TY 2019 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)	(F) Estimated amount of other compensation from the organization and related organizations
(1) John Fox...................................................................... President & CEO	2.00 ................. 58.00	X	X			0	5,342,546	1,405,682
(2) David Wood MD...................................................................... Director	2.00 ................. 62.00	X				0	1,171,888	355,952
(3) John Kerndl...................................................................... EVP & Chief Financial Officer	2.00 ................. 64.00		X			0	1,056,274	342,754
(4) Samir Dabbous...................................................................... Physician	50.00 ................. 0.00				X	1,303,706	0	27,815
(5) Muhammad Azrak...................................................................... Physician	50.00 ................. 0.00				X	968,976	0	42,012
(6) Edward Mavashev...................................................................... Physician	50.00 ................. 0.00				X	902,432	0	47,754
(7) Craig W Stevens...................................................................... Physician	50.00 ................. 0.00				X	875,022	0	46,883
(8) Mohammed Alsaidi-Donovan...................................................................... Physician	50.00 ................. 0.00				X	878,880	0	29,102
(9) David Claeys...................................................................... President - Dearborn & FH	25.00 ................. 25.00			X		515,384	0	123,609
(10) Lee Ann Odom Start 819...................................................................... Int.Pres.Trenton,Taylor,Wayne	50.00 ................. 0.00			X		454,808	0	117,475
(11) Eric Widner...................................................................... President Wayne (End 2/19)	50.00 ................. 2.00			X		371,383	0	7,054
(12) Christine Stesney-Ridenour...................................................................... Pres. Trenton,Taylor & Wayne (End 8/19)	50.00 ................. 0.00			X		312,365	0	19,611
(13) Paulo Marciano...................................................................... CMO-Dearborn	50.00 ................. 0.00			X		252,484	0	58,196
(14) Ashok Jain...................................................................... CMO-Wayne	50.00 ................. 0.00			X		225,495	0	62,491
(15) Kassem Charara...................................................................... CMO - Taylor	50.00 ................. 0.00			X		212,156	0	58,548
(16) Jonathan Kaper...................................................................... CMO-Trenton	50.00 ................. 0.00			X		184,174	0	23,436
(17) Harris Mainster DO...................................................................... Director	2.00 ................. 8.00	X				0	114,488	0

(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)
(18) Alicia Boler Davis........................................................................ Director (End 3/28/19)	2.00 .......................8.00	X
(19) Christopher Blake........................................................................ Director	2.00 .......................8.00	X
(20) Geoffrey Hockman........................................................................ Director	2.00 .......................10.00	X
(21) Gerson Cooper........................................................................ Director	2.00 .......................8.00	X
(22) John Lewis........................................................................ Chairman	2.00 .......................8.00	X
(23) John Nemes........................................................................ Secretary/Treasurer	2.00 .......................8.00	X	X
(24) Julie Fream........................................................................ Vice Chairperson	2.00 .......................8.00	X
(25) Martha Quay........................................................................ Director	2.00 .......................8.00	X
(26) Robert Williams MD........................................................................ Director (Start 2/20/19)	2.00 .......................8.00	X
(27) Ronald Hall Jr........................................................................ Director	2.00 .......................8.00	X
(28) Stephen Howard........................................................................ Vice-Chairman	2.00 .......................8.00	X
(29) Thomas Saeli........................................................................ Director	2.00 .......................8.00	X
(30) Timothy O'Brien........................................................................ Director	2.00 .......................8.00	X
(31) William Goldsmith........................................................................ Director	2.00 .......................8.00	X

- 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.
right arrow

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

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

Oakwood Healthcare Inc

Employer identification number

38-1405141

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 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) 2019

Page 2

Part II

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. 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—2018. 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—2019. 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—2018. 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) 2019

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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. 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—2018. 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) 2019

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) 2019

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) 2019

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) 2019

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 2019 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-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, 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 2019. 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 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

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) 2019

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

2019

Name of the organization

Oakwood Healthcare Inc

Employer identification number

38-1405141

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, 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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization Oakwood Healthcare Inc

Part I Contributors	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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 3

Name of organization Oakwood Healthcare Inc		Employer identification number 38-1405141

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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 4


Name of organization Oakwood Healthcare Inc			Employer identification number 38-1405141
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) (2019)

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

2019

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

Oakwood Healthcare Inc

Employer identification number

38-1405141

Part I-A

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

Provide a description of the organization’s direct and indirect political campaign activities 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) 2019

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.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) Total

2a	Lobbying nontaxable amount

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

c	Total lobbying expenditures

d	Grassroots nontaxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2019

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|No

(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? ...................................................................................................................

