F
(C) AGENCY	295,949	F
(D) ASSET BACKED	6,342,901	F
(E) CMO	3,475,280	F
(F) CORPORATE	16,034,147	F
(G) MORTGAGE PASS-THROUGH	4,506,530	F
(H) MUNICIPAL	2,046,932	F
(I) US TREASURY	6,546,920	F
(J) YANKEE	5,075,427	F
(K) COMMINGLED FUND	41,161,540	F
(L) HEDGE FUNDS	55,348,241	F
(M) REAL ESTATE	6,568,374	F
(N) PRIVATE CAPITAL	7,626,643	F
(O) DERIVATIVES	985,573	F
(P) MUTUAL FUND	5,350,774	F
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	243,546,072

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) DUE FROM AFFILIATES				843,494,512
(2) CURRENT FUNDS HELD BY TRUSTEE				64,045,431
(3) ALL OTHER, NET				24,926,737
(4) DEFERRED COMPENSATION				81,588,194
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				1,014,054,874

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
PAYER RESERVES	7,614,462
REIMBURSEMENT COST REPORT LIABILITY	15,335,733
INTERCOMPANY DEBT	759,793,809
ASSET RETIREMENT OBLIGATION	294,159,660
DEFERRED COMP PLAN 457(B)	73,529,727
MALPRACTICE LIABILITY	49,865,835
WORKERS COMPENSATION RESERVE	28,576,293
ACCRUED EMPLOYER 403B MATCH	26,400,000
ACCRUED OPEB	4,552,229
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	1,259,827,748
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) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on 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 (losses) 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' on 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 V, LINE 4:	THE PERMANENTLY RESTRICTED FUNDS HELD BY BEAUMONT HEALTH FOUNDATION ARE REFLECTED AS ENDOWMENT FUNDS. EARNINGS ON THE ENDOWMENT FUNDS SUPPORT HOSPITAL AND CHARITABLE MISSIONS.
PART V, LINE 1E:	THE TAXPAYER IS A MEMBER OF A HEALTH SYSTEM, THE PARENT OF WHICH IS BEAUMONT HEALTH. DURING THE YEAR, BEAUMONT HEALTH FOUNDATION RECEIVED FUNDS FROM THE OTHER ENTITIES IN THE SYSTEM, OF WHICH A PORTION IS ATTRIBUTABLE TO RESTRICTRED CONTRIBUTIONS. PLEASE SEE THE FORM 990. SCHEDULE D OF BEAUMONT HEALTH FOUNDATION FOR INFORMATION REGARDING THIS ENDOWMENT FUND.

Schedule D (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

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

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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.

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

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

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 & THE CARIBBEAN	0	0	INVESTMENTS	CAPTIVE INSURANCE	120,000
















3a	Sub-total .....	0	0			120,000
b	Total from continuation sheets to Part I ...					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) 2018

Schedule F (Form 990) 2018

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

Schedule F (Form 990) 2018

Schedule F (Form 990) 2018Page 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) 2018

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2018

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) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

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

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

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

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

Yes

100% 150% 200% Other %

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: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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.

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"? . . . . . . . . . . . . .

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(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) . . .	11,139,237		11,139,237	0.410 %
b	Medicaid (from Worksheet 3, column a) . . . . .	271,132,775	220,128,676	51,004,099	1.880 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	282,272,012	220,128,676	62,143,336	2.290 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	14,204,655		14,204,655	0.520 %
f	Health professions education (from Worksheet 5) . . .	103,221,887	31,964,557	71,257,330	2.630 %
g	Subsidized health services (from Worksheet 6) . . . .	511,161,575	453,150,375	58,011,200	2.140 %
h	Research (from Worksheet 7) .	7,474,059	2,894,279	4,579,780	0.170 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	628,862		628,862	0.020 %
j	Total. Other Benefits . .	636,691,038	488,009,211	148,681,827	5.480 %
k	Total. Add lines 7d and 7j .	918,963,050	708,137,887	210,825,163	7.770 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

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

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

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

26,780,810

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. ......

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

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

974,943,790

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

1,027,518,038

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

-52,574,248

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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

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 %	(e) Physicians' profit % or stock ownership %
11 BEAUMONT KIDNEY SPECIALTY SERVICES LLC	NEPHROLOGY SERVICES	55.900 %	44.100 %
22 GREATER MICHIGAN LITHOTRIPSY LLC	TREATMENT OF KIDNEY STONES	10.800 %	17.700 %
33 GREATER MICHIGAN GAMMA KNIFE LLC	RADIATION OF BRAIN TUMORS	10.370 %	18.000 %
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

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?3Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)								Facility reporting group
1	BEAUMONT HOSPITAL ROYAL OAK 3601 WEST THIRTEEN MILE ROYAL OAK,MI48073 WWW.BEAUMONT.ORG 630030	X	X	X	X	X	X	A
2	BEAUMONT HOSPITAL TROY 44201 DEQUINDRE TROY,MI48085 WWW.BEAUMONT.ORG 630160	X	X		X		X	A
3	BEAUMONT HOSPITAL GROSSE POINTE 468 CADIEUX GROSSE POINTE,MI48230 WWW.BEAUMONT.ORG 820030	X	X		X		X	A

Schedule H (Form 990) 2018

Page 4

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)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

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 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

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 all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized 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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

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.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: BEAUMONT HOSPITAL, ROYAL OAK, - FACILITY 2: BEAUMONT HOSPITAL, TROY, - FACILITY 3: BEAUMONT HOSPITAL, GROSSE POINTE
GROUP A-FACILITY 1 -- BEAUMONT HOSPITAL, ROYAL OAK PART V, SECTION B, LINE 5:	THE 2016 CHNA TOOK 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. INTERVIEWS AND FOCUS GROUPS WERE CONDUCTED FOR EACH OF THE BEAUMONT HEALTH HOSPITAL COMMUNITIES TO PROVIDE QUALITIATIVE INFORMATION FOR THE CHNA. PARTICIPANTS INCLUDED COMMUNITY LEADERS, COMMUNITY RESIDENTS, PUBLIC HEALTH EXPERTS, NONPROFITS AND THOSE REPRESENTING THE NEEDS OF INDIVIDUALS WITH CHRONIC DISEASES, MINORITY, UNDERSERVED AND INDIGENT POPULATIONS. IN ADDITION, BEAUMONT PHYSICIANS, NURSES, HOSPITAL LEADERSHIP AND CHRONIC DISEASE EXPERTS PARTICIPANTED IN THE INTERVIEW AND FOCUS GROUP PROCESS. FOR A COMPLETE LISTING OF PARTICIPANTS PLEASE VISIT BEAUMONT.ORG/CHNA.THE FOLLOWING CONTRIBUTED TO THE CHNA PROCESS AS COMMUNITY PARTNERS:GLEANERS COMMUNITY FOOD BANK OF SE MICHIGAN DEARBORN PUBLIC SCHOOLS HEALTHY DEARBORN COALITION CITY OF DEARBORN RIVER ROUGE SCHOOL DISTRICT CITY OF DEARBORN AND RECREATION AMERICAN HEART ASSOCIATION NATIONAL KIDNEY FOUNDATION OF MICHIGAN TAYLOR SCHOOL DISTRICT HEALTHY TAYLOR COALITION CITY OF TAYLOR CITY OF TAYLOR PARKS AND RECREATION DOWNRIVER FAMILY YMCA CITY OF TRENTON PARKS AND RECREATION TRENTON PUBLIC SCHOOLS HEALTHY TRENTON COALITION CITY OF TRENTON WAYNE COUNTY PARKS TRAFFIC SAFETY COMMISSION WESTWOOD COMMUNITY SCHOOL DISTRICT HEALTHY WAYNE COALITION WAYNE-WESTLAND COMMUNITY SCHOOLS CITY OF WAYNE WAYNE CHAMBER OF COMMERCE ROMULUS COMMUNITY SCHOOLS EDSEL & ELEANOR FORD HOUSE, GROSSE POINTE SHORESCITY OF ROYAL OAK MEMORIAL PARKORION TOWNSHIP COMMUNITY CENTER UNITED SHORE PROFESSIONAL BASEBALL LEAGUE CITY OF STERLING HEIGHTS TROY SCHOOL DISTRICT FARMINGTON FARMERS MARKET CITY OF FARMINGTON HILLS CITY OF FARMINGTON HILLS PARKS COMMUNITY ORGANIZATIONS FARMINGTON PUBLIC SCHOOLS FARMINGTON HILLS FIRE DEPARTMENT
GROUP A-FACILITY 1 -- BEAUMONT HOSPITAL, ROYAL OAK PART V, SECTION B, LINE 6A:	BEAUMONT HEALTH CONDUCTED THE CHNA FOR THE COMMUNITIES SERVED BY BEAUMONT HOSPITAL DEARBORN, BEAUMONT HOSPITAL FARMINGTON HILLS, BEAUMONT HOSPITAL GROSSE POINTE, BEAUMONT HOSPITAL ROYAL OAK, BEAUMONT HOSPITAL TAYLOR, BEAUMONT HOSPITAL TRENTON, BEAUMONT HOSPITAL TROY AND BEAUMONT HOSPITAL WAYNE.
GROUP A-FACILITY 1 -- BEAUMONT HOSPITAL, ROYAL OAK PART V, SECTION B, LINE 7D:	THE CHNA AND IMPLEMENTATION STRATEGIES ARE POSTED ON THE BEAUMONT HEALTH WEBSITE AT BEAUMONT.ORG/CHNA. IT WAS ALSO SHARED WITH ALL ORGANIZATIONS AND PARTICIPANTS WHO PARTICIPATED IN THE INTERVIEWS AND FOCUS GROUPS, DISTRIBUTED INTERNALLY TO BEAUMONT LEADERS AND STAFF, GIVEN TO THE BEAUMONT BOARD OF DIRECTORS, BEAUMONT COMMUNITY ADVISORY BOARDS, AND GIVEN TO THE COMMUNITY MEMBERS WHO ARE ENGAGED IN THE COMMUNITY COALITIONS OF BEAUMONT. COPIES ARE ALSO AVAILABLE UPON REQUEST AT NO CHARGE.
GROUP A-FACILITY 1 -- BEAUMONT HOSPITAL, ROYAL OAK PART V, SECTION B, LINE 11:	THE 2016 CHNA FOR BEAUMONT HOSPITAL, ROYAL OAK (BEAUMONT, ROYAL OAK) IDENTIFIED THREE PRIORITY HEALTH NEEDS TO BE ADDRESSED. THE IMPLEMENTATION STRATEGY FOR BEAUMONT HOSPITAL ROYAL, OAK FOCUSED ON THE PRIORITY HEALTH NEEDS OF CARDIOVASCULAR DISEASE, DIABETES AND OBESITY. THE HEALTH NEEDS OF SUBSTANCE ABUSE, MENTAL HEALTH, ACCESS TO CARE, AND PREVENTIVE CARE OF SCREENINGS AND VACCINATIONS WERE NOT ADDRESSED AS THEY DID NOT FALL WITHIN THE CRITERIA OF THE PRIORITIZATION PROCESS (RESOURCES, PARTNERSHIPS, INFRASTRUCTURE, AND FUNDING AVAILABLE). A SUMMARY OF THE PROGRESS ON THE ACTIONS TO ADDRESS THE PRIORITY HEALTH NEEDS SELECTED IS AS FOLLOWS:PRIORITY 1: CARDIOVASCULAR DISEASEBEAUMONT, ROYAL OAK OFFERED "FOOD FOR THE HEART" CLASSES TO THE COMMUNITY. THIS PROGRAM HELPS PARTICIPANTS TO LOWER CHOLESTEROL/TRIGLYCERIDES, BLOOD PRESSURE AND TO LOSE WEIGHT - ALL RISK FACTORS FOR CARDIOVASCULAR DISEASE. IN 2018, 61 INDIVIDUALS PARTICPATED IN THE PROGRAM.BEAUMONT, ROYAL OAK OFFERS "BECOME SMOKE FREE" TO ASSIST INDIVIDUALS IN THEIR EFFORTS TO QUIT SMOKING. THE SEVEN-WEEK PROGRAM IS LED BY A TREATMENT SPECIALIST IN A SUPPORTIVE ENVIRONMENT TO HELP PARTICIPANTS TO STOP SMOKING. THE PROGRAM FOCUSES ON RISKS ASSOCIATED WITH TOBACCO USE, PHYSICAL AND PSYCHOLOGICAL DEPENDENCE ON SMOKING, EXPLORING PERSONAL REASONS FOR SMOKING AND STRATEGIES TO MANAGE THE SIDE EFFECTS OF QUITTING. LIFESTYLE CHANGES ARE ALSO INCORPORATED INTO THIS PROGRAM FOR POST PROGRAM MANAGEMENT OF A SMOKE FREE LIFE. THE PROGRAM INCLUDES A ONE, THREE, SIX AND 12-MONTH FOLLOW UP BY A RESPIRATORY THERAPIST. DURING 2018, 43 PARTICIPANTS COMPLETED THE PROGRAM. BEAUMONT HOSPITAL, ROYAL OAK OFFERED MINDFULNESS PROGRAMS AS A MEANS OF ENHANCING SELF-AWARENESS AND THE CAPACITY TO MANAGE DISTRESSING EMOTIONS. BENEFITS OF THE "MINDFULNESS BASED STRESS REDUCTION" PROGRAMS INCLUDE REDUCTION OF ANXIETY AND STRESS AND LOWERING BLOOD PRESSURE, WHICH IS A RISK FACTOR FOR CARDIOVASCULAR DISEASE. DURING 2018, 52 PEOPLE PARTICIPATED IN ONE OF THREE OFFERED 8 WEEK STRESS REDUCTION COURSES AND 45 INDIVIDUALS PARTICIPATED IN ONE OF THREE HALF DAY STRESS REDUCTION RETREATS.BEAUMONT, ROYAL OAK OFFERED THE "WELL PROGRAM" (WOMEN EXERCISING TO LIVE LONGER). THE SIX-MONTH EXERCISE AND RISK REDUCTION PROGRAM HELPS WOMEN REDUCE THEIR LIKELIHOOD OF DEVELOPING HEART DISEASE AND PREVENT FUTURE CARDIAC EVENTS BY HELPING REDUCE THE RISK FACTORS, SEDENTARY LIFESTYLE AND OBESITY. DURING 2018, 130 WOMEN PARTICIPATED AND COMPLETED ASSESSMENTS.BEAUMONT, ROYAL OAK PROVIDED THE "GUIDING HEARTS SUPPORT GROUP" WHICH OFFERS SUPPORT FOR PATIENTS, FAMILIES AND COMMUNITY MEMBERS DEALING WITH HEART HEALTH ISSUES THROUGH EDUCATION AND PROVIDING A CARING ENVIRONMENT. DURING 2018, 167 PEOPLE PARTICIPATED IN THE SUPPORT GROUP.EDUCATION ON CARDIOVASCULAR HEALTH IS PROVIDED TO COMMUNITY GROUPS THROUGH THE BEAUMONT SPEAKERS BUREAU AND AT ADDITIONAL EVENTS THROUGHOUT THE ROYAL OAK SERVICE AREA. DURING 2018, EDUCATION ON CARDIOVASCULAR HEALTH WAS PROVIDED TO 490 ATTENDEES.BEAUMONT, ROYAL OAK OFFERS FREE BLOOD PRESSURE CHECKS AND APPROPRIATE EDUCATION THROUGHOUT THE COMMUNITY AT EVENTS SUCH AS FARMERS MARKETS, HEALTH FAIRS AND MORE. IN 2018, 373 PEOPLE RECEIVED A BLOOD PRESSURE CHECK AND APPROPRIATE EDUCATION.BEAUMONT, ROYAL OAK OFFERS THE "HEART HEALTH SCREENINGS" WHICH INCLUDES BLOOD PRESSURE, CHOLESTEROL AND GLUCOSE CHECKS AT COMMUNITY LOCATIONS TO IDENTIFY AND COUNSEL INDIVIDUALS WITH ELEVATED LEVELS. IN 2018, 155 PEOPLE RECEIVED ALL THREE TESTS WITHIN THE HEART HEALTH SCREENING.BEAUMONT, ROYAL OAK OFFERS THE STUDENT HEART CHECK TO HIGH SCHOOL STUDENTS, AGES 13-18, IN AN EFFORT TO DETECT ABNORMAL HEART STRUCTURE OR ABNORMAL RHYTHMS AND PREVENT SUDDEN CARDIAC ARREST. TEST RESULTS ARE REVIEWED WITH PARENTS AND, IF INDICATED, FOLLOW UP IS SUGGESTED. DURING 2018, 770 STUDENTS WERE SCREENED FOR HEART ABNORMALITIES IN THE ROYAL OAK HOSPITAL SERVICE AREA.BEAUMONT, ROYAL OAK OFFERS 7 FOR $70 HEART AND VASCULAR SCREENINGS FOR ADULTS TO IDENTIFY RISK FACTORS IN CARDIOVASCULAR DISEASE. SEVEN TESTS ARE OFFERED FOR $70 INCLUDING BLOOD TESTS, ARTERY TESTING, EKG AND LIFE STYLE ARE EXAMINED TO RECOMMEND A COURSE OF ACTION FOR IMPROVED HEART AND VASCULAR HEALTH. THERE WERE 977 SCREENINGS PROVIDED IN 2018.PRIORITY 2: DIABETESTHE NATIONAL DIABETES PREVENTION PROGRAM (DPP) WAS PROVIDED THROUGH PARTNERSHIPS WITH COMMUNITY CENTERS, SENIOR CETNERS AND OTHER COMMUNITY ORGANIZATIONS. THIS IS A 12 MONTH LIFESTYLE CHANGE PROGRAM THAT CONCENTRATES ON WEIGHT LOSS TACTICS AND INCREASED PHYSICAL ACTIVITY TO PREVENT TYPE 2 DIABETES IN THOSE AT RISK. PARTICIPANTS ATTEND CLASS ONCE A WEEK FOR THE FIRST 16 WEEKS OF THE PROGRAM, TRANSITIONING TO MONTHLY SESSIONS FOR THE FINAL SIX MONTHS. DURING 2018, 42 PEOPLE PARTICIPATED IN DPP AND ADDITIONAL PROGRAM DATA WILL BE COLLECTED IN 2019 AS COHORTS ARE COMPLETED.BEAUMONT, ROYAL OAK PARTNERED WITH LIBRARIES, SENIOR CENTERS AND COMMUNITY ORGANIZATIONS TO OFFER "DIABETES PATH" (PERSONAL ACTION TOWARD HEALTH) PROGRAMS DESIGNED TO HELP PEOPLE LIVING WITH (OR AT HIGH-RISK) OF DIABETES. THE PROGRAM INCLUDES SIX-WEEK WORKSHOPS IN WHICH PARTICIPANTS LEARN SELF-MANAGEMENT INCLUDING MAKING ACTION PLANS, THE IMPORTANCE OF BALANCING AND MONITORING THEIR BLOOD SUGAR, COMMUNICATION WITH FAMILY/CAREGIVERS AND HEALTH PROVIDER AND MANAGING STRESS TO INCREASE THEIR OVERALL HEALTH. DURING 2018, 22 PEOPLE PARTICIPATED IN DIABETES PATH AND 15 GRADUATES COMPLETED FOUR OR MORE SESSIONS WHILE PROVIDING OUTCOME MEASURES. BEAUMONT, ROYAL OAK OFFERED "COOKING MATTERS EXTRA FOR DIABETES" IN PARTNERSHIP WITH GLEANERS FOOD BANK. THIS PROGRAM INCLUDES SIX WEEK WORKSHOPS IN WHICH PARTICIPANTS ARE EQUIPPED WITH KNOWLEDGE AND SKILLS NEEDED TO SHOP AND PREPARE HEALTHY MEALS ON A BUDGET, WITH AN EMPHASIS ON APPROPRIATE FOOD FOR THOSE AT RISK OF OR DEALING WITH DIABETES. IN 2018, 38 PEOPLE PARTICIPATED IN THE PROGRAM AND 30 GRADUATED.EDUCATION ON DIABETES IS PROVIDED TO COMMUNITY GROUPS AND INDIVIDUALS THROUGH THE BEAUMONT SPEAKERS BUREAU AND AT ADDITIONAL EVENTS THROUGHOUT THE ROYAL OAK SERVICE AREA. DURING 2018, EDUCATION ON DIABETES WAS PROVIDED TO 381 PEOPLE.A DIABETES SUPPORT GROUP PROVIDES MONTHLY SESSIONS DESIGNED TO IMPROVE DIABETES SELF-MANAGEMENT FOR ADULTS WITH DIABETES AND THEIR CAREGIVERS. DURING 2018, THE GROUP PROVIDED HELP TO 53 PARTICIPANTS.PRIORITY 3: OBESITYBEAUMONT, ROYAL OAK PROVIDED HANDS-ON COOKING CLASSES TO CHILDREN 6 YEARS AND OLDER THROUGH THE WEIGHT CONTROL CENTER. THIS INCLUDED JUST A COOKING CLASS, AS WELL AS A SEPARATE GARDENING AND COOKING CLASS. THE CLASSES WERE LED BY A REGISTERED DIETITIAN TO AID IN UNDERSTANDING NUTRITION AND HEALTHY MEAL PREPARATION. DURING 2018, 90 CHILDREN PARTICIPATED IN THE COOKING CLASS, AN ADDITIONAL 16 KIDS PARTICPIATED IN THE GARDENING AND COOKING CLASSES FOR 106 CHILDREN TOTAL. BEAUMONT, ROYAL OAK OFFERED COOKING MATTERS FOR ADULTS, COOKING MATTERS FOR TEENS AND COOKING MATTERS AT THE STORE. THESE ARE SIX WEEK WORKSHOPS AND SINGLE SESSION STORE TOURS FOR ADULTS AND TEENS TO EQIUP FAMILIES WITH THE KNOWLEDGE AND SKILLS THEY NEED TO SHOP FOR AND PREPARE HEALTHY MEALS ON A BUDGET. IN 2018, 89 PEOPLE PARTICPIATED IN COOKING MATTERS FOR ADULTS, AND 86 GRADUATED; 84 STUDENTS PARTICIPATED IN COOKING MATTERS FOR TEENS, AND 73 GRADUATED; 48 PEOPLE PARTICIPATED IN SINGLE SESSION GROCERY STORE TOURS.IN ADDITION TO COOKING MATTERS GROCERY STORE TOURS, BEAUMONT, ROYAL OAK NUTRITION SERVICES OFFERED FOCUSED SINGLE SESSION GROCERY STORE TOURS ON DIABETES, HEART HEALTH, AND WEIGHT MANAGEMENT. IN 2018, 41 PEOPLE PARTICIPATED IN THE GROCERY STORE TOURS.EDUCATION ON HEALTHY EATING, FITNESS AND WEIGHT MANAGEMENT WAS PROVIDED THROUGH THE BEAUMONT SPEAKERS BUREAU ALONG WITH ADDITIONAL COMMUNITY EVENTS AND VENUES. DURING 2018, EDUCATION ON OBESITY PREVENTION WAS PROVIDED TO 1,694 PEOPLE IN THE ROYAL OAK SERVICE AREA. BEAUMONT CHILDREN'S PROVIDED CHILDREN WITH SPECIAL NEEDS FROM THROUGHOUT METRO DETROIT CUSTOM-BUILT BICYCLES, AT NO CHARGE, TO PROMOTE AND ENCOURAGE PHYSICAL ACTIVITY FOR CHILDREN WITH SPECIAL NEEDS. IN 2018, 56 BIKES WERE DISTRIBUTED.IN 2018, BEAUMONT, ROYAL OAK EXPANDED THE "BEAUMONT GETS WALKING" PROGRAMS WITH THE MISSION OF IMPROVING HEALTH, FITNESS AND QUALITY OF LIFE THROUGH DAILY PHYSICAL ACTIVITY. THE WALKING PROGRAMS INCLUDED NEIGHBORHOOD WALKING GROUPS, WALK WITH A DOC AND THE UTILIZATION OF THE CARROT APP. IN 2018, NEIGHBORHOOD WALKING GROUPS IN COLLABORATION WITH OAKLAND MALL HAD 63 COMMUNITY WALKERS; WALK WITH A DOC PROGRAMS WERE HOSTED IN ROYAL OAK AND BERKLEY, TOTALLING 6 EVENTS WITH 48 TOTAL PARTICPIANTS; AND 339 PEOPLE WERE UTIZLIING THE CARROT APP IN THE ROYAL OAK SERVICE AREA.
GROUP A-FACILITY 2 -- BEAUMONT HOSPITAL, TROY PART V, SECTION B, LINE 5:	THE 2016 CHNA TOOK 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. INTERVIEWS AND FOCUS GROUPS WERE CONDUCTED FOR EACH OF THE BEAUMONT HEALTH HOSPITAL COMMUNITIES TO PROVIDE QUALITIATIVE INFORMATION FOR THE CHNA. PARTICIPANTS INCLUDED COMMUNITY LEADERS, COMMUNITY RESIDENTS, PUBLIC HEALTH EXPERTS, NONPROFITS AND THOSE REPRESENTING THE NEEDS OF INDIVIDUALS WITH CHRONIC DISEASES, MINORITY, UNDERSERVED AND INDIGENT POPULATIONS. IN ADDITION, BEAUMONT PHYSICIANS, NURSES, HOSPITAL LEADERSHIP AND CHRONIC DISEASE EXPERTS PARTICIPANTED IN THE INTERVIEW AND FOCUS GROUP PROCESS. FOR A COMPLETE LISTING OF PARTICIPANTS PLEASE VISIT BEAUMONT.ORG/CHNA.THE FOLLOWING CONTRIBUTED TO THE CHNA PROCESS AS COMMUNITY PARTNERS:GLEANERS COMMUNITY FOOD BANK OF SE MICHIGAN DEARBORN PUBLIC SCHOOLS HEALTHY DEARBORN COALITION CITY OF DEARBORN RIVER ROUGE SCHOOL DISTRICT CITY OF DEARBORN AND RECREATION AMERICAN HEART ASSOCIATION NATIONAL KIDNEY FOUNDATION OF MICHIGAN TAYLOR SCHOOL DISTRICT HEALTHY TAYLOR COALITION CITY OF TAYLOR CITY OF TAYLOR PARKS AND RECREATION DOWNRIVER FAMILY YMCA CITY OF TRENTON PARKS AND RECREATION TRENTON PUBLIC SCHOOLS HEALTHY TRENTON COALITION CITY OF TRENTON WAYNE COUNTY PARKS TRAFFIC SAFETY COMMISSION WESTWOOD COMMUNITY SCHOOL DISTRICT HEALTHY WAYNE COALITION WAYNE-WESTLAND COMMUNITY SCHOOLS CITY OF WAYNE WAYNE CHAMBER OF COMMERCE ROMULUS COMMUNITY SCHOOLS EDSEL & ELEANOR FORD HOUSE, GROSSE POINTE SHORESCITY OF ROYAL OAK MEMORIAL PARKORION TOWNSHIP COMMUNITY CENTER UNITED SHORE PROFESSIONAL BASEBALL LEAGUE CITY OF STERLING HEIGHTS TROY SCHOOL DISTRICT FARMINGTON FARMERS MARKET CITY OF FARMINGTON HILLS CITY OF FARMINGTON HILLS PARKS COMMUNITY ORGANIZATIONS FARMINGTON PUBLIC SCHOOLS FARMINGTON HILLS FIRE DEPARTMENT
GROUP A-FACILITY 2 -- BEAUMONT HOSPITAL, TROY PART V, SECTION B, LINE 6A:	BEAUMONT HEALTH CONDUCTED THE CHNA FOR THE COMMUNITIES SERVED BY BEAUMONT HOSPITAL DEARBORN, BEAUMONT HOSPITAL FARMINGTON HILLS, BEAUMONT HOSPITAL GROSSE POINTE, BEAUMONT HOSPITAL ROYAL OAK, BEAUMONT HOSPITAL TAYLOR, BEAUMONT HOSPITAL TRENTON, BEAUMONT HOSPITAL TROY AND BEAUMONT HOSPITAL WAYNE.
GROUP A-FACILITY 2 -- BEAUMONT HOSPITAL, TROY PART V, SECTION B, LINE 7D:	THE CHNA AND IMPLEMENTATION STRATEGIES ARE POSTED ON THE BEAUMONT HEALTH WEBSITE AT BEAUMONT.ORG/CHNA. IT WAS ALSO SHARED WITH ALL ORGANIZATIONS AND PARTICIPANTS WHO PARTICIPATED IN THE INTERVIEWS AND FOCUS GROUPS, DISTRIBUTED INTERNALLY TO BEAUMONT LEADERS AND STAFF, GIVEN TO THE BEAUMONT BOARD OF DIRECTORS, BEAUMONT COMMUNITY ADVISORY BOARDS, AND GIVEN TO THE COMMUNITY MEMBERS WHO ARE ENGAGED IN THE COMMUNITY COALITIONS OF BEAUMONT. COPIES ARE ALSO AVAILABLE UPON REQUEST AT NO CHARGE.