Yes

30,824

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

30,824

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
Part II-B, Line 1:	Oakwood Healthcare, Inc. engages outside consultants to conduct state and federal lobbying activities on matters pertaining to non-profit healthcare. Also, the Company (along with the vast majority of hospitals located in the State of Michigan) pays annual dues to the Michigan Health and Hospital Association, a portion of which pertains to lobbying activities conducted by that organization. Dues paid to Michigan Hospital Association for 2019 amount to $217,073. Per Michigan Hospital Association, 14.20% of their budget supports lobbying activities. Total of $30,824.

Return Reference

Explanation

Part II-B, Line 1:

Oakwood Healthcare, Inc. engages outside consultants to conduct state and federal lobbying activities on matters pertaining to non-profit healthcare. Also, the Company (along with the vast majority of hospitals located in the State of Michigan) pays annual dues to the Michigan Health and Hospital Association, a portion of which pertains to lobbying activities conducted by that organization. Dues paid to Michigan Hospital Association for 2019 amount to $217,073. Per Michigan Hospital Association, 14.20% of their budget supports lobbying activities. Total of $30,824.

Schedule C (Form 990 or 990EZ) 2019

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 instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

Oakwood Healthcare Inc

Employer identification number

38-1405141

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" 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 FASB 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 FASB 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 FASB 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) 2019

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 ....	43,932,435	44,432,780	41,749,949	43,616,706	45,555,675
b	Contributions ...	867,751	3,610,435	3,898,416	1,140,069	232,199
c	Net investment earnings, gains, and losses	2,643,203	-977,328	532,473	2,008,844	-303,321
d	Grants or scholarships ...				197,880	201,914
e	Other expenditures for facilities and programs ...	84,326	74,470	1,748,058	4,817,790	1,665,933
f	Administrative expenses ....		3,058,982
g	End of year balance ......	47,359,063	43,932,435	44,432,780	41,749,949	43,616,706

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

Board designated or quasi-endowment SchDMd Bullet

41.090 %

Permanent endowment SchDMd Bullet

47.170 %

Term endowment SchDMd Bullet

11.740 %

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 .....	9,640,275		9,640,275
b	Buildings ....	683,627,889	503,120,750	180,507,139
c	Leasehold improvements	17,411,033	14,725,067	2,685,966
d	Equipment ....	360,283,127	298,032,992	62,250,135
e	Other .....	135,983,033	41,642,359	94,340,674
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				349,424,189

Schedule D (Form 990) 2019

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	49,141,273	F
(B) Equity	88,735,333	F
(C) Agency	456,206	F
(D) Asset Backed	9,105,835	F
(E) CMO	5,719,382	F
(F) Corporate	23,021,642	F
(G) Mortgage Pass-Through	7,293,688	F
(H) Municipal	3,969,705	F
(I) US Treasury	19,427,526	F
(J) Yankee	7,096,208	F
(K) Commingled Fund	71,535,120	F
(L) Hedge Funds	108,699,487	F
(M) Real Estate	10,590,797	F
(N) Private Capital	20,739,424	F
(O) Derivatives	3,273,100	F
(P) Mutual Fund	10,973,859	F
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	439,778,585

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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
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 (to) Affiliates				70,065,072
(2)Insurance Recoverables				8,494,627
(3)All Other, Net				288,882
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				78,848,581

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
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	169,073,829
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) 2019

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 1e:	The restricted assets that were received and maintained by Oakwood Healthcare, Inc. have been transferred to Beaumont Health Foundation, a related party, as part of the centralization of the health system's endowment into a single foundation.
Part V, line 4:	The intended use of Beaumont Health Foundation's endowment funds is to provide funds to support the mission and vision of Beaumont Health System. Beaumont Health Foundation provides funding for ongoing capital and operational needs, community outreach programs, and scholarships and education.