GROUP A-FACILITY 2 -- BEAUMONT HOSPITAL, TROY PART V, SECTION B, LINE 11:	THE 2016 CHNA FOR BEAUMONT HOSPITAL TROY (BEAUMONT TROY) IDENTIFIED THREE PRIORITY HEALTH NEEDS TO BE ADDRESSED. THE IMPLEMENTATION STRATEGY FOR BEAUMONT HOSPITAL TROY FOCUSED ON THE PRIORITY HEALTH NEEDS OF CARDIOVASCULAR DISEASE, DIABETES AND OBESITY. THE HEALTH NEEDS OF SUBSTANCE ABUSE, MENTAL HEALTH, ACCESS TO CARE, AND PREVENTIVE CARE OF SCREENINGS AND VACCINATIONS WERE NOT ADDRESSED AS THEY DID NOT FALL WITHIN THE CRITERIA OF THE PRIORITIZATION PROCESS (RESOURCES, PARTNERSHIPS, INFRASTRUCTURE, AND FUNDING AVAILABLE). A SUMMARY OF THE PROGRESS ON THE ACTIONS TO ADDRESS THE PRIORITY HEALTH NEEDS SELECTED IS AS FOLLOWS:PRIORITY 1: CARDIOVASCULAR DISEASEIN 2018, "FOOD FOR THE HEART" CLASSES WAS OFFERED TO THE COMMUNITY BY BEAUMONT TROY. PART I HELPS PARTICIPANTS TO LOWER CHOLESTEROL/TRIGLYCERIDES, BLOOD PRESSURE AND LOSE WEIGHT; ALL RISK FACTORS FOR CARDIOVASCULAR DISEASE. PART II INCLUDES EDUCATION ON THE IMPACT OF SODIUM AND VITAMINS TO THE HEART TOGETHER WITH HEALTHY DECISIONS FOR DINING OUT. SIX CLASSES WERE HELD WITH 53 PARTICIPANTS. BEAUMONT TROY OFFERED "MINDFULNESS BASED STRESS REDUCTION" CLASSES TO THE COMMUNITY AS A MEANS OF ENHANCING SELF-AWARENESS AND THE CAPACITY TO MANAGE DISTRESSING EMOTIONS. BENEFITS OF THE MINDFULNESS PROGRAM INCLUDE REDUCTION OF ANXIETY AND STRESS AND LOWERING BLOOD PRESSURE WHICH IS A RISK FACTOR FOR CARDIOVASCULAR DISEASE. A TOTAL OF 97 INDIVIDUALS ATTENDED THIS CLASS IN 2018.THROUGH THE AMERICAN ACADEMY OF FAMILY PHYSICIANS, BEAUMONT TROY TEACHES "TAR WARS; A TOBACCO-FREE EDUCATION PROGRAM TO ELEMENTARY SCHOOL CHILDREN. THIS PROGRAM FOCUSES ON THE DANGERS OF TOBACCO USE AND IS INSTRUMENTAL IN DECREASING THE USE OF TOBACCO AMONG PRE-TEENS IN HOPES OF REDUCING A RISK FACTOR FOR CARDIOVASCULAR DISEASE. DURING 2018, PHYSICIANS AND RESIDENTS FROM THE TROY FAMILY MEDICINE CLINIC VISITED 10 SCHOOLS WHERE 600 STUDENTS WERE INTRODUCED TO THE PROGRAM. EDUCATION ON CARDIOVASCULAR DISEASE, RISK FACTORS, HEART HEALTH, TREATMENT OPTIONS AND CPR IS PROVIDED THROUGH THE BEAUMONT SPEAKERS BUREAU. DURING 2018 EDUCATION ON CARDIOVASCULAR HEALTH WAS PROVIDED TO 48 PARTICIPANTS IN PARTNERSHIP WITH BRUCE AND SHELBY TOWNSHIP FIRE HOUSE. SUPPORT GROUPS ARE OFFERED WITH MONTHLY MEETINGS FOR EDUCATION AND SUPPORT OF COMMUNITY GROUPS: APHASIA SUPPORT GROUP INCREASES SELF-MANAGEMENT WITH EDUCATION ON CARDIOVASCULAR DISEASE, STROKE PREVENTION AND STROKE RECOVERY. CANE AND ABLE STROKE SUPPORT GROUP PROVIDES EDUCATION ON CARDIOVASCULAR DISEASE AND STROKE PREVENTION WHILE HELPING POST-STROKE INDIVIDUALS HELP WITH RE-ENTRY INTO THE COMMUNITY. DURING 2018, 408 ADULTS PARTICIPATED IN THE CANE AND ABLE STROKE GROUP. GUIDING HEART SUPPORT GROUP PROVIDES ADULTS WHO HAVE HEART DISEASE AND OTHER HEART-RELATED HEALTH ISSUES A HOLISTIC APPROACH TO ENHANCE THEIR QUALITY OF LIFE. PHYSICIANS AND OTHER SPEAKERS ARE SCHEDULED TO SPEAK TO THE GROUP EACH MONTH. DURING 2018, BEAUMONT TROY ENGAGED COMMUNITY MEMBERS ON HEART HEALTH THROUGH THE HOSPITAL "KEEPING THE BEAT" COMMUNITY EVENT EDUCATING 80 COMMUNITY MEMBERS AND IN PARTNERSHIP WITH STERLING HEIGHTS SENIOR EXPO BENEFITING 100 COMMUNITY MEMBERS. THE STUDENT HEART SCREENING PROGRAM IS OFFERED TO HIGH STUDENTS, AGES 13-18, TO DETECT ABNORMAL HEART STRUCTURE OR ABNORMAL RHYTHMS AND PREVENT SUDDEN CARDIAC ARREST. TEST RESULTS ARE REVIEWED WITH PARENTS AND, IF INDICATED, FOLLOW UP IS SUGGESTED. DURING 2018, 230 STUDENTS WERE SCREENED FOR HEART ABNORMALITIES IN THE TROY HOSPITAL SERVICE AREA. BEAUMONT TROY OFFERS 7 FOR $70 HEART AND VASCULAR SCREENINGS FOR ADULTS TO IDENTIFY RISK FACTORS IN CARDIOVASCULAR DISEASE. SEVEN TESTS ARE OFFERED FOR $70 INCLUDING BLOOD TESTS, ARTERY TESTING, EKG AND LIFE STYLE IS EXAMINED TO RECOMMEND A COURSE OF ACTION FOR IMPROVED HEART AND VASCULAR HEALTH. THERE WERE 1,740 7 FOR $70 SCREENINGS PROVIDED IN 2018.PRIORITY 2: DIABETESIN 2018, BEAUMONT TROY PROVIDED A MONTHLY DIABETES SUPPORT GROUP DESIGNED TO IMPROVE DIABETES SELF-MANAGEMENT FOR ADULTS WITH DIABETES AND THEIR CAREGIVERS. BEAUMONT TROY PARTNERED WITH COMMUNITY LOCATIONS SUCH AS, LIBRARIES, SENIOR CENTERS AND COMMUNITY CENTERS TO OFFER "DIABETES PATH" (PERSONAL ACTION TOWARD HEALTH) PROGRAMS DESIGNED TO HELP PEOPLE LIVING WITH (OR AT HIGH-RISK) OF DIABETES. THE PROGRAM INCLUDES SIX-WEEK WORKSHOPS IN WHICH PARTICIPANTS LEARN SELF-MANAGEMENT INCLUDING MAKING ACTION PLANS, THE IMPORTANCE OF BALANCING AND MONITORING THEIR BLOOD SUGAR, COMMUNICATION WITH FAMILY/CAREGIVERS AND HEALTH PROVIDER AND MANAGING STRESS TO INCREASE THEIR OVERALL HEALTH. DURING 2018, 49 PEOPLE PARTICIPATED IN DIABETES PATH AND 39 GRADUATES COMPLETED FOUR OR MORE SESSIONS WHILE PROVIDING OUTCOME MEASURES. BEAUMONT TROY PARTNERED WITH COMMUNITY LOCATIONS SUCH AS, LIBRARIES, SENIOR CENTERS AND COMMUNITY CENTERS TO OFFER COOKING MATTER EXTRA FOR DIABETES. THE PROGRAM PROVIDES A SIX-WEEK HANDS-ON WORKSHOP WITH SPECIALIZED RECIPES AND INFORMATION FOR ADULTS LIVING WITH DIABETES, AT HIGH-RISK, AND THEIR CAREGIVERS. DURING 2018, 71 PEOPLE PARTICIPATED IN COOKING MATTERS EXTRA FOR DIABTES AND 57 GRADUATES COMPLETED FOUR OR MORE SESSIONS WHILE PROVIDING OUTCOME MEASURES.THE NATIONAL DIABETES PREVENTION PROGRAM (DPP) WAS PROVIDED THROUGH PARTNERSHIPS WITH COMMUNITY CENTERS, SENIOR CETNERS AND OTHER COMMUNITY ORGANIZATIONS. THIS IS A 12 MONTH LIFESTYLE CHANGE PROGRAM THAT CONCENTRATES ON WEIGHT LOSS TACTICS AND INCREASED PHYSICAL ACTIVITY TO PREVENT TYPE 2 DIABETES IN THOSE AT RISK. PARTICIPANTS ATTEND CLASS ONCE A WEEK FOR THE FIRST 16 WEEKS OF THE PROGRAM, TRANSITIONING TO MONTHLY SESSIONS FOR THE FINAL SIX MONTHS. DURING 2018, 39 PEOPLE PARTICIPATED IN DPP AND ADDITIONAL BEHAVIOR CHANGE DATA WILL BE COLLECTED IN 2019 AS PROGRAMS ARE COMPLETED.DURING 2018, BEAUMONT TROY ENGAGED COMMUNITY MEMBERS ON DIABETES EDUCATION THROUGH A HOSPITAL LIVING WELL SERIES COMMUNITY EVENT EDUCATING 135 COMMUNITY MEMBERS. THROUGH BEAUMONT SPEAKERS BUREAU AND HEALTH EVENTS 223 COMMUNITY MEMBERS BENEFITED FROM DIABETES EDUCATION. BEAUMONT IS COMMITTED TO IMPROVING THE LIVES OF CHILDREN WITH TYPE 1 DIABTES THROUGH AN ON-LINE VIDEO, "MANAGING TYPE 1 DIABETES IN THE SCHOOL SETTING: A GUIDE FOR NON-MEDICAL PERSONNEL IN SCHOOLS". THE VIDEO IS ACCOMPANIED WITH A STEP-BY-STEP GUIDE. PRIORITY 3: OBESITYBEAUMONT TROY PROVIDED HANDS-ON COOKING CLASSES TO CHILDREN 6 YEARS AND OLDER THROUGH THE WEIGHT CONTROL CENTER. THE CLASSES WERE LED BY A REGISTERED DIETITIAN TO AID IN UNDERSTANDING NUTRITION AND HEALTHY MEAL PREPARATION. DURING 2018, 76 CHILDREN PARTICIPATED IN THE CLASSES. BEAUMONT TROY OFFERED COOKING MATTERS AT THE STORE. THIS IS SINGLE SESSION STORE TOURS FOR ADULTS AND TEENS TO EQIUP FAMILIES WITH THE KNOWLEDGE AND SKILLS THEY NEED TO SHOP FOR AND PREPARE HEALTHY MEALS ON A BUDGET. IN 2018, 10 PEOPLE PARTICPIATED IN COOKING MATTERS AT THE STORE.DURING 2018, BEAUMONT TROY ENGAGED COMMUNITY MEMBERS ON HEALTHY EATING AND WEIGHT MANAGEMENT THROUGH A HOSPITAL LIVING WELL SERIES COMMUNITY EVENT EDUCATING 75 COMMUNITY MEMBERS. EDUCATION ON HEALTHY EATING, FITNESS AND WEIGHT MANAGEMENT WAS PROVIDED THROUGH THE BEAUMONT SPEAKERS BUREAU AND HEALTH EVENTS ON OBESITY PREVENTION WAS PROVIDED TO 270 PARTICIPANTS. BEAUMONT CHILDREN'S PROVIDED CHILDREN WITH SPECIAL NEEDS FROM THROUGHOUT METRO DETROIT CUSTOM-BUILT BICYCLES, AT NO CHARGE, TO PROMOTE AND ENCOURAGE PHYSICAL ACTIVITY FOR CHILDREN WITH SPECIAL NEEDS. FROM THAT, 26 BIKES WERE DONATED DURING THE TROY EVENT.THROUGH A COLLABORATION WITH THE LAKE ORION WELLNESS CENTER, BEAUMONT TROY PROVIDES AN ON-SITE WELLNESS LIAISON FOR SENIORS AND OTHER COMMUNITY MEMBERS. PARTICIPANTS ARE PROVIDED HEALTH ASSESSMENTS, FALL PREVENTION, EDUCATION FOR HEALTH AND FITNESS AND RECOMMENDATIONS FOR CLASSES TO MAINTAIN PHYSICALLY ACTIVE LIVES. THE LIAISON WORKED WITH 2,254 SENIORS DURING 2018 AS WELL AS PROVIDING BLOOD PRESSURE CHECKS FOR 707 INDIVIDUALS.IN A COLLABORATION WITH A LOCAL MINOR LEAGUE BASEBALL, BEAUMONT TROY HOSTED A "FAMILY FUN DAY" AT THE STADIUM FOR CHILDREN WITH SPECIAL NEEDS. BASEBALL PLAYERS PROVIDED MODIFIED SPORTS ACTIVITIES TO HELP INCREASE THE PHYSICAL WELL-BEING OF THESE CHILDREN. 48 CHILDREN PARTICIPATED IN 2018. IN 2018, BEAUMONT TROY EXPANDED THE "BEAUMONT GETS WALKING" PROGRAMS WITH THE MISSION OF IMPROVING HEALTH, FITNESS AND QUALITY OF LIFE THROUGH DAILY PHYSICAL ACTIVITY TO HELP REDUCE CARDIOVASCULAR DISEASE THROUGH A HEALTHIER LIFESTYLE. THE WALKING PROGRAMS INCLUDING NEIGHBORHOOD WALKING GROUPS, WALK WITH A DOC AND NEW IN 2018 THE UTILIZATION OF THE CARROT APP. IN 2018, NEIGHBORHOOD WALKING GROUPS IN COLLABORATION WITH A SENIOR CENTER AND MALL HAD 110 COMMUNITY WALKERS. WALK WITH A DOC PROGRAMS WERE HOSTED IN STERLING HEIGHTS AND TROY, TOTALLING 3 EVENTS WITH 57 TOTAL PARTICPIANTS. THE CARROT APP ENGAGED ANOTHER 279 WALKERS.
GROUP A-FACILITY 3 -- BEAUMONT HOSPITAL, GROSSE POINTE PART V, SECTION B, LINE 5:	THE 2016 CHNA TOOK 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. INTERVIEWS AND FOCUS GROUPS WERE CONDUCTED FOR EACH OF THE BEAUMONT HEALTH HOSPITAL COMMUNITIES TO PROVIDE QUALITIATIVE INFORMATION FOR THE CHNA. PARTICIPANTS INCLUDED COMMUNITY LEADERS, COMMUNITY RESIDENTS, PUBLIC HEALTH EXPERTS, NONPROFITS AND THOSE REPRESENTING THE NEEDS OF INDIVIDUALS WITH CHRONIC DISEASES, MINORITY, UNDERSERVED AND INDIGENT POPULATIONS. IN ADDITION, BEAUMONT PHYSICIANS, NURSES, HOSPITAL LEADERSHIP AND CHRONIC DISEASE EXPERTS PARTICIPANTED IN THE INTERVIEW AND FOCUS GROUP PROCESS. FOR A COMPLETE LISTING OF PARTICIPANTS PLEASE VISIT BEAUMONT.ORG/CHNA.THE FOLLOWING CONTRIBUTED TO THE CHNA PROCESS AS COMMUNITY PARTNERS:GLEANERS COMMUNITY FOOD BANK OF SE MICHIGAN DEARBORN PUBLIC SCHOOLS HEALTHY DEARBORN COALITION CITY OF DEARBORN RIVER ROUGE SCHOOL DISTRICT CITY OF DEARBORN AND RECREATION AMERICAN HEART ASSOCIATION NATIONAL KIDNEY FOUNDATION OF MICHIGAN TAYLOR SCHOOL DISTRICT HEALTHY TAYLOR COALITION CITY OF TAYLOR CITY OF TAYLOR PARKS AND RECREATION DOWNRIVER FAMILY YMCA CITY OF TRENTON PARKS AND RECREATION TRENTON PUBLIC SCHOOLS HEALTHY TRENTON COALITION CITY OF TRENTON WAYNE COUNTY PARKS TRAFFIC SAFETY COMMISSION WESTWOOD COMMUNITY SCHOOL DISTRICT HEALTHY WAYNE COALITION WAYNE-WESTLAND COMMUNITY SCHOOLS CITY OF WAYNE WAYNE CHAMBER OF COMMERCE ROMULUS COMMUNITY SCHOOLS EDSEL & ELEANOR FORD HOUSE, GROSSE POINTE SHORESCITY OF ROYAL OAK MEMORIAL PARKORION TOWNSHIP COMMUNITY CENTER UNITED SHORE PROFESSIONAL BASEBALL LEAGUE CITY OF STERLING HEIGHTS TROY SCHOOL DISTRICT FARMINGTON FARMERS MARKET CITY OF FARMINGTON HILLS CITY OF FARMINGTON HILLS PARKS COMMUNITY ORGANIZATIONS FARMINGTON PUBLIC SCHOOLS FARMINGTON HILLS FIRE DEPARTMENT
GROUP A-FACILITY 3 -- BEAUMONT HOSPITAL, GROSSE POINTE PART V, SECTION B, LINE 6A:	BEAUMONT HEALTH CONDUCTED THE CHNA FOR THE COMMUNITIES SERVED BY BEAUMONT HOSPITAL DEARBORN, BEAUMONT HOSPITAL FARMINGTON HILLS, BEAUMONT HOSPITAL GROSSE POINTE, BEAUMONT HOSPITAL ROYAL OAK, BEAUMONT HOSPITAL TAYLOR, BEAUMONT HOSPITAL TRENTON, BEAUMONT HOSPITAL TROY AND BEAUMONT HOSPITAL WAYNE.
GROUP A-FACILITY 3 -- BEAUMONT HOSPITAL, GROSSE POINTE PART V, SECTION B, LINE 7D:	THE CHNA AND IMPLEMENTATION STRATEGIES ARE POSTED ON THE BEAUMONT HEALTH WEBSITE AT BEAUMONT.ORG/CHNA. IT WAS ALSO SHARED WITH ALL ORGANIZATIONS AND PARTICIPANTS WHO PARTICIPATED IN THE INTERVIEWS AND FOCUS GROUPS, DISTRIBUTED INTERNALLY TO BEAUMONT LEADERS AND STAFF, GIVEN TO THE BEAUMONT BOARD OF DIRECTORS, BEAUMONT COMMUNITY ADVISORY BOARDS, AND GIVEN TO THE COMMUNITY MEMBERS WHO ARE ENGAGED IN THE COMMUNITY COALITIONS OF BEAUMONT. COPIES ARE ALSO AVAILABLE UPON REQUEST AT NO CHARGE.
GROUP A-FACILITY 3 -- BEAUMONT HOSPITAL, GROSSE POINTE PART V, SECTION B, LINE 11:	THE 2016 CHNA FOR BEAUMONT HOSPITAL GROSSE POINTE (BEAUMONT GROSSE POINTE) IDENTIFIED THREE PRIORITY HEALTH NEEDS TO BE ADDRESSED. THE IMPLEMENTATION STRATEGY FOR BEAUMONT GROSSE POINTE FOCUSED ON THE PRIORITY HEALTH NEEDS OF CARDIOVASCULAR DISEASE, DIABETES AND OBESITY. THE HEALTH NEEDS OF SUBSTANCE ABUSE, MENTAL HEALTH, ACCESS TO CARE, AND PREVENTIVE CARE OF SCREENINGS AND VACCINATIONS WERE NOT ADDRESSED AS THEY DID NOT FALL WITHIN THE CRITERIA OF THE PRIORITIZATION PROCESS (RESOURCES, PARTNERSHIPS, INFRASTRUCTURE, AND FUNDING AVAILABLE). A SUMMARY OF THE PROGRESS ON THE ACTIONS TO ADDRESS THE PRIORITY HEALTH NEEDS SELECTED IS AS FOLLOWS:PRIORITY 1: CARDIOVASCULAR DISEASETHE STUDENT HEART SCREENING PROGRAM IS OFFERED TO HIGH STUDENTS, AGES 13-18, IN AN EFFORT TO DETECT ABNORMAL HEART STRUCTURE OR ABNORMAL RHYTHMS AND PREVENT SUDDEN CARDIAC ARREST. TEST RESULTS ARE REVIEWED WITH PARENTS AND, IF INDICATED, FOLLOW UP IS SUGGESTED. DURING 2018, 135 STUDENTS WERE SCREENED FOR HEART ABNORMALITIES IN THE GROSSE POINTE SERVICE AREA. IN 2018, BEAUMONT GROSSE POINTE PROVIDED 138 HEART HEALTH SCREENINGS IN THE COMMUNITY. THE SCREENINGS CONSISTED OF BLOOD PRESSURE, CHOLESTEROL, GLUCOSE, STROKE RISK ASSESSMENTS AND BMI.BEAUMONT GROSSE POINTE PROVIDED 71 INDIVIDUALS IN THE COMMUNITY WITH EDUCATION ON STRESS MANAGEMENT.BEAUMONT GROSSE POINTE PROVIDED 132 HOURS OF SMOKING CESSATION SERVICES TO 18 INDIVIDUALS IN THE COMMUNITY IN 2018. SUPPORT GROUPS WERE OFFERED BY BEAUMONT GROSSE POINTE FOR COPD TO 144 INDIVIDUALS IN THE COMMUNITY. NUTRITION EDUCATION WAS OFFERED TO 44 INDIVIDUALS WHO ATTENDED THE PLANT POWER YOUR MEALS PROGRAM ON 3/12 IN ST CLAIR SHORES.PRIORITY 2: DIABETESIN PARTNERSHIP WITH GLEANERS COMMUNITY FOOD BANK OF SOUTHEASTERN MICHIGAN, BEAUMONT GROSSE POINTE PROVIDES SHARE OUR STRENGTH'S COOKING MATTERS - FOR ADULTS EXTRA FOR DIABETES. THIS SIX WEEK CLASS INCLUDES THE COOKING MATTERS - FOR ADULTS CURRICULA AS DESCRIBED BELOW ALONG WITH SPECIALIZED INFORMATION THROUGHOUT THE COURSE FOR ADULTS LIVING WITH DIABETES, CARETAKERS OF ADULTS LIVING WITH DIABETES, OR PRE-DIABETIC ADULTS. THESE CLASSES WERE ATTENDED BY 15 INDIVIDUALS, PROVIDING 77 UNITS OF EDUCATION. PARTICIPANT SATISFACTION WITH THE CLASSES WAS 87% (VERY GOOD). AND, OUTCOME DATA INDICATED AN AGGREGATE INCREASE IN KNOWLEDGE OF SIGNIFICANT IMPROVEMENT USING NUTRITION FACTS ON FOOD LABELS AND CONFIDENCE BUYING HEALTHY FOODS FOR THEIR FAMILY ON A BUDGET. BEAUMONT GROSSE POINTE PROVIDED 22 INDIVIDUALS WITH DIABETES PATH (PERSONAL ACTION TOWARD HEALTH). PATH IS A NATIONAL EVIDENCE-BASED PROGRAM FOR THOSE WITH TYPE 2 DIABETES AND THEIR CAREGIVERS. THE PROGRAM IS DESIGNED TO ENHANCE PATIENT CONFIDENCE IN THEIR ABILITY TO MANAGE THEIR DISEASE AND TO WORK MORE EFFECTIVELY WITH THEIR HEALTH CARE PROVIDERS. OUTCOME DATA INDICATED 79% OF PARTICIPANTS WERE MORE CONFIDENT ABOUT HANDLING THEIR HEALTH CONDITION AFTER TAKING THE WORKSHOP AND SHOWED SIGNIFICANT IMPROVEMENTS IN TESTING BLOOD SUGAR SEVEN DAYS A WEEK AND EXERCISING MORE THAN 150 MINUTES PER WEEK. PARTICIPANT SATISFACTION WITH THE CLASSES WAS 89% (VERY GOOD). BEAUMONT GROSSE POINTE PROVIDED 18 UNITS OF DIABETES EDUCATION TO INDIVIDUALS IN THE COMMUNITY.PRIORITY 3: OBESITYTHROUGH BEAUMONT GROSSE POINTE, THE "WALK WITH A DOC" PROGRAM WAS PROVIDED TO INDIVIDUALS IN THE COMMUNITY. THIS NATIONALLY RECOGNIZED PROGRAM INCLUDES PHYSICIAN PRESENTATIONS ON VARIOUS TOPICS RELATED TO OBESITY, HEART DISEASE AND DIABETES FOLLOWED BY THE PHYSICIAN LEADING A WALK. BEAUMONT GROSSE POINTE PARTNERED WITH SEVERAL COMMUNITY ORGANIZATIONS TO HOLD THE 28 DAY WALKING CHALLENGE. OVER 425 COMMUNITY MEMBERS PARTICIPATED IN THIS EVENT.THROUGH CARROT MOBILE HEALTH AND WELLNESS APP 89 USERS PERSONALIZED GOALS AND EARNED REWARDS FOR A MORE ACTIVE LIFESTYLE. THE APP PROVIDED INDIVIDUAL STEP GOALS THAT INCREMENTALLY INCREASED STEPS FOR THE MOST SEDENTARY TO A MARATHON RUNNER. PARTICIPANTS EARNED VIRTUAL CURRENCIES THAT WERE USED TO PARTICIPATE IN CHALLENGES, CONTESTS, LEADER BOARDS AND PURCHASE REWARDS ON THE APP.
PART V, LINES 7 & 10:	BEAUMONT HOSPITAL, ROYAL OAK'S CHNA AND IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING URL ON THE HOSPITAL SYSTEM'S WEBSITE:HTTPS://WWW.BEAUMONT.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENTBEAUMONT HOSPITAL, TROY'S CHNA AND IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING URL ON THE HOSPITAL SYSTEM'S WEBSITE:HTTPS://WWW.BEAUMONT.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENTBEAUMONT HOSPITAL, GROSSE POINTE'S CHNA AND IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING URL ON THE HOSPITAL SYSTEM'S WEBSITE:HTTPS://WWW.BEAUMONT.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
PART V, LINE 16 A, B, & C	BEAUMONT HOSPITAL ROYAL OAK'S FAP FAP APPLICATION FORM AND PLAIN LANGUAGE SUMMARY OF THE FAP CAN BE FOUND AT THE FOLLOWING URL ON THE HOSPITAL SYSTEM'S WEBSITE:HTTPS://WWW.BEAUMONT.ORG/PATIENTS-FAMILIES/BILLING/FINANCIAL-ASSISTANCEBEAUMONT HOSPITAL TROY'S FAP FAP APPLICATION FORM AND PLAIN LANGUAGE SUMMARY OF THE FAP CAN BE FOUND AT THE FOLLOWING URL ON THE HOSPITAL SYSTEM'S WEBSITE:HTTPS://WWW.BEAUMONT.ORG/PATIENTS-FAMILIES/BILLING/FINANCIAL-ASSISTANCEBEAUMONT HOSPITAL GROSSE POINT'S FAP FAP APPLICATION FORM AND PLAIN LANGUAGE SUMMARY OF THE FAP CAN BE FOUND AT THE FOLLOWING URL ON THE HOSPITAL SYSTEM'S WEBSITE:HTTPS://WWW.BEAUMONT.ORG/PATIENTS-FAMILIES/BILLING/FINANCIAL-ASSISTANCE

Schedule H (Form 990) 2018

Page 9

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?60
Name and address		Type of Facility (describe)
1	1 - ACADEMIC HEART AND VASCULAR 5100 GATEWAY CENTER FLINT,MI485073927	BEAUMONT PHYSICIAN PARTNERS
2	2 - BEAUMONT MEDICAL CENTER-STERLING HEIGHTS 44300 DEQUINDRE ROAD STERLING HEIGHTS,MI483141003	DIALYSIS CENTER
3	3 - BEAUMONT DIALYSIS CENTER-BERKLEY 2624 11 MILE ROAD BERKLEY,MI480723050	DIALYSIS CENTER
4	4 - BEAUMONT DIALYSIS CTR-HAZEL PARK 23223 AND 23231 JOHN R ROAD HAZEL PARK,MI48030	DIALYSIS CENTER
5	5 - BEAUMONT EMPLOYEE HEALTH & SAFETY-TROY 550 STEPHENSON HIGHWAY TROY,MI480831109	EMPLOYEE HEALTH SERVICES
6	6 - BEAUMONT REHABILITATION SERVICES 17150 WATERLOO STREET GROSSE POINTE,MI482301201	FITNESS
7	7 - METRO FAMILY MEDICINE 26015 GREENFIELD ROAD SOUTHFIELD,MI480764703	GENERAL MEDICAL
8	8 - BEAUMONT NORTHPOINTE HEART CENTER-BERKLE 27901 WOODWARD AVENUE BERKLEY,MI480720927	GENERAL MEDICAL/ PHYSICIAN OFFICE
9	9 - BEAUMONT NORTHPOINTE MEDICAL BLDG 1949 12 MILE ROAD BERKLEY,MI480721853	GENERAL MEDICAL/ PHYSICIAN OFFICE
10	10 - BEVERLY HILLS INTERNAL MEDICINE 17392 WEST 13 MILE ROAD BEVERLY HILLS,MI480255438	GENERAL MEDICAL/ PHYSICIAN OFFICE
11	11 - BEAUMONT ENDOCRINE CTR-BEVERLY HILLS 17412 WEST 13 MILE ROAD BEVERLY HILLS,MI480255439	GENERAL MEDICAL/ PHYSICIAN OFFICE
12	12 - DR O WILLIAM BROWN 31700 TELEGRAPH ROAD BINGHAM FARMS,MI480253466	GENERAL MEDICAL/ PHYSICIAN OFFICE
13	13 - BEAUMONT MEDICAL BLDG-BIRMINGHAM 35046 WOODWARD AVENUE BIRMINGHAM,MI480090932	GENERAL MEDICAL/ PHYSICIAN OFFICE
14	14 - REN CEN WELLNESS CLINIC 500 RENAISSANCE CENTER DETROIT,MI482431929	GENERAL MEDICAL/ PHYSICIAN OFFICE
15	15 - BEAUMONT LIVING WELL PRIMARY CARE 29645 WEST 14 MILE ROAD FARMINGTON HILLS,MI483341666	GENERAL MEDICAL/ PHYSICIAN OFFICE
16	16 - GP PHYSICIANS AND SURGEONS 17000 KERCHEVAL AVENUE GROSSE POINTE,MI482301570	GENERAL MEDICAL/ PHYSICIAN OFFICE
17	17 - BEAUMONT VEIN CTR-GPFARMS 87 KERCHEVAL AVENUE GROSSE POINTE FARMS,MI482363603	GENERAL MEDICAL/ PHYSICIAN OFFICE
18	18 - BEAUMONT MEDICAL CENTER-LAKE ORION 15200 KERCHEVAL AVENUE GROSSE POINTE PARK,MI482301356	GENERAL MEDICAL/ PHYSICIAN OFFICE
19	19 - BEAUMONT MEDICAL CENTER-LAKE ORION 1455 SOUTH LAPEER ROAD LAKE ORION,MI483601467	GENERAL MEDICAL/ PHYSICIAN OFFICE
20	20 - DR POLEY MACOMB OFFICE 15959 HALL ROAD MACOMB,MI480445368	GENERAL MEDICAL/ PHYSICIAN OFFICE
21	21 - BEAUMONT MICHIGAN HEART GROUP-NOVI 39500 WEST 10 MILE ROAD NOVI,MI483752947	GENERAL MEDICAL/ PHYSICIAN OFFICE
22	22 - BEAUMONT PARKSIDE MEDICAL ASSOC 25 SOUTH WASHINGTON STREET OXFORD,MI483714978	GENERAL MEDICAL/ PHYSICIAN OFFICE
23	23 - BEAUMONT ROCHESTER HILLS FAMILY PHYSICIA 1202 WALTON BOULEVARD ROCHESTER HILLS,MI483076917	GENERAL MEDICAL/ PHYSICIAN OFFICE
24	24 - BEAUMONT HEALTH & WELLNESS CTR-ROCHESTER 1555 SOUTH BOULEVARD EAST ROCHESTER HILLS,MI483075605	GENERAL MEDICAL/ PHYSICIAN OFFICE
25	25 - BEAUMONT MEDICAL CENTER-ROCHESTER HILLS 6700 NORTH ROCHESTER ROAD ROCHESTER HILLS,MI483064362	GENERAL MEDICAL/ PHYSICIAN OFFICE
26	26 - BEAUMONT MIDWAY INTERNAL MEDICINE 555 BARCLAY CIRCLE ROCHESTER HILLS,MI483074587	GENERAL MEDICAL/ PHYSICIAN OFFICE
27	27 - BEAUMONT SCS INT MED 18325 EAST 10 MILE ROAD ROSEVILLE,MI480664990	GENERAL MEDICAL/ PHYSICIAN OFFICE
28	28 - BEAUMONT EAST AREA FAMILY PRACTICE 30695 LITTLE MACK AVENUE ROSEVILLE,MI480661781	GENERAL MEDICAL/ PHYSICIAN OFFICE
29	29 - BEAUMONT EASTPOINTE PHYSICIANS 25509 KELLY ROAD ROSEVILLE,MI480665823	GENERAL MEDICAL/ PHYSICIAN OFFICE
30	30 - LAKESIDE FAMILY MEDICINE (DR VOLLMER) 25250 KELLY ROAD ROSEVILLE,MI480664473	GENERAL MEDICAL/ PHYSICIAN OFFICE
31	31 - BEAUMONT MEDICAL BUILDING-ROYAL OAK 3535 WEST 13 MILE ROAD ROYAL OAK,MI480736770	GENERAL MEDICAL/ PHYSICIAN OFFICE
32	32 - BEAUMONT CANCER CENTER-ROYAL OAK 3577 WEST 13 MILE ROAD ROYAL OAK,MI480736710	GENERAL MEDICAL/ PHYSICIAN OFFICE
33	33 - INTERNAL MEDICINEPEDS OF RO 950 AND 970 NORTH MAIN STREET ROYAL OAK,MI48067	GENERAL MEDICAL/ PHYSICIAN OFFICE
34	34 - BEAUMONT MEDICAL CENTER-ST CLAIR SHORES 25631 LITTLE MACK AVENUE ST CLAIR SHORES,MI480812100	GENERAL MEDICAL/ PHYSICIAN OFFICE
35	35 - BEAUMONT FAMILY MEDICINE CTR-ST CLAIR SH 21400 EAST 11 MILE ROAD ST CLAIR SHORES,MI480811502	GENERAL MEDICAL/ PHYSICIAN OFFICE
36	36 - BEAUMONT SHOREPOINTE FAMILY PHYSICIANS 22646 EAST 9 MILE ROAD ST CLAIR SHORES,MI480801951	GENERAL MEDICAL/ PHYSICIAN OFFICE
37	37 - BEAUMONT CHILDRENS CTR-SOUTHFIELD 30503 GREENFIELD ROAD SOUTHFIELD,MI480761594	GENERAL MEDICAL/ PHYSICIAN OFFICE
38	38 - BEAUMONT INT MED CTR-SOUTHFIELD 29355 NORTHWESTERN HIGHWAY SOUTHFIELD,MI480341088	GENERAL MEDICAL/ PHYSICIAN OFFICE
39	39 - NORTHWEST CARDIOLOGY GROUP (DR KERNER) 26400 WEST 12 MILE ROAD SOUTHFIELD,MI480341771	GENERAL MEDICAL/ PHYSICIAN OFFICE
40	40 - CARDIOLOGY ASSOC 16800 WEST 12 MILE ROAD SOUTHFIELD,MI480762108	GENERAL MEDICAL/ PHYSICIAN OFFICE
41	41 - BEAUMONT FAMILY MEDICINE CTR-STERLING HE 44250 DEQUINDRE ROAD STERLING HEIGHTS,MI48314	GENERAL MEDICAL/ PHYSICIAN OFFICE
42	42 - BEAUMONT MEDICAL BUILDING-STERLING HEIGH 44344 AND 44378 DEQUINDRE ROAD STERLING HEIGHTS,MI48314	GENERAL MEDICAL/ PHYSICIAN OFFICE
43	43 - NORTHPOINTE HEART CENTER-LOCATION 2 44344 DEQUINDRE ROAD STERLING HEIGHTS,MI483141038	GENERAL MEDICAL/ PHYSICIAN OFFICE
44	44 - ASSOCIATES OF INTERNAL MEDICINETROY 38865 DEQUINDRE ROAD TROY,MI480836812	GENERAL MEDICAL/ PHYSICIAN OFFICE
45	45 - BEAUMONT HOUGH CENTER 1777 AXTELL DRIVE TROY,MI480844435	GENERAL MEDICAL/ PHYSICIAN OFFICE
46	46 - NETWORK-DR POLEY (2ND LOCATION) 4550 INVESTMENT DRIVE TROY,MI480986363	GENERAL MEDICAL/ PHYSICIAN OFFICE
47	47 - BEAUMONT MEDICAL CENTER-WARREN 8545 COMMON ROAD WARREN,MI480936772	GENERAL MEDICAL/ PHYSICIAN OFFICE
48	48 - BEAUMONT ASSOCIATED FAMILY CARE PHYSICIA 27070 HOOVER ROAD WARREN,MI480934590	GENERAL MEDICAL/ PHYSICIAN OFFICE
49	49 - BEAUMONT NEIGHBORHOOD FAMILY MEDICINE 29245 RYAN ROAD WARREN,MI480924230	GENERAL MEDICAL/ PHYSICIAN OFFICE
50	50 - BEAUMONT MEDICAL CENTER-WEST BLOOMFIELD 6900 ORCHARD LAKE ROAD WEST BLOOMFIELD,MI483223405	GENERAL MEDICAL/ PHYSICIAN OFFICE
51	51 - OAKLAND NEUROLOGICAL-DR OLSON 4203 WEST 13 MILE ROAD ROYAL OAK,MI480736502	GENERAL MEDICAL/ PHYSICIAN OFFICE
52	52 - BEAUMONT MEDICAL CENTER-MACOMB 15959 AND 15979 HALL ROAD MACOMB,MI48044	GENERAL MEDICAL/ PHYSICIAN OFFICE, ASC/ GENERAL MEDICAL
53	53 - BEAUMONT ADMINISTRATION & EDUCATION BUIL 3711 WEST 13 MILE ROAD ROYAL OAK,MI480736767	HOSPITAL
54	54 - BEAUMONT IMAGING CENTER-ROYAL OAK 3581 WEST 13 MILE ROAD ROYAL OAK,MI480736710	HOSPITAL
55	55 - BEAUMONT NEUROSCIENCE CENTER-ROYAL OAK 3555 WEST 13 MILE ROAD ROYAL OAK,MI480736712	HOSPITAL
56	56 - TROY POB 44199 DEQUINDRE ROAD TROY,MI480851128	HOSPITAL
57	57 - BEAUMONT UROLOGY CENTER 31157 WOODWARD AVENUE ROYAL OAK,MI480730926	MEDICAL AND OFFICE
58	58 - BEAUMONT WOUND TREATMENT CTR-BERKLEY 28905 WOODWARD AVENUE BERKLEY,MI480720923	MEDICAL BUILDING
59	59 - METROPOLITAN MEDICAL CENTER (DR WIETRZY 9230 JOSEPH CAMPAU STREET HAMTRAMCK,MI482123731	MEDICAL CENTER
60	60 - BEAUMONT MEDICAL BLDG-GP 16815 EAST JEFFERSON AVENUE GROSSE POINTE,MI482301923	MEDICAL OFFICE BUILDING