Schedule D (Form 990) 2019

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

2019

Open to Public Inspection

Name of the organization

Oakwood Healthcare Inc

Employer identification number

38-1405141

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

Yes

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? . . . . . .

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) . . .	9,940,773	0	9,940,773	0.790 %
b	Medicaid (from Worksheet 3, column a) . . . . .	235,244,985	222,006,669	13,238,316	1.050 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	0	0
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	245,185,758	222,006,669	23,179,089	1.840 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	7,478,436	0	7,478,436	0.590 %
f	Health professions education (from Worksheet 5) . . .	48,711,648	22,619,569	26,092,079	2.070 %
g	Subsidized health services (from Worksheet 6) . . . .	300,147,878	274,195,222	25,952,656	2.060 %
h	Research (from Worksheet 7) .	1,023,374	293,803	729,571	0.060 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	0
j	Total. Other Benefits . .	357,361,336	297,108,594	60,252,742	4.780 %
k	Total. Add lines 7d and 7j .	602,547,094	519,115,263	83,431,831	6.620 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

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 Healthcare 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. ......

48,766,580

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).....

474,764,668

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

505,884,102

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

-31,119,434

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 %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 Oakwood Accountable Care	Reduce healthcare costs	49.000 %	0.580 %	50.000 %
22 Organization LLC	and manage population well
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2019

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?4Name, 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 Dearborn 18101 Oakwood Blvd Dearborn,MI481244089 www.beaumont.org L2280773	X	X	X	X	X	A
2	Beaumont Hospital Trenton 5450 Fort Street Trenton,MI481834625 www.beaumont.org L2307184	X	X	X		X	A
3	Beaumont Hospital Wayne 33155 Annapolis Wayne,MI481842493 www.beaumont.org L2554579	X	X	X		X	A
4	Beaumont Hospital Taylor 10000 Telegraph Taylor,MI481803349 www.beaumont.org L2558464	X	X	X		X	A

Schedule H (Form 990) 2019

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 19

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, Page 8

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 19

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

Yes

If "Yes" (list url): See Part V, Page 8

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) 2019

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, Page 8

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

See Part V, Page 8

A plain language summary of the FAP was widely available on a website (list url):
See Part V, Page 8

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) 2019

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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2019