Schedule H (Form 990) 2018

Page 10

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
PART I, LINE 3C:	WILLIAM BEAUMONT HOSPITAL USES FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE ELIGIBILITY FOR FREE OR REDUCED CARE FOR LOW INCOME AND MEDICALLY INDIGENT INDIVIDUALS. IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, WILLIAM BEAUMONT HOSPITAL USES RESIDENCY TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE.
PART I, LINE 6A:	BEAUMONT HEALTH - 46-5718220
PART I, LINE 7:	WILLIAM BEAUMONT HOSPITAL CALCULATED THE COST OF CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2 "RATIO OF PATIENT CARE COST-TO-CHARGES". OTHER BENEFIT AMOUNTS REPORTED ON LINE 7 WERE CALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM, AN INDIRECT COST ALLOCATION FACTOR FOR SHARED SERVICES IS ALSO CALCULATED AND INCLUDED IN APPLICABLE PROGRAMS LISTED IN OTHER BENEFITS.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 26,780,810.
PART III, LINE 2:	PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE. THE HOSPITAL'S ESTIMATE FOR ITS ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTION BY PAYOR. THE HOSPITAL UPDATES, ON A QUARTERLY BASIS, THE HISTORICAL COLLECTION RATES FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE USED TO ESTIMATE THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND CONTRACTUAL ALLOWANCES. MANAGEMENT PERFORMS AN ANALYSIS ON A MONTHLY BASIS TO EVALUATE THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS (WHICH INCLUDES UNCOLLECTIBLE DEDUCTIBLES AND CO-PAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET BEEN PAID OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE BASED ON EXPERIENCE.
PART III, LINE 3:	THE HOSPITAL IS NOT REPORTING AN AMOUNT ON PART III, LINE 3 BECAUSE THE ORGANIZATION BELIEVES THAT NONE OR VERY LITTLE OF THEIR BAD DEBT EXPENSE RELATES TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S POLICIES.
PART III, LINE 4:	SEE PAGES 11, 12 AND 20 OF THE AUDITED FINANCIAL STATEMENTS FOR YEAR END 2018.
PART III, LINE 8:	THE SOURCE USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS THE HOSPITAL'S MEDICARE COST REPORT.THE MEDICARE COST REPORT IS THE COSTING METHODOLOGY SYSTEM USED TO DETERMINE THE AMOUNT REPORTED ON PART III, LINES 5 AND 6. THE HOSPITAL UTILIZES WORKSHEET 6 FOUND IN THE FORM 990 INSTRUCTIONS FOR SCHEDULE H TO CALCULATE ITS SUBSIDIZED SERVICES. THE INSTRUCTIONS STATE THAT "THE FINANCIAL LOSS IS MEASURED AFTER REMOVING LOSSES, MEASURED BY COST, ASSOCIATED WITH BAD DEBT, CHARITY CARE, MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS". GIVEN THAT WORKSHEET 6 DOESN'T SUGGEST REMOVING LOSSES ASSOCIATED WITH MEDICARE, A PORTION OF MEDICARE IS INCLUDED IN THE HOSPITAL'S SUBSIDIZED SERVICE CALCULATIONS. SO AS NOT TO DOUBLE COUNT MEDICARE VALUES IN PART III, SECTION B, LINES 5 AND 6, THE PORTION OF MEDICARE SHORTFALL INCLUDED IN OUR SUBSIDIZED SERVICES CALCULATIONS HAS BEEN SUBTRACTED FROM THE MEDICARE REVENUE AND COSTS DERIVED FROM THE MEDICARE COST REPORT. THE VALUES INDICATED IN PART III, LINES 5 AND 6 ARE THEREFORE WHAT REMAINS AFTER THE MEDICARE REVENUE AND COSTS INCLUDED IN THE SUBSIDIZED SERVICES CALCULATIONS HAVE BEEN SUBTRACTED OUT. GIVEN THIS, THE RESULTING VALUES (PART III, LINES 5, 6 AND 7) WOULD NEED TO BE COMBINED WITH THE MEDICARE REVENUE/COSTS INCLUDED IN OUR SUBSIDIZED SERVICES TO GET THE FULL OVERVIEW OF MEDICARE REVENUE, COSTS AND ANY REMAINING SHORTFALL OR SURPLUS. WE AGREE WITH THE CURRENT SUBSIDIZED SERVICES CALCULATION METHODOLOGY THAT ALLOWS THE INCLUSION OF MEDICARE DOLLARS AS THE MEDICARE POPULATION COMPRISES AN IMPORTANT SEGMENT OF THOSE RECEIVING SUBSIDIZED SERVICES CARE. THE HOSPITAL TREATS ALL MEDICARE PATIENTS EQUALLY AND DOES NOTDISCRIMINATE AGAINST LOWER-MARGIN YIELDING SERVICES. THE ORGANIZATION TREATS ITS MEDICARE SHORTFALL AS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: 1) SINCE THERE IS AN EXCESS OF EXPENSES OVER MEDICARE REIMBURSEMENT THE HOSPITAL MUST COVER THE SHORTFALL, AS A RESULT THE AMOUNT NEEDED TO COVER THE SHORTFALL IS NOT AVAILABLE FOR OTHER CHARITY CARE AND COMMUNITY BENEFIT SERVICES; 2) A SIGNIFICANT PORTION OF SERVICES PROVIDED TO MEDICARE BENEFICIARIES WOULD LIKELY QUALIFY FOR CHARITY CARE ABSENT INSURANCE COVERAGE UNDER THE MEDICARE PROGRAM; AND 3) THE PROVISION UNDER COMPENSATED PATIENT CARE TO MEDICARE BENEFICIARIES POSITIVELY IMPACTS THE HEALTH OF THE MICHIGAN COMMUNITY IN WHICH WE SERVE.
PART III, LINE 9B:	FINANCIAL ASSISTANCE IS GRANTED TO THOSE PATIENTS UNABLE TO PAY ALL OR A PARTION OF THEIR BILL AND WHO ARE UNABLE TO QUALIFY FOR ASSISTANCE THROUGH FEDERAL AND STATE GOVERNMENT ASSISTANCE PROGRAMS. IF AFTER INSURANCE REIMBURSEMENT ADDITIONAL ASSISTANCE IS NEEDED, ALL PATIENTS MAY OBTAIN FINANCIAL ASSISTANCE IF THE INCOME CRITERIA ARE MET.ALL FINANCIAL ASSISTANCE APPLICATIONS ARE BASED ON POLICY GUIDELINES. UNINSURED PATIENTS ARE REQUIRED TO PROVIDE DOCUMENTATION AND A COMPLETED APPLICATION. IF APPROVED, THE ADJUSTMENT IS APPLIED TO THE PATIENT'S ACCOUNT. FOR PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, PAYMENT PLANS ARE AVAILABLE.
PART VI, LINE 2:	IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, BEAUMONT HEALTH, THE SOLE MEMBER OF WILLIAM BEAUMONT HOSPITAL., CONDUCTS AN ANNUAL ENVIRONMENTAL SCAN OF THE COMMUNITIES SERVED EACH YEAR AS PART OF THE STRATEGIC PLANNING PROCESS WHICH INCLUDES KEY INFORMATION INCLUDING ACCESS TO CARE, DEMOGRAPHICS, HEALTH NEEDS, INTERNAL HOSPITAL DATA, AND IDENTIFYING GAPS IN SERVICES. BEAUMONT HEALTH PARTNERS WITH THE WAYNE, OAKLAND AND MACOMB COUNTY HEALTH DEPARTMENTS ALONG WITH THE CITY OF DETROIT HEALTH DEPARTMENT TO WORK COLLABORATIVELY ON HEALTH NEEDS AND THE SOCIAL DETERMINANTS OF HEALTH. THE COMMUNITY OUTREACH DEPARTMENT WITHIN BEAUMONT DIRECTS SERVICES AND PROGRAMS TARGETING VULNERABLE POPULATIONS AND SERVICES TO IMPROVE THE GENERAL HEALTH OF THE COMMUNITIES SERVED. USING THE PATIENT AND FAMILY CENTERED CARE MODEL, COMMUNITY MEMBERS ENGAGE IN INCLUSIVE COMMUNITY COALTIONS THAT GUIDE THE HEALTH PROGRAMS AND SERVICES NEEDED IN THE COMMUNITY. NUMEROUS DATA SOURCES ARE UTILIZED TO ASSESS HEALTH NEEDS OF THE COMMUNITIES INCLUDING MDCH, TRUVEN HEALTH DATA, CDC DATA SETS, BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, CENSUS DATA, AND PUBLIC HEALTH DATA FOR WAYNE, OAKLAND AND MACOMB COUNTIES.
PART VI, LINE 3:	BEAUMONT HEALTH'S (BEAUMONT'S), THE SOLE MEMBER OF WILLIAM BEAUMONT HOSPITAL, MISSION IS TO PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES TO ALL OF OUR PATIENTS EFFICIENTLY, EFFECTIVELY AND COMPASSIONATELY, REGARDLESS OF WHERE THEY LIVE OR THEIR FINANCIAL CIRCUMSTANCES.BEAUMONT ALSO STRIVES TO EDUCATE AND INFORM ALL UNINSURED ANO UNDERINSURED PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND CHARITY CARE FOR HEALTH CARE SERVICES THROUGHOUT THE COURSE OF THEIR TREATMENT AND BEYOND, THEREFORE, WHEN A PATIENT SCHEDULES OR REGISTERS FOR AN APPOINTMENT OR PRESENTS THEMSELVES FOR CARE AT A BEAUMONT FACILITY, ALL UNINSURED INDIVIDUALS ARE APPRAISED OF OPTIONS AVAILABLE FOR GOVERNMENT MEDICAL COVERAGE, THE AVAILABILITY OF FINANCIAL ASSISTANCE, NO-INTEREST PAYMENT PLANS AND THE EXISTENCE OF CHARITY CARE IN A NUMBER OF WAYS.INTERPRETATIVE SERVICES ARE ALSO MADE AVAILABLE FOR ANY PATIENT FOR WHOM ENGLISH IS A SECOND LANGUAGE, INFORMATION MADE AVAILABLE TO PATIENTS INCLUDES:- INFORMATION AND AN APPLICATION FROM THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES (DHS) RELATED TO MEDICAID.- ACCESS TO AN ONLINE APPLICATION SERVICE WITH THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH.- PAMPHLETS IN PATIENT WAITING AREAS IN VARIOUS LOCATIONS DESCRIBING THE AVAILABILITY OF FREE OR DISCOUNTED CARE FOR THE UNINSURED AND UNDERINSURED.- CONTRACTS WITH ADVOMAS, AN OUTSIDE COMPANY, TO ASSIST UNINSURED INDIVIDUALS IN THE APPLICATION PROCESS AND TO SEARCH FOR ANY FORM OF FINANCIAL ASSISTANCE THROUGH OTHER PROGRAMS.- ASSISTANCE FOR THE UNINSURED AND UNDERINSURED RELATING TO THE APPLICATION PROCESS BY BEAUMONT PATIENT FINANCIAL SERVICES REPRESENTATIVES, THEY ARE AVAILABLE PRIOR TO RECEIVING CARE, BEFORE OR AFTER A PATIENT STATEMENT IS RECEIVED OR TO HELP ANY INDIVIDUAL REQUEST A PAYMENT, CONTACT INFORMATION IS PROVIDED TO ALL PATIENTS.- NOTICE OF THE AVAILABILITY OF FINANCIAL ASSISTANCE, DISCOUNTED CARE, OR FREE CARE (IF THE PERSON IS UNABLE TO AFFORD CARE) PROVIDED ON ALL PATIENT STATEMENTS.
PART VI, LINE 4:	BEAUMONT HOSPITAL ROYAL OAK IS DEFINED AS THE CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF INPATIENT DISCHARGES. THE AREAS SERVED INCLUDE OAKLAND, MACOMB AND WAYNE COUNTIES. IT IS THE MOST HEAVILY POPULATED AMONG THE BEAUMONT COMMUNITIES AND THE AGE COMPOSITION OF THE COMMUNITY IS SIMILAR TO THE STATE OF MICHIGAN AN THE COUNTRY. THE COHORT AGED 65+ MAKES UP THE SMALLEST SEGMENT OF THE POPULATION (16 PERCENT) BUT IS EXPECTED TO EXPERIENCE GROWTH IN THE NEXT FIVE YEARS. THIS AGE GROUP WILL INCREASE 18 PERCENT WHILE THE 18 TO 44 AGE COHORT WILL GROW MUCH SLOWER. THE 18 AND UNDER POPULATION WILL EXPERIENCE THE LARGEST DECREASE. THE BEAUMONT ROYAL OAK POPULATION IS PREDOMINANTLY WHITE (70 PERCENT) AND THE COMMUNITY IS HOME TO A LARGE ARAB POPULATION MOSTLY CONCENTRATED IN STERLING HEIGHTS. BEAUMONT ROYAL OAK IS EXPECTED TO BECOME INCREASINGLY DIVERSE AS ALL MINORITY GROUPS ARE PROJECTED TO INCREASE BY 2020. THE ASIAN PACIFIC ISLANDER AND BLACK POPULATION WILL EXPERIENCE THE MOST GROWTH. BEAUMONT ROYAL OAK HAS AN OVERALL COMMUNITY NEEDS INDEX SCORE (CNI) OF 2.7, HOWEVER THERE ARE ZIP CODES THAT HAVE A SCORE OF 5.0 - THE HIGHEST CNI SCORE.THE BEAUMONT TROY HOSPITAL COMMUNITY IS DEFINED AS THE CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENTS OF INPATIENT DISCHARGES. AREAS SERVED INCLUDE OAKLAND, MACOMB AND WAYNE COUNTIES. POPULATION IN THE BEAUMONT TROY AREA IS EXPECTED TO GROW 3 PERCENT IN THE NEXT FIVE YEARS. THE 18 TO 44 AGE GROUP MAKES UP THE LARGEST PORTION OF THE POPULATION AND IS EXPECTED TO INCREASE BY 3 PERCENT. SIMILAR TO THE PATTERN ACROSS THE BEAUMONT COMMUNITIES, THE 65+ GROUP WILL EXPERIENCE THE GREATEST GROWTH AND IS PROJECTED TO INCREASE BY MORE THAN 20 PERCENT. THE UNDER 18 POPULATION WILL DECREASE BY 4 PERCENT. THE COMMUNITY POPULATION IS 85 PERCENT WHITE, 6 PERCENT BLACK AND 6 PERCENT ASIAN PACIFIC ISLANDER. THE COMMUNITY IS ALSO HOME TO A RELATIVELY LARGE ARAB POPULATION OF 3 PERCENT. THE COMMUNITY IS EXPECTED TO BECOME INCREASINGLY DIVERSE BY 2020. THE COMMUNITY NEEDS SCORE IS 2.5 ON A FIVE POINT SCALE. SCORES ARE ELEVATED IN THE AREAS SURROUNDING WARREN AND AUBURN HILLS.THE BEAUMONT GROSSE POINT HOSPITAL IS DEFINED AS THE CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF INPATIENT DISCHARGES. THE POPULATION SERVED IS EXPECTED TO DECREASE LESS THAN 2 PERCENT, WITH ROSEVILLE EXPERIENCING SLIGHT GROWTH AND THE SURROUNDING DETROIT AREA EXPERIENCING A CONTRACTION. THE COHORT AGED 65+ MAKES UP THE SMALLEST SEGMENT OF THE POPULATION (15 PERCENT) BUT IS EXPECTED TO EXPERIENCE THE MOST GROWTH OVER THE NEXT FIVE YEARS. THIS AGE GROUP IS EXPECTED TO INCREASE AMOST 15 PERCENT WHILE THE OTHER AGE GROUPS ARE EXPECTED TO DECREASE. THE POPULATION SERVED IS PRIMARILY WHITE (55 PERCENT) AND BLACK (40 PERCENT). THE OTHER AND ASIAN PACIFIC ISLANDERS POPULATIONS ARE EXPECTED TO INCREASE, WITH THE ASIAN PACIFIC ISLANDER GROUP EXPERIENCING THE MOST GROWTH. THE COMMUNITY'S OVERALL COMMUNITY NEEDS INDEX SCORE IS 3.6, WITH A MARKED CONTRAST BETWEEN AREAS OF LOW NEED AND A VERY HIGH NEED (CNI SCORE 3-5) WHICH ARE HIGHEST IN THE AREAS WHICH INCLUDE DETROIT.
PART VI, LINE 5:	BEAUMONT HEALTH, THE SOLE MEMBER OF WILLIAM BEAUMONT HOSPITAL, IS MICHIGAN'S LARGEST HEALTH CARE SYSTEM (BASED ON INPATIENT ADMISSIONS AND NET PATIENT REVENUE) FORMED IN 2014 BY WILLIAM BEAUMONT HOSPITAL, BOTSFORD GENERAL HOSPITAL AND OAKWOOD HEALTHCARE, INC. TO PROVIDE PATIENTS WITH COMPASSIONATE, EXTRAORDINARY CARE, NO MATTER WHERE THEY LIVE IN SOUTHEAST MICHIGAN. OUR CULTURE OF CARING PARTNERSHIPS AND CARE DELIVERY MODEL OF PATIENT AND FAMILY-CENTERED CARE DEMONSTRATES OUR COMMITMENT TO ENGAGING OUR PATIENTS, THEIR FAMILY, AND OUR COMMUNITY TO PROMOTE CONTINUOUS HEALTH CARE IMPROVEMENTS. WITH EIGHT HOSPITALS, 145 HEALTH CENTERS, NEARLY 5,000 PHYSICIANS AND 38,000 EMPLOYEES, BEAUMONT HEALTH CONTRIBUTES TO THE HEALTH AND WELL-BEING OF RESIDENTS THROUGHOUT SOUTHEAST MICHIGAN AND BEYOND. IN 2018, BEAUMONT HAD 178,000 INPATIENT DISCHARGES, 572,000 EMERGENCY VISITS AND 18,000 BIRTHS. THE OUTPATIENT SITES INCLUDE EMERGENCY AND URGENT CARE CENTERS, MEDICAL CENTERS, LABORATORY CENTERS, PHARMACIES, REHABILITATION CENTERS, IMAGING CENTERS, SENIOR LIVING AND NURSING HOMES, WELLNESS AND FITNESS CENTERS AND HOME CARE AND HOSPICE. BEAUMONT IS COMMITTED TO EDUCATION AND HAS MEDICAL AFFILIATIONS WITH OAKLAND UNIVERSITY WILLIAM BEAUMONT SCHOOL OF MEDICINE, MICHIGAN STATE UNIVERSITY SCHOOL OF MEDICINE AND WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE. IN 2018, BEAUMONT PROVIDE GRADUATE MEDICAL EDUCATION TO OVER 900 RESIDENTS AND FELLOWS AND HAD OVER 100 RESIDENCY AND FELLOWSHIP PROGRAMS.BEAUMONT HAS EIGHT TRAUMA CENTERS CONSISTING OF BEAUMONT HOSPITAL FARMINGTON HILLS (LEVEL 2), BEAUMONT HOSPITAL DEARBORN (LEVEL 2), BEAUMONT HOSPITAL GROSSE POINTE (LEVEL 3), BEAUMONT HOSPITAL ROYAL OAK (LEVEL 1), BEAUMONT HOSPITAL TRENTON (LEVEL 2), BEAUMONT HOSPITAL WAYNE (LEVEL 2) AND BEAUMONT TROY (LEVEL 2). BEAUMONT OPERATES EMERGENCY CENTERS AT EACH OF ITS EIGHT HOSPITALS, INCLUDING THE NEWLY EXPANDED CENTER AT ROYAL OAK. BEAUMONT OPERATES THE ONLY 24/7 EMERGENCY ROOM IN CANTON TOWNSHIP, A COMMUNITY OF ABOUT 80,000 IN WESTERN WAYNE COUNTY. IN ADDITION, BEAUMONT LEADS AND PARTICIPATES IN EMERGENCY AND DISASTER PLANNING TO PROTECT THE HEALTH AND SAFETY OF THE SOUTHEAST MICHIGAN COMMUNITY. FURTHER, BEAUMONT HAS BEEN AN INNOVATOR IN GREEN PRACTICES TO IMPROVE ENVIRONMENTAL AND COMMUNITY HEALTH THROUGH ITS "GREEN TEAMS AND ENERGY MANAGEMENT TEAMS THAT CONTINUALLY WORK ON REDUCING THE CARBON FOOTPRINT ACROSS THE SYSTEM. PATIENT AND FAMILY CENTERED CARE (PFCC) IS EMBEDDED IN ALL THAT WE DO AT BEAUMONT. THIS INVOLVES THE PLANNING, DELIVERY, AND EVALUATION OF HEALTH CARE BUILT ON MUTUALLY BENEFICIAL PARTNERSHIPS AMONG PATIENTS, FAMILIES, AND PROVIDERS SHAPED BY PATIENT PREFERENCE. PFCC IS ABOUT WORKING WITH PATIENTS AND FAMILIES AS PARTNERS IN CARE RATHER THAN DOING TO AND FOR THEM. THIS APPROACH IS ALSO USED BY BEAUMONT IN THE COMMUNITIES WE SERVE. TO MOST EFFECTIVELY DESIGN AND IMPLEMENT COMMUNITY HEALTH PROGRAMMING, COMMUNITY MEMBERS, CITY AND SCHOOL LEADERS, NONPROFIT ORGANIZATIONS, BUSINESS, FAITH-BASED ORGANIZATIONS AND OTHERS ALL COME TOGETHER IN COMMUNITY COALITIONS TO ASSIST WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND CREATE ACTION TEAMS THAT COORDINATE SERVICES, PROGRAMS AND EVENTS TO MAXIMIZE RESOURCES AND REDUCE DUPLICATION OF EFFORTS.
BEAUMONT FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE PROMOTION OF	COMMUNITY HEALTH IN THE COMMUNITIES SERVED. TO MOVE THE NEEDLE ON HEALTH PRIORITIES IDENTIFIED IN THE CHNA, BEAUMONT INITIATED "HEALTHY COMMUNITIES" - MULTI-SECTOR COALITIONS INVOLVING COMMUNITY RESIDENTS, PUBLIC HEALTH, CITY AND SCHOOL LEADERS, BUSINESS, FAITH ORGANIZATIONS, NONPROFITS AND OTHERS TO WORK TOGETHER TO IMPROVE HEALTH. IN 2018, OVER 800 COMMUNITY MEMBERS SAT ON THESE COALITIONS WITH ACTION TEAMS TARGETING HEALTHY EATING, HEALTHY SCHOOLS, HEALTHY AT WORK, HEALTH ENVIRONMENTS AND DIVERSITY AND INCLUSION. THESE COALITIONS GUIDE OUR WORK IN THE COMMUNITY IN THE DELIVERY OF PROGRAMS, SERVICES AND EVENTS TARGETING HEALTH AND WELLNESS THAT ARE PROVIDED AT NO CHARGE TO COMMUNITY MEMBERS. OTHER SERVICES PROVIDED TO THE COMMUNITY ARE THE CERTIFIED APPLICATION COUNSELORS TO ASSIST IN ENROLLMENT IN THE HEALTH INSURANCE MARKETPLACE AND MEDICAID, NUMEROUS FREE HEALTH SCREENINGS, DIABETES PREVENTION PROGRAMS, NUTRITION PROGRAMS, SCHOOL NUTRITION AND ACTIVITY PROGRAMS IN OVER 30 SITES, COMMUNITY HEALTH EDUCATION, PARTICIPATION IN THE GIFT OF LIFE PROGRAM, HOSTING FAMILY/COMMUNITY SAFETY DAYS THAT ENHANCE THE HEALTH OF OUR COMMUNITIES, SPONSORSHIPS TO COMMUNITY ORGANIZATIONS, FINANCIAL AND IN-KIND SUPPORT TO COMMUNITY HEALTH CLINICS THAT PROVIDE FREE OR REDUCED HEALTHCARE TO VULNERABLE POPULATIONS, A FREE APP AND WALKING PROGRAMS IN THE COMMUNITY TO PROMOTE ACTIVE LIVING, 7 FOR $70 - CARDIOVASCULAR SCREENING, SUPPORT TO COMMUNITY ORGANIZATIONS WITH BEAUMONT LEADERS SITTING ON MANY NONPROFIT BOARDS, CAREER DAYS, JOB SHADOWING AND INTERNSHIPS WITH LOCAL SCHOOLS, MEDICAL OUTREACH TO HOMELESS POPULATIONS, A MEDICAL LIBRARY OPEN TO THE PUBLIC, FREE HEART SCREENINGS FOR YOUTH, FREE MAMMOGRAMS FOR THOSE IN NEED, AND A STOP THE BLEED TRAINING PROGRAM FOR THE COMMUNITY. NUMEROUS PHYSICIANS, NURSES, RESIDENTS AND EMPLOYEES OF BEAUMONT VOLUNTEER IN THE COMMUNITY IN ADDITION TO SERVING ON LOCAL COMMITTEES, TASK FORCES, COALITIONS, AND BOARDS THAT ARE RELATED TO HEALTH AND HEALTH NEEDS.
PART VI, LINE 6:	BEAUMONT HEALTH ("THE SYSTEM"), THE SOLE MEMBER OF WILLIAM BEAUMONT HOSPITAL, IS A MICHIGAN NONPROFIT CORPORATION HEALTH CARE NETWORK THAT WAS FORMED IN 1955, AND IS MICHIGAN'S LARGEST HEALTH CARE SYSTEM BASED ON INPATIENT ADMISSIONS AND NET PATIENT REVENUE. IN 2018 THE SYSTEM WAS COMPRISED OF 3,429 LICENSED BEDS AND 174 OTHER AMBULATORY PATIENT CARE SITES, DEDICATED TO ADVANCING QUALITY OF CARE AND ACCESS TO CARE THROUGHOUT WAYNE OAKLAND AND MACOMB COUNTIES IN SOUTHEAST MICHIGAN.THE SYSTEM PROVIDES A CONTINUUM OF CARE AS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. THE SYSTEM'S SERVICES INCLUDE INPATIENT AND OUTPATIENT SERVICES, LONG-TERM CARE, SENIOR AND ASSISTED LIVING, REHABILITATION SERVICES, HOME-HEALTH CARE, AND OTHER HEALTH-RELATED ACTIVITIES, THE SYSTEM OWNS AND OPERATES EIGHT NONPROFIT ACUTE CARE HOSPITALS, INCLUDING ASSISTED AND INDEPENDENT LIVING CENTERS, NURSING HOMES, CERTIFIED HOME HEALTH AGENCIES, AMBULATORY CARE FACILITIES, A FOR PROFIT COMPANY ENGAGED IN HEALTH-RELATED BUSINESSES, AND VARIOUS OTHER HEALTH CARE ENTITIES, ALL SUBSIDIARIES ARE GOVERNED AND RELATED THROUGH COMMON CONTROL, SUBSTANTIALLY, ALL EXPENSES OF THE SYSTEM ARE RELATED TO PROVIDING HEALTH CARE SERVICES. THE SYSTEM'S MEMBERS INCLUDE WILLIAM BEAUMONT HOSPITAL, OAKWOOD HEALTHCARE, INC., AND BOTSFORD GENERAL HOSPITAL.IN ADDITION, THE SYSTEM OPERATES ONE OFFSHORE CAPTIVE INSURANCE COMPANY WHICH IS A WHOLLY-OWNED SUBSIDIARY OF THE SYSTEM AND PROVIDES PROFESSIONAL AND GENERAL LIABILITY COVERAGE TO THE SYSTEM ITS AFFILIATES AND VOLUNTARY MEDICAL STAFF.IN 2018, THE SYSTEM HAD $4.4 BILLION IN NET REVENUE WITH 178,094 INPATIENT ADMISSIONS, 17,799 BIRTHS, AND 572,582 EMERGENCY VISITS, THIS IS MADE POSSIBLE BY THE NEARLY 5,000 PHYSICIANS AND 43,582 EMPLOYEES THAT WORK FOR THE SYSTEM, AND THE 3,499 VOLUNTEERS THAT DONATE THEIR TIME TO THE SYSTEM. IN ORDER TO PROMOTE THE HEALTH OF THE COMMUNITIES SERVED, THE SYSTEM HAS RESPONDED TO THE NEEDS OF THE COMMUNITIES AND INVESTED IN PROGRAMS TO IMPROVE THE HEALTH AND WELL-BEING OF THE NEIGHBORHOODS IN WHICH IT LIVES AND SERVES, BUILDING ON A NATIONAL REPUTATION FOR CLINICAL EXCELLENCE THE SYSTEM IS COMMITTED TO ENHANCING PUBLIC AWARENESS THROUGH A VARIETY OF COMMUNITY OUTREACH ACTIVITIES AND INITIATIVES THAT RELATE TO THE FOLLOWING:- HEALTH PROMOTION, WELLNESS, AND DISEASE PREVENTION, - EVENTS THAT SUPPORT COMMUNITY ENGAGEMENT EDUCTION, DIVERSITY, AND CULTURAL ARTS RELATING TO IMPROVING THE PATIENT EXPERIENCE AT THE SYSTEM'S EIGHT HOSPITAL LOCATIONS, AND - EVENTS AND ORGANIZATIONS THAT HELP THE SYSTEM ATTAIN COMMUNITY HEALTH NEEDS ASSESSMENT GOALS.THE SYSTEM HAS A DEEP COMMITMENT TO PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES TO ALL OF ITS PATIENTS SAFELY EFFECTIVELY AND COMPASSIONATELY, REGARDLESS OF WHERE THEY LIVE OR THEIR FINANCIAL CIRCUMSTANCES. SOME OUTREACH PROGRAMS IN THE COMMUNITIES IT SERVES ARE BEREAVEMENT SUPPORT GROUPS, CAR SEAT SAFETY CHECKS, GUIDED MEDITATION, COOKING CLASSES FOR KIDS, AND CONCERTS FOR "THE ART OF HEALING" AS WELL AS SPONSORSHIP OF WALKS FOR EASTER SEALS WALK WITH ME AND AIDS WALK DETROIT.
PART VI, LINE 7, LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT:	MI