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) 2019

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, 20a, 20b, 20c, 20d, 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
Schedule H, Part V, Section B. Facility Reporting Group A	Facility Reporting Group A consists of:- Facility 1: Beaumont Hospital, Dearborn- Facility 2: Beaumont Hospital, Trenton- Facility 3: Beaumont Hospital, Wayne- Facility 4: Beaumont Hospital, Taylor
Group A-Facility 1 -- Beaumont Hospital, Dearborn	Part V, Section B, line 5: The 2019 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 qualitative information for the CHNA. Participants included community leaders, public health experts 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 participated 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 MichiganDearborn Public SchoolsHealthy Dearborn CoalitionCity of DearbornRiver Rouge School DistrictCity of Dearborn and RecreationAmerican Heart AssociationNational Kidney Foundation of MichiganTaylor School DistrictHealthy Taylor CoalitionCity of TaylorCity of Taylor Parks and RecreationDownriver Family YMCACity of Trenton Parks and RecreationTrenton Public SchoolsHealthy Trenton CoalitionCity of TrentonWayne County ParksTraffic Safety CommissionWestwood Community School DistrictHealthy Wayne CoalitionWayne-Westland Community SchoolsCity of WayneWayne Chamber of CommerceRomulus Community SchoolsEdsel & Eleanor Ford House, Grosse Pointe ShoresCity of Royal Oak Memorial ParkOrion Township Community CenterUnited Shore Professional Baseball LeagueCity of Sterling HeightsTroy School DistrictFarmington Farmers MarketCity of Farmington HillsCity of Farmington Hills ParksCommunity OrganizationsFarmington Public SchoolsFarmington Hills Fire Department
Group A-Facility 1 -- Beaumont Hospital, Dearborn	Part V, Section B, line 6a: Beaumont Health conducted the CHNA for the communities served by Beaumont Hospital Dearborn (formerly Oakwood Hospital Dearborn), Beaumont Hospital Farmington Hills (formerly Botsford General Hospital), Beaumont Hospital Grosse Pointe (formerly Beaumont Grosse Pointe), Beaumont Hospital Royal Oak (formerly Beaumont Royal Oak), Beaumont Hospital Taylor (formerly Oakwood Hospital Taylor), Beaumont Hospital Trenton (formerly Oakwood Hospital Trenton), Beaumont Hospital Troy (formerly Beaumont Troy), and Beaumont Hospital Wayne (formerly Oakwood Hospital Wayne).
Group A-Facility 1 -- Beaumont Hospital, Dearborn	Part V, Section B, line 7d: In addition to the Hospital website, the CHNA was sent to all the participants of the focus groups and those interviewed, distributed internally to Beaumont leaders and various staff, given to the Beaumont Board of Directors, Beaumont community advisory boards, and to the community members who are engaged in the community coalitions of Beaumont.
Group A-Facility 1 -- Beaumont Hospital, Dearborn	Part V, Section B, line 11: The 2019 CHNA for Beaumont Hospital Dearborn identified two priority health needs to be addressed. The Implementation Strategy for Beaumont Hospital Dearborn focused on the priority health needs of chronic disease management (cardiovascular disease, diabetes, and obesity) and mental health. The health needs of substance abuse, 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).The Community Health Needs Assessment (CHNA) was conducted in 2019 for each of the Beaumont Health hospitals but it was not adopted until the end of the year and we are listing what was done in 2019 based on the 2016 CHNA.Based on available research and evidence, it was determined that in order to effectively address the social, economic and community determinants of individual and community health, Beaumont Hospital Dearborn would implement a "healthy community", formally known as "Healthy Dearborn". Healthy Dearborn is a diverse, multi-sector coalition that currently has over 500 individuals participating to promote healthy eating and active living to address cardiovascular disease, diabetes and obesity. Coalition members include local government leadership, multiple universities including University of Michigan-Ann Arbor, University of Michigan- Dearborn, Wayne State and Henry Ford College. Other members include community residents, the local school system, nonprofit organizations, faith-based organizations, medical providers, insurance providers, and those representing chronic disease organizations. Beaumont provides "backbone support" to this coalition - providing staff, consultants and access to a wide range of resources including evidence-based programming and data collection. Healthy Dearborn also has a research team comprised of university professors and researchers from Wayne State University, University of Michigan-Ann Arbor and University of Michigan-Dearborn. The research team is engaged in collecting qualitative data at the census tract level in order to better identify social determinants of health and interventions to address barriers to access.In 2019, Healthy Dearborn received a $63,000 KABOOM! grant to construct a new mini-soccer park in Dearborn to further engage residents in physical activities to prevent chronic disease. Beaumont Health provided staff to help facilitate the project, grant writing assistance and financial management of the initiative.In recognition for building a healthy and equitable Dearborn, Healthy Dearborn was awarded the 2019 Hometown Health Hero award from the Michigan Public Health Partnership.A summary of the progress on the actions to address the priority health needs selected is as follows:Priority 1: Cardiovascular DiseaseActivities of Beaumont Healthy Dearborn in 2019 included a weekly "Walk 'n Roll" walking and bicycling program with more than 750 participants from May through October. Additionally, Healthy Dearborn implemented an eight-week walking program, with over 100 participants completing 16,892 miles. A physical fitness program in partnership with a social service