Schedule H (Form 990) 2018

Additional Data

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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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
WILLIAM BEAUMONT HOSPITAL

Employer identification number
38-1459362

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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 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 noncash assistance	(h) Purpose of grant or assistance
(1) OAKLAND UNIVERSITY 2200 N SQUIRREL ROAD ROCHESTER,MI48309	38-1714400	501(C)(3)	600,000				SCHOOL OF MEDICINE

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

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) 2018

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) MEDICAL RESIDENT STIPENDS	490	31,399,108
(1)
(2)
(3)
(4)
(5)
(6)
(7)

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

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. 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) 2018

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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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

WILLIAM BEAUMONT HOSPITAL

Employer identification number

38-1459362

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

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

Travel for companions Payments for business use of personal residence

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

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

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

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

Yes

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

Yes

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

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

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

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

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

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

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

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

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

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on 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 ..........................

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

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

Cat. No. 50053T

Schedule J (Form 990) 2018

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 on 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 in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1DAVID WOOD DIRECTOR	(i) (ii)	719,271 ------------- 0	496,904 ------------- 0	694,137 ------------- 0	442,451 ------------- 0	21,033 ------------- 0	2,373,796 ------------- 0	439,187 ------------- 0
2JOHN FOX PRESIDENT & CEO	(i) (ii)	1,848,289 ------------- 0	1,601,798 ------------- 0	810,062 ------------- 0	1,657,430 ------------- 0	15,302 ------------- 0	5,932,881 ------------- 0	1,708,820 ------------- 0
3MALCOLM HENOCH MD DIRECTOR (END 12/31/18)	(i) (ii)	0 ------------- 495,401	0 ------------- 293,318	0 ------------- 11,779	0 ------------- 208,662	0 ------------- 15,415	0 ------------- 1,024,575	0 ------------- 183,866
4JOHN KERNDL EVP & CHIEF FINANCIAL OFFICER	(i) (ii)	662,907 ------------- 0	282,245 ------------- 0	7,482 ------------- 0	393,430 ------------- 0	19,762 ------------- 0	1,365,826 ------------- 0	282,245 ------------- 0
5AARON GILLINGHAM CHIEF HUMAN RESOURCES OFFICER	(i) (ii)	415,782 ------------- 0	80,000 ------------- 0	1,431 ------------- 0	215,667 ------------- 0	19,301 ------------- 0	732,181 ------------- 0	0 ------------- 0
6CAROLYN WILSON EVP & CHIEF OPERATING OFFICER	(i) (ii)	978,521 ------------- 0	594,467 ------------- 0	22,952 ------------- 0	584,103 ------------- 0	14,738 ------------- 0	2,194,781 ------------- 0	589,030 ------------- 0
7JAMES LYNCH CMO-TROY/INT. PRES. GP	(i) (ii)	342,034 ------------- 0	237,516 ------------- 0	200,526 ------------- 0	172,850 ------------- 0	17,204 ------------- 0	970,130 ------------- 0	114,226 ------------- 0
8LESLIE ROCHER CMO - ROYAL OAK	(i) (ii)	506,778 ------------- 0	293,096 ------------- 0	1,838,895 ------------- 0	247,592 ------------- 0	13,194 ------------- 0	2,899,555 ------------- 0	251,374 ------------- 0
9NANCY SUSICK PRESIDENT TROY	(i) (ii)	412,486 ------------- 0	250,563 ------------- 0	271,475 ------------- 0	234,854 ------------- 0	19,395 ------------- 0	1,188,773 ------------- 0	216,895 ------------- 0
10NICHOLAS GILPIN CMO - GROSSE POINTE	(i) (ii)	265,948 ------------- 0	60,759 ------------- 0	19,112 ------------- 0	85,963 ------------- 0	14,033 ------------- 0	445,815 ------------- 0	0 ------------- 0
11RICHARD SWAINE PRESIDENT GROSSE POINTE	(i) (ii)	331,590 ------------- 0	132,048 ------------- 0	755,818 ------------- 0	45,627 ------------- 0	15,483 ------------- 0	1,280,566 ------------- 0	158,525 ------------- 0
12ROSANNA MORRIS PRESIDENT ROYAL OAK	(i) (ii)	666,497 ------------- 0	214,472 ------------- 0	4,481 ------------- 0	189,554 ------------- 0	19,720 ------------- 0	1,094,724 ------------- 0	314,013 ------------- 0
13SAMUEL FLANDERS MD EVP OPERATIONS & CHIEF OF HR	(i) (ii)	556,620 ------------- 0	349,177 ------------- 0	653,365 ------------- 0	225,997 ------------- 0	21,075 ------------- 0	1,806,234 ------------- 0	218,881 ------------- 0
14SUBRA SRIPADA EVP & CHIEF OF INFORMATION	(i) (ii)	563,032 ------------- 0	391,343 ------------- 0	485,735 ------------- 0	352,528 ------------- 0	22,633 ------------- 0	1,815,271 ------------- 0	345,887 ------------- 0
15SUSAN GRANT EVP & CNO	(i) (ii)	553,788 ------------- 0	742,784 ------------- 0	7,777 ------------- 0	335,180 ------------- 0	9,200 ------------- 0	1,648,729 ------------- 0	327,889 ------------- 0
16DUANE MEZWA FACULTY PHYSICIAN	(i) (ii)	687,397 ------------- 0	0 ------------- 0	701,759 ------------- 0	19,150 ------------- 0	19,720 ------------- 0	1,428,026 ------------- 0	0 ------------- 0
17MARC SAKWA CHIEF CARDIOVASCULAR SURGEON	(i) (ii)	1,272,430 ------------- 0	45,000 ------------- 0	173,365 ------------- 0	19,150 ------------- 0	20,050 ------------- 0	1,529,995 ------------- 0	0 ------------- 0
18MICHAEL E MADDENS FACULTY PHYSICIAN	(i) (ii)	387,393 ------------- 0	98,278 ------------- 0	524,267 ------------- 0	19,150 ------------- 0	14,878 ------------- 0	1,043,966 ------------- 0	0 ------------- 0
19RICHARD BRONSTEEN OBSTETRICAL ULTRASONOGRAPHER	(i) (ii)	602,481 ------------- 0	3,855 ------------- 0	371,794 ------------- 0	19,150 ------------- 0	20,052 ------------- 0	1,017,332 ------------- 0	0 ------------- 0
20STEVEN RIMAR VASCULAR SURGEON	(i) (ii)	750,462 ------------- 0	234,880 ------------- 0	26,024 ------------- 0	19,150 ------------- 0	14,556 ------------- 0	1,045,072 ------------- 0	0 ------------- 0
21JOHN KEUTEN FORMER OFFICER (END 2016)	(i) (ii)	0 ------------- 0	0 ------------- 69,245	0 ------------- 68,165	0 ------------- 0	0 ------------- 0	0 ------------- 137,410	0 ------------- 0
22BRIAN CONNOLLY FORMER KEY EMPLOYEE (END 2014)	(i) (ii)	0 ------------- 0	0 ------------- 1,304,985	0 ------------- 115,629	0 ------------- 0	0 ------------- 178	0 ------------- 1,420,792	0 ------------- 0
23JAY HOLDEN FORMER KEY EMPLOYEE (END 2014)	(i) (ii)	180 ------------- 0	224,546 ------------- 0	0 ------------- 0	0 ------------- 0	4,491 ------------- 0	229,217 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

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 1A	JOHN T. FOX RECEIVED A GROSS-UP PAYMENT WHICH WAS TREATED AS TAXABLE COMPENSATION.
PART I, LINE 4A:	FOR SOME INDIVIDUALS, THE EMPLOYMENT AGREEMENT MAY PROVIDE IF THE EMPLOYER TERMINATES THE AGREEMENT AND THE PARTIES SEPARATE OTHER THAN FOR CAUSE, THE EMPLOYEE MAY BE ENTITLED TO SEVERANCE PAY. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION FROM THE COMPANY. SEVERANCE PAYMENTS MADE BY WILLIAM BEAUMONT HOSPITAL AND ITS RELATED ENTITIES DURING 2018 INCLUDE PAYMENTS TO THE FOLLOWING INDIVIDUALS: BRIAN CONNOLLY, SEVERANCE PAYMENT: $107,886 JOHN KEUTEN, SEVERANCE PAYMENT: $68,165 JAY HOLDEN, SEVERANCE PAYMENT: $75,470
PART I, LINE 4B:	WILLIAM BEAUMONT HOSPITAL AND ITS RELATED ORGANIZATIONS (THE SYSTEM) PROVIDE 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 SYSTEM. DAVID WOOD, NON-QUALIFIED PLAN DISTRIBUTION, SERP 457(F): $663,430 SAMUEL FLANDERS, NON-QUALIFIED PLAN DISTRIBUTION, SERP 457(F): $627,341 SUBRA SRIPADA, NON-QUALIFIED PLAN DISTRIBUTION, SERP 457(F): $464,613 JOHN FOX, NON-QUALIFIED PLAN DISTRIBUTION, SERP 457(F): $749,965 NANCY SUSICK, NON-QUALIFIED PLAN DISTRIBUTION, SERP 457(F): $243,515 JAMES LYNCH, NON-QUALIFIED PLAN DISTRIBUTION, SERP 457(F): $195,585 RICHARD SWAINE, NON-QUALIFIED PLAN DISTRIBUTION, SERP 457(F): $732,626 JAY HOLDEN, NON-QUALIFIED PLAN DISTRIBUTION, SERP 457(F), $148,247 DUANE MEZWA, NON-QUALIFIED PLAN DISTRIBUTION, SERP 457(F), $672,041 MARK SAKWA, NON-QUALIFIED PLAN DISTRIBUTION, SERP 457(F), $147,341 MICHAEL MADDENS, NON-QUALIFIED PLAN DISTRIBUTION, SERP 457(F), $491,630 RICHARD BRONSTEEN, NON-QUALIFIED PLAN DISTRIBUTION, SERP 457(F), $349,696 LESLIE ROCHER, NON-QUALIFIED PLAN DISTRIBUTION, SERP 457(F), $1,812,871
PART II:	EXECUTIVE COMPENSATION AT BEAUMONT HEALTH BACKGROUND BEAUMONT HEALTH'S EXECUTIVE COMPENSATION PHILOSOPHY AND PROGRAM ALIGNS WITH OUR STRATEGIC OBJECTIVES, WHICH CONTRIBUTE TO THE HEALTH AND WELL-BEING OF THE RESIDENTS THROUGHOUT THE COMMUNITIES WE SERVE. AS BEAUMONT LOOKS TO RETAIN TOP TALENT IN BOTH EXECUTIVE AND NON-EXECUTIVE POSITIONS ACROSS THE ORGANIZATION, SIMILAR PHILOSOPHIES ARE UTILIZED, WHICH ALIGN WITH OUR ORGANIZATIONAL VALUES OF COMPASSION, RESPECT, INTEGRITY, TEAMWORK, AND EXCELLENCE. TO SUCCESSFULLY LEAD SUCH A LARGE, COMPLEX ORGANIZATION LIKE BEAUMONT HEALTH, HIGHLY TALENTED EXECUTIVE LEADERSHIP IS ESSENTIAL. SUCCESSFUL RECRUITING, RETENTION AND MOTIVATION OF LEADERS REQUIRES NATIONALLY COMPETITIVE COMPENSATION AND BENEFITS. BEAUMONT ALSO CONSIDERS RECRUITING EXECUTIVE LEADERS WHO COULD CHOOSE POSITIONS IN INDUSTRY SECTORS OTHER THAN HEALTH CARE. BASED ON A RIGOROUS OBJECTIVE METHODOLOGY, INCLUDING REVIEW OF AN INDEPENDENT CONSULTANT'S NATIONAL MARKET DATA FROM OTHER HEALTH SYSTEMS, ASSESSMENT OF JOB RESPONSIBILITIES, EVALUATION OF QUALIFICATIONS, AND REVIEW AND APPROVAL BY A BOARD COMMITTEE COMPRISED OF INDEPENDENT AND DISINTERESTED DIRECTORS, BEAUMONT HEALTH IS CONFIDENT THAT OUR EXECUTIVES' COMPENSATION IS BOTH COMPETITIVE AND REASONABLE. PHILOSOPHY OUR EXECUTIVE COMPENSATION PROGRAMS ARE BASED ON THE FOLLOWING KEY ATTRIBUTES: - PROGRAMS ARE ALIGNED TO THE MARKET - BEAUMONT PROVIDES MARKET COMPETITIVE COMPENSATION AND BENEFITS THAT ARE COMMONLY PROVIDED BY HEALTH SYSTEMS OF OUR SIZE AND COMPLEXITY. BEAUMONT EXECUTIVE COMPENSATION IS ALSO ALIGNED WITH THE PERFORMANCE OF THE ORGANIZATION. FOR EXAMPLE, WHEN THE ORGANIZATION ACHIEVED UPPER-QUARTILE PERFORMANCE, THE INTENT IS TO HAVE EXECUTIVE PAY ALIGNED WITH MARKET PAY IN THE UPPER-QUARTILE. LOWER LEVELS OF PERFORMANCE RESULTS IN LOWER LEVELS OF EXECUTIVE PAY, INCLUDING NO INCENTIVE PAY IF THE ORGANIZATION DOES NOT MEET CERTAIN FINANCIAL METRICS. - PERFORMANCE METRICS ARE TIED TO KEY STRATEGIC OBJECTIVES - A LARGE PORTION OF AN EXECUTIVE'S COMPENSATION AT BEAUMONT IS DEPENDENT ON HOW THE ORGANIZATION PERFORMS ON KEY GOALS AND METRICS INCLUDING PATIENT SAFETY, QUALITY OF CARE, AND PATIENT EXPERIENCE AND SATISFACTION. AS SUCH, A SUBSTANTIAL PORTION OF AN EXECUTIVE'S PAY IS 'AT-RISK' (NOT GUARANTEED) BASED ON ORGANIZATIONAL PERFORMANCE. SOME OF THE 'AT RISK' PAY IS AWARDED OVER A MULTI-YEAR PERIOD AND THERE ARE NO GUARANTEES THE ENTIRE AMOUNT WILL BE PAID. THE EXECUTIVE'S ACTUAL TAKE HOME PAY IN ANY GIVEN YEAR MIGHT BE LESS THAN THE TOTAL COMPENSATION AS REPORTED ON THE 990 IF THE ORGANIZATION'S OBJECTIVES OVER MULTIPLE YEARS ARE NOT ACHIEVED. FURTHER, COLUMN E OF SCHEDULE J OF THE 990 CAN BE EASILY MISINTERPRETED AND IS OFTEN OVERSTATED DUE TO COUNTING COMPENSATION ACCRUED IN A GIVEN YEAR, BUT NOT YET VESTED. TO AVOID INADVERTENTLY "DOUBLE COUNTING" COMPENSATION THE BEST REFLECTION OF A SINGLE YEAR'S COMPENSATION IS SCHEDULE J COLUMN B (I-III), WHICH CONTAINS THE MOST ACCURATE SOURCE OF INFORMATION RELATED TO AN EXECUTIVE'S PAID COMPENSATION IN ANY GIVEN YEAR. YEAR TO YEAR, AN EXECUTIVE'S TOTAL COMPENSATION WILL VARY BASED ON ORGANIZATIONAL PERFORMANCE AS WELL AS THE SCHEDULED TIMING OF PAYMENTS OF AMOUNTS EARNED BUT NOT VESTED IN EARLIER YEARS. - GENERAL HEALTH AND WELFARE PROGRAMS ARE CONSISTENT WITH NON-EXECUTIVES - IN AN EFFORT TO DRIVE CONSISTENCY, TRANSPARENCY, AND FAIRNESS, BEAUMONT EXECUTIVES PARTICIPATE IN THE SAME HEALTH AND WELFARE PROGRAMS AS OTHER NON-EXECUTIVE EMPLOYEES. GOVERNANCE OF EXECUTIVE COMPENSATION BEAUMONT IS COMMITTED TO MAINTAINING HIGH STANDARDS OF CORPORATE GOVERNANCE. OUR CORPORATE GOVERNANCE PROCESS IS COMPLIANT, TRANSPARENT AND ENSURES COMPENSATION IS ADMINISTERED IN A FAIR AND EQUITABLE MANNER. EXECUTIVE COMPENSATION IS GOVERNED BY THE ORGANIZATION AND COMPENSATION COMMITTEE (OCC) OF THE BOARD OF DIRECTORS OF BEAUMONT HEALTH, THE PARENT ORGANIZATION OF A MULTI-ENTITY HEALTH SYSTEM. THE COMMITTEE IS COMPRISED OF INDEPENDENT BOARD MEMBERS WHO HAVE NO CONFLICTS OF INTEREST AS IT RELATES TO THE ORGANIZATION'S EXECUTIVE COMPENSATION. THE COMMITTEE IS RESPONSIBLE FOR: - REVIEWING, VALIDATING AND APPROVING PERFORMANCE GOALS AND METRICS RELATED TO THE EXECUTIVE'S AT-RISK COMPENSATION PLANS. - REVIEWING, VALIDATING AND APPROVING PERFORMANCE ACHIEVED ON THE EXECUTIVE AT-RISK COMPENSATION PLANS. - REVIEWING AND APPROVING COMPENSATION FOR EACH MEMBER OF THE ORGANIZATION'S SENIOR LEADERSHIP TEAM. - ENSURING COMPENSATION IS REASONABLE AND APPROPRIATE BASED ON PERFORMANCE ACHIEVED AND THE ORGANIZATION'S MISSION. THE COMMITTEE ALSO RECEIVES SUPPORT FROM OUTSIDE ADVISORS WITH EXPERTISE IN HEALTH CARE ORGANIZATIONS AND EXECUTIVE COMPENSATION.

Schedule J (Form 990) 2018

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CITY OF ROYAL OAK HOSPITAL FINANCE AUTHORITY	38-6004646	780486HD1	05-13-2014	468,172,825	SEE PART VI		X		X		X
B	CITY OF ROYAL OAK HOSPITAL FINANCE AUTHORITY	38-6004646	000000000	01-26-2012	100,000,000	SEE PART VI.		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	47,500,000		50,000,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	468,172,825		100,000,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	3,305,964
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............
11 Other spent proceeds .............	464,866,861		100,000,000
12 Other unspent proceeds .............
13 Year of substantial completion .............
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....		X	X
15 Were the bonds issued as part of an advance refunding issue? .....	X			X
16 Has the final allocation of proceeds been made? ..........	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2018

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
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
c Are there any research agreements that may result in private business use of bond-financed property? .............		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 ....	0.700 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............	0.700 %
7 Does the bond issue meet the private security or payment test? ...		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
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

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X
b Exception to rebate? ........		X	X
c No rebate due? .........	X			X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2018

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
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
7 Has the organization established written procedures to monitor the requirements of section 148? ...		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

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
PART I, COLUMN F:	DESCRIPTION OF PURPOSE: BOND A - (2014D) REFINANCE SERIES 2009V ISSUED 1/28/2009 BOND B - (2012 Y&Z) REFINANCE PORTION OF SERIES 2001M ISSUED 5/31/2001.
PART IV, LINE 2, COLUMN A:	DATE OF REBATE COMPUTATION WAS 1/10/2019.
PART VI, LINE 6, COLUMN A:	THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH THE PROCEEDS OF THE BOND.

Schedule K (Form 990) 2018

Additional Data

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Software Version:

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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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