organization, LAHC, provided free fitness classes for women.In 2019, Beaumont Hospital Dearborn provided 1,506 heart health screenings in the community. The screenings consisted of blood pressure, cholesterol, glucose, stroke risk assessments and BMI. All participants were provided with counseling and information on blood pressure, cholesterol and glucose. All participants with high-risk results were followed up with by a phone call and letter for follow-up care.Priority 2: DiabetesBeaumont Hospital Dearborn provides the national Diabetes Prevention Program (DPP) for the community. DPP is a free, research-based program for those who want to prevent Type 2 diabetes. The program focuses on lifestyle changes related to healthy eating and physical activity, as well as problem solving and coping skills. The Diabetes Prevention Program has been proven to be twice as effective as medication alone at preventing Type 2 diabetes. This program consists of 16 weekly sessions, followed by monthly maintenance sessions. This year-long program for those with pre-diabetes was provided to 85 individuals in the Dearborn service area. Managing your diabetes education was provided by Beaumont Dearborn to 74 individuals in the community. Priority 3: ObesityIn 2019, the Catch Kids Club, an evidence-based program, reached 126 children in Dearborn. It is one of the coordinated school health programs selected by the Centers for Disease Control and Prevention as part of their "Whole School, Whole Community, Whole Child" (WSCC) model. CATCH has been found effective in improving physical activity, nutrition knowledge and health behaviors and in reducing overweight and obesity.CATCH Kids Club (CKC) is a physical activity and nutrition program designed for elementary and middle school aged children in afterschool and summer settings. CKC is composed of 3 elements: -Educational lessons related to nutrition, physical activity, and screen time reduction -Hands-on snack preparation -Structured physical activities provided in a CKC physical activity box Similar to the CATCH program on which it is modeled, CKC has been found effective in improving physical activity, nutrition knowledge and health behaviors and in reducing overweight and obesity. In 2019, children benefited nearly 8,115 times from various teaching units in CKC.Beaumont Hospital Dearborn provides physical and mental health services to youth in the community at the Taylor, River Rouge Teen Health Centers and through a wellness program at Truman High School. At Taylor Teen Health Center, 4,274 students received services and at Truman High School, 6,978 students received services (primary care and/or behavioral health services).Beaumont Hospital Dearborn provides nutrition education and "hands-on" cooking classes through a partnership with Gleaners Food Bank of Southeastern Michigan to offer Cooking Matters in the Community and Cooking Matters at the Store. Cooking Matters equips families with the skills they need to stretch their food dollars and prepare healthy meals on a budget. In 2019, these classes were attended by 72 individuals. Beaumont Hospital Dearborn sponsors the Dearborn Farmers Market, providing access of fresh fruits and vegetables to the community. The Power of Produce program is provided to children at the market to educate children in making healthy eating choices. This program allows children to taste new fruits and vegetables, engage in activities to understand where their food comes from and gives children $2 to spend on fresh produce every time they visit the market. In 2019, 16 Power of Produce events were held, reaching 1,366 children. Beaumont Hospital Dearborn has an active Speakers Bureau; health professionals including physicians and registered dietitians provide education in the community. In 2019, health professionals provided a total of 19 hours of health-related information on cardiovascular disease, diabetes, obesity risk factors and prevention services.Healthy Dearborn received a grant from the Michigan Health Endowment Fund to implement a comprehensive nutrition and physical education program to impact obesity risk factors among K-8 students in eight public schools. The following activities were provided to students and their families in the eight participating schools since 2018: new school gardens; new nutrition education curricula tied to garden learning; new physical education curricula aimed at increasing levels of moderate to vigorous physical activity among K-8 students; new physical education equipment; Go Noodle plus curricula to increase minutes of physical activity during regular classroom periods; family nights with physical activities and nutrition education aimed at families of students in the eight participating schools in order to reinforce healthy behaviors at home and schools; and, after-school physical activity clubs. Changes have resulted in improved physical education instruction yielding increases in moderate/vigorous physical activity among K-8 students, classroom activity breaks totaling more than 100,000 minutes, and hands-on nutrition education.
Group A-Facility 2 -- Beaumont Hospital, Trenton	Part V, Section B, line 5: The 2019 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 qualitative information for the CHNA. Participants included community leaders, public health experts 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 participated 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 MichiganDearborn Public SchoolsHealthy Dearborn CoalitionCity of DearbornRiver Rouge School DistrictCity of Dearborn and RecreationAmerican Heart AssociationNational Kidney Foundation of MichiganTaylor School DistrictHealthy Taylor CoalitionCity of TaylorCity of Taylor Parks and RecreationDownriver Family YMCACity of Trenton Parks and RecreationTrenton Public SchoolsHealthy Trenton CoalitionCity of TrentonWayne County ParksTraffic Safety CommissionWestwood Community School DistrictHealthy