WILLIAM BEAUMONT HOSPITAL

Employer identification number

38-1459362

Return Reference	Explanation
FORM 990, PART I, ITEM C	DBA: BEAUMONT HOSPITAL, TROY DBA: BEAUMONT HOSPITAL, GROSSE POINTE
FORM 990, PART VI, SECTION A, LINE 2	THE FOLLOWING INDIVIDUALS HAVE A BUSINESS RELATIONSHIP BECAUSE THEY ARE BOARD MEMBERS OR SHARED OFFICERS OF A TAXABLE ENTITY WITHIN THE BEAUMONT HEALTH SYSTEM: JOHN FOX JOHN KERNDL GERSON COOPER DAVID WOOD, MD SAMUEL FLANDERS, MD RICHARD SWAINE LESLIE ROCHER, MD JAMES LYNCH, HD
FORM 990, PART VI, SECTION A, LINE 6	BEAUMONT HEALTH IS THE SOLE CORPORATE MEMBER OF WILLIAM BEAUMONT HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7A	BEAUMONT HEALTH IS THE CORPORATE MEMBER OF WILLIAM BEAUMONT HOSPITAL. WITH THE RIGHT TO ELECT ONE OR MORE MEMBERS OF WILLIAM BEAUMONT HOSPITAL'S GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7B	BEAUMONT HEALTH AS THE CORPORATE MEMBER OF WILLIAM BEAUMONT HOSPITAL HAS RESERVED POWERS OVER WILLIAM BEAUMONT HOSPITAL'S OPERATIONS INCLUDING BUT NOT LIMITED TO BUDGET, ACQUISITIONS, CAPITAL PROJECTS AND PARTICIPATION IN JOINT VENTURES.
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 WAS SUBJECTED TO A MULTI-STEP REVIEW PROCESS PRIOR TO FILING WITH THE GOVERNMENT BY THE STATUTORY DUE DATE. FORM 990 IS PREPARED BY BEAUMONT HEALTH TREASURY ADMINISTRATION REVIEWED BY THAT DEPARTMENT'S MANAGEMENT, AND SUBSEQUENTLY REVIEWED BY THE FILING ENTITY'S PAID PREPARER, AS THE FINAL STEP IN THIS REVIEW PROCESS, A COPY OF THE FINAL FILING VERSION OF FORM 990 IS PROVIDED ELECTRONICALLY TO EACH VOTING MEMBER OF WILLIAM BEAUMONT HOSPITAL'S GOVERNING BODY FOR THEIR REVIEW PRIOR TO THE FORM BEING FILED.
FORM 990, PART VI, SECTION B, LINE 12C	BEAUMONT HEALTH, THE PARENT CORPORATION AND SOLE MEMBER OF WILLIAM BEAUMONT HOSPITAL, RECOGNIZES THAT IT HAS AN OBLIGATION TO ITS PATIENTS ITS PAYORS, ITS DESIGNEES AND THE COMMUNITIES IT SERVES TO OBSERVE THE HIGHEST LEVEL OF INTEGRITY TO ENSURE CLINICAL, BUSINESS AND ACADEMIC DECISION MAKING IS NOT COMPROMISED BY FINANCIAL OR OTHER RELATIONSHIPS WITH INDUSTRY. THE CORPORATE COMPLIANCE OFFICE, WITH THE ASSISTANCE OF HUMAN RESOURCES AND SPECIFIC INDIVIDUAL DEPARTMENTS, WILL COORDINATE UPON HIRE AND EACH CALENDAR YEAR THEREAFTER A PROCESS OF OBTAINING CONFLICT OF INTEREST/DISCLOSURE OF REMUNERATION STATEMENTS. ALL AREAS OF THE INSTITUTION WILL FOLLOW THE HUMAN RESOURCES HIRING PROCESS PROTOCOL TO ASSURE COMPLIANCE WITH THE CONFLICT OF INTEREST PROGRAM, AT ANY TIME WHEN A DESIGNEE BECOMES INVOLVED IN A RELATIONSHIP THAT IS OR MAY BE PERCEIVED TO BE A CONFLICT OF INTEREST, THE DESIGNEE MUST COMPLETE THE CONFLICT OF INTEREST/DISCLOSURE OF REMUNERATION STATEMENT AND FORWARD TO THE CORPORATE COMPLIANCE OFFICER. A CONFLICT OF INTEREST OR NEED TO DISCLOSE REMUNERATION HAY EXIST IF A BEAUMONT DESIGNEE OR ANY MEMBER OF THEIR INTERMEDIATE 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 HEALTH.
FORM 990, PART VI, SECTION B, LINE 15	WILLIAM BEAUMONT HOSPITAL'S 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 AND ITS AFFILIATED MEMBERS' EXECUTIVE MANAGEMENT TEAMS, THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT GOVERNING THE WORK ANO 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 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 HEMBERS 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 COHMITTEE'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 THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, LINE 16:	THE ORGANIZATION EXERCISES DUE DILIGENCE IN THE OVERSIGHT OF ANY NEW JOINT VENTURES AND ROUTINELY CONSULTS WITH TAX CONSULTANTS ON THE MATTER, IF APPLICABLE.
FORM 990, PART VII, SECTION B, LINE 1:	THE HEALTH SYSTEM HAS A CENTRALIZED ACCOUNTS PAYABLE FUNCTION AND, AS SUCH, ALL 1099'S ARE ISSUED BY BEAUMONT HEALTH.
FORM 990, PART XI, LINE 9:	CAPITAL RELEASED FROM RESTRICTION -1,079,787. EQUITY TRANSFERS TO BEAUMONT HEALTH 106,651,746. PENSION ADJUSTMENT -42,890,579. OTHER TRANSFERS TO AFFILIATES 13,361,730.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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 WEST BLOOMFIELD ASC LLC 16500 WEST TWELVE MILE ROAD SOUTHFIELD,MI48076 20-3699064	CLINICAL OPERATIONS	MI	0	0	WILLIAM BEAUMONT HOSPITAL
(2) MACOMB TOWNSHIP ASC LLC 16500 WEST TWELVE MILE ROAD SOUTHFIELD,MI48076 20-2632548	CLINICAL OPERATIONS	MI	0	0	WILLIAM BEAUMONT HOSPITAL
(3) BEAUMONT UNITED CARE PARTNERS 3601 WEST THIRTEEN MILE ROAD SOUTHFIELD,MI48073 46-2536469	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?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)BEAUMONT HEALTH 26901 BEAUMONT BLVD SOUTHFIELD,MI48033 46-5718220	PARENT COMPANY OF THE HEALTH SYSTEM	MI	501(C)(3)	12C, III-FI	N/A		No
(2)BEAUMONT MEDICAL TRANSPORTATION SERVICE 950 W MAPLE SUITE C TROY,MI48084 26-0203703	MEDICAL TRANSPORTATION SERVICES	MI	501(C)(3)	10	BEAUMONT HEALTH	Yes
(3)BOTSFORD CONTINUING CARE CORPORATION 26901 BEAUMONT BLVD SOUTHFIELD,MI48033 38-2549505	LONG TERM NURSING CARE	MI	501(C)(3)	10	BOTSFORD GENERAL HOSPITAL	Yes
(4)BOTSFORD GENERAL HOSPITAL 26901 BEAUMONT BLVD SOUTHFIELD,MI48033 38-1426919	HOSPITAL	MI	501(C)(3)	3	BEAUMONT HEALTH	Yes
(5)COMMUNITY EMERGENCY MEDICAL SERVICE INC 25400 W EIGHT MILE ROAD SOUTHFIELD,MI48033 38-2410823	EMERGENCY MEDICAL SERVICES	MI	501(C)(3)	10	BOTSFORD GENERAL HOSPITAL	Yes
(6)MICHIGAN MOBILE PET IMAGING 26901 BEAUMONT BLVD SOUTHFIELD,MI48033 33-1086165	MOBILE PET SCANNING	MI	501(C)(3)	12A, I	OAKWOOD HEALTHCARE INC	Yes
(7)OAKWOOD HEALTHCARE INC 26901 BEAUMONT BLVD SOUTHFIELD,MI48033 38-1405141	HOSPITAL	MI	501(C)(3)	3	BEAUMONT HEALTH	Yes
(8)OAKWOOD UNITED HOSPITALS INC 26901 BEAUMONT BLVD SOUTHFIELD,MI48033 38-2837961	FACILITY LEASING	MI	501(C)(3)	12A, I	OAKWOOD HEALTHCARE INC	Yes
(9)OAKWOOD HOME CARE SERVICES 26901 BEAUMONT BLVD SOUTHFIELD,MI48033 38-2877338	HOME HEALTH SERVICES	MI	501(C)(3)	10	OAKWOOD HEALTHCARE INC	Yes
(10)OAKWOOD HEALTH PROMOTIONS INC 26901 BEAUMONT BLVD SOUTHFIELD,MI48033 38-2601965	ASSISTED AND RESIDENT CARE FACILITIES	MI	501(C)(3)	10	OAKWOOD HEALTHCARE INC	Yes
(11)BEAUMONT HEALTH FOUNDATION 26901 BEAUMONT BLVD SOUTHFIELD,MI48033 36-4852171	FOUNDATION	MI	501(C)(3)	7	BEAUMONT HEALTH	Yes
(12)BEAUMONT MEDICAL GROUP-HOSPITAL BASED SERVICES 26901 BEAUMONT BLVD SOUTHFIELD,MI48033 82-2768899	PHYSICIAN SUPPORT SERVICES	MI	501(C)(3)	10	BEAUMONT HEALTH	Yes
(13)BEAUMONT MEDICAL GROUP-PRIMARY CARE SERVICES 26901 BEAUMONT BLVD SOUTHFIELD,MI48033 82-2796539	PHYSICIAN SUPPORT SERVICES	MI	501(C)(3)	10	BEAUMONT HEALTH	Yes
(14)BEAUMONT MEDICAL GROUP-SPECIALTY SERVICES 26901 BEAUMONT BLVD SOUTHFIELD,MI48033 82-2784244	PHYSICIAN SUPPORT SERVICES	MI	501(C)(3)	10	BEAUMONT HEALTH	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2018

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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) BEAUMONT KIDNEY SPECIALTY SERVICES LLC 26400 WEST TWELVE MILE ROAD SOUTHFIELD,MI48034 26-2200439	DIALYSIS SERVICES	MI	WILLIAM BEAUMONT HOSPITAL	RELATED	3,637,303	960,812		No			No	55.900 %
(2) BOTSFORD CARE PARTNERS LLC 28050 GRAND RIVER AVENUE FARMINGTON HILLS,MI48336 45-4854213	HEALTHCARE SERVICES	MI	N/A
(3) DEARBORN SCHAEFFER OFFICE COMPANY LLC ONE TOWN SQUARE SUITE 1600 SOUTHFIELD,MI48076 26-2448025	REAL ESTATE	MI	N/A
(4) OAKMED LLC 1938 WOODSLEE DRIVE TROY,MI48083 46-1459737	PRIVATE DUTY NURSING	MI	N/A

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?
(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		Yes	No
(1) BEAUMONT INDEMNITY COMPANY LTD 23 LIME TREE BAY AVENUE GRAND CAYMAN,GRAND CAYMAN CJ 98-0512415	PREMIUM DEPOSITS	CJ	WILLIAM BEAUMONT HOSPITAL	C		127,974,223	100.000 %	Yes
(2) BEAUMONT NURSING HOME SERVICES INC 26935 NORTHWESTERN HIGHWAY SOUTHFIELD,MI48033 38-2799842	ASSISTED CARE LIVING	MI	WILLIAM BEAUMONT HOSPITAL	C	2,509,021	8,201,579	100.000 %	Yes
(3) BEAUMONT PHYSICIANS INSURANCE COMPANY INC 26935 NORTHWESTERN HIGHWAY SOUTHFIELD,MI48033 27-4261262	PROFESSIONAL INSURANCE	MI	WILLIAM BEAUMONT HOSPITAL	C	39,217	13,895,380	100.000 %	Yes
(4) BOTSFORD COMMONS PROPERTY ASSOCATION 28050 GRAND RIVER AVENUE FARMINGTON HILLS,MI48336 38-3203663	PROPERTY MANAGEMENT	MI	N/A	C				Yes
(5) OAKWOOD AFFILIATED VENTURES INC AND SUBSIDIARIES 15500 LUNDY PARKWAY DEARBORN,MI48126 37-1753159	OFFICE OF PHYSICIANS/NON-RESIDENTAL	MI	N/A	C				Yes
(6) PARASTAR EMERGENCY SYSTEMS INC 28050 GRAND RIVER AVENUE FARMINGTON HILLS,MI48336 38-2755982	MANAGEMENT DISPATCH SERVICES	MI	N/A	C				Yes

Schedule R (Form 990) 2018

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

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

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

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

Yes

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

Yes

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

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

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

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

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

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

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) BEAUMONT HEALTH	Q	894,355,257	FMV
(2) BEAUMONT HEALTH	P	787,703,512	FMV
(3) BEAUMONT HEALTH FOUNDATION	R	112,613,619	FMV
(4) BOTSFORD CONTINUING CARE CORPORATION	D	29,679,509	FMV
(5) OAKWOOD HOME CARE SERVICES	S	1,243,346	FMV
(6) BEAUMONT HEALTH FOUNDATION	C	12,922,947	FMV
(7) BEAUMONT HEALTH	E	759,793,809	FMV

Schedule R (Form 990) 2018

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)	(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2018

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) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE THE HIGHEST QUALITY HEALTHCARE SERVICE TO ALL OF OUR PATIENTS EFFICIENTLY, EFFECTIVELY AND COMPASSIONATELY, REGARDLESS OF WHERE THEY LIVE OR THEIR FINANCIAL CIRCUMSTANCES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	17
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	14
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	26,205
6	Total number of volunteers (estimate if necessary) .............	6	2,345
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	69,445,398
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	1,178,422

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	26,681,090	24,158,085
9	Program service revenue (Part VIII, line 2g) .........	2,624,739,477	2,722,486,489
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	43,565,959	39,855,473
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	220,456,796	173,134,822
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	2,915,443,322	2,959,634,869
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	74,969,002	32,033,721
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)	1,669,051,929	1,655,542,364
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,095,700,515	1,049,078,386
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,839,721,446	2,736,654,471
19	Revenue less expenses. Subtract line 18 from line 12.......	75,721,876	222,980,398
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	4,043,698,061	4,280,616,612
21	Total liabilities (Part X, line 26).............	2,079,761,063	2,106,035,296
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,963,936,998	2,174,581,316

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,269,812,505 including grants of $ 15,938,550 ) (Revenue $ 1,399,240,382 )
	INPATIENT SERVICES:WILLIAM BEAUMONT HOSPITAL (DBA BEAUMONT HEALTH SYSTEM ("BEAUMONT OR "THE 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 1,909 BEDS. FOR THE TAX YEAR ENDED DECEMBER 31, 2018, BEAUMONT'S HOSPITALS REGISTERED 107,771 ADMISSIONS, 80,796 TOTAL SURGERIES, 11,118 BIRTHS AND 283,297 EMERGENCY VISITS.BEAUMONT OPENED ON JAN. 24, 1955, AS A 238-BED COMMUNITY HOSPITAL IN ROYAL OAK, MICHIGAN. TODAY, THAT HOSPITAL IS A 1,100-BED MAJOR ACADEMIC AND REFERRAL CENTER WITH LEVEL 1 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 520 BEDS. IN 2019, BEAUMONT, 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.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 $ 1,095,099,864 including grants of $ 13,745,568 ) (Revenue $ 1,206,719,096 )
	OUTPATIENT AND OTHER SERVICES: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, 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 2018, BEAUMONT RECORDED 2,539,285 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 $ 187,191,263 including grants of $ 2,349,603 ) (Revenue $ 206,270,935 )
	EMERGENCY SERVICES: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 AS WELL, IS A LEVEL 1 TRAUMA CENTER DESIGNATED BY THE AMERICAN COLLEGE OF SURGEONS. THE SYSTEM TREATED 283,297 INDIVIDUALS IN ITS EMERGENCY CENTERS IN 2018. 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 expenses2,552,103,632

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	26,428,074	2,358,522	5,839,051

(A) Name and business address	(B) Description of services	(C) Compensation





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 0

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	12,922,947
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	11,235,138

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		24,158,085

		Business Code
2a	INPATIENT	622110	1,324,346,705	1,324,346,705
b	OUTPATIENT	622110	1,202,909,403	1,142,130,029	60,779,374
c	EMERGENCY	622110	195,230,381	195,230,381
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		2,722,486,489

3 Investment income (including dividends, interest, and othersimilar amounts) ......			40,370,021			40,370,021
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		496,760
b	Less: rental expenses		751,969
c	Rental income or (loss)		-255,209
d	Net rental income or (loss)......			-255,209			-255,209
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	623,835
b	Less: cost or other basis and sales expenses	1,138,383
c	Gain or (loss)	-514,548
d	Net gain or (loss).....			-514,548			-514,548
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a		85,686,824
b	Less: cost of goods sold ..b		9,744,388
c	Net income or (loss) from sales of inventory..			75,942,436	75,942,436
Business Code			Miscellaneous Revenue
11a	BMG ARTS REVENUE		900099	22,101,171	22,101,171
b	CAF, TV, PHONE		900099	14,200,709			14,200,709
c	ASSETS FROM RESTRICTED		900099	1,079,787	1,079,787
d	All other revenue ....			60,065,928	51,399,904	8,666,024
e	Total. Add lines 11a–11d ......			97,447,595
12	Total revenue. See Instructions......			2,959,634,869	2,812,230,413	69,445,398	53,800,973

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	634,613	634,613
2	Grants and other assistance to domestic individuals. See Part IV, line 22	31,399,108	31,399,108
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	25,520,035		25,520,035
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	229,217		229,217
7	Other salaries and wages	1,283,658,444	1,269,949,289	13,709,155
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	49,121,879	46,398,448	2,723,431
9	Other employee benefits .......	195,765,073	191,831,568	3,933,505
10	Payroll taxes ...........	101,247,716	98,944,099	2,303,617
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	7,043,097		7,043,097
c	Accounting ...........	-672,986		-672,986
d	Lobbying ...........	221,426		221,426
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	3,232,409		3,232,409
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	271,754,591	198,272,033	73,482,558
12	Advertising and promotion ....	4,655,832	827,512	3,828,320
13	Office expenses .......	27,109,685	15,640,224	11,469,461
14	Information technology ......	1,382,252	908,091	474,161
15	Royalties ..
16	Occupancy ...........	141,365,486	128,681,478	12,684,008
17	Travel ............	6,263,852	5,348,689	915,163
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	4,888,768	4,443,301	445,467
20	Interest ...........	40,760,171	38,722,162	2,038,009
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	196,968,065	177,187,865	19,780,200
23	Insurance ...	39,623,757	38,433,171	1,190,586
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	241,573,043	241,573,043
b	PROVIDER TAX QAAP	59,938,123	59,938,123
c	BAD DEBT PROVISION	2,659,838	2,659,838
d	UBI PROVISION	310,977	310,977
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	2,736,654,471	2,552,103,632	184,550,839	0
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 if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			164,124	1	203,573
2	Savings and temporary cash investments .........			176,582,263	2	130,308,468
3	Pledges and grants receivable, net ......			2,017,623	3	1,620,496
4	Accounts receivable, net .............			408,253,497	4	481,195,929
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 ........			48,654,481	8	59,982,823
9	Prepaid expenses and deferred charges ......			34,687,275	9	52,824,757
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	4,546,357,084
b	Less: accumulated depreciation	10b	3,099,100,864	1,364,003,862	10c	1,447,256,220
11	Investments—publicly traded securities .			897,053,915	11	828,117,411
12	Investments—other securities. See Part IV, line 11 .....			227,231,657	12	243,546,072
13	Investments—program-related. See Part IV, line 11 ..			1,904,710	13	1,460,505
14	Intangible assets ...............			20,181,109	14	20,045,484
15	Other assets. See Part IV, line 11 ...........			862,963,545	15	1,014,054,874
16	Total assets. Add lines 1 through 15 (must equal line 34)...			4,043,698,061	16	4,280,616,612

17	Accounts payable and accrued expenses .....	327,640,935	17	334,609,842
18	Grants payable ...		18
19	Deferred revenue .........	0	19	11,245,371
20	Tax-exempt bond liabilities .........	509,790,346	20	470,672,826
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
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 ..	32,893,749	23	29,679,509
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	1,209,436,033	25	1,259,827,748
26	Total liabilities. Add lines 17 through 25..	2,079,761,063	26	2,106,035,296

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	1,955,087,232	27	2,166,811,337
28	Temporarily restricted net assets ...........	8,849,766	28	7,769,979
29	Permanently restricted net assets	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	1,963,936,998	33	2,174,581,316
34	Total liabilities and net assets/fund balances ........	4,043,698,061	34	4,280,616,612

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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately 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; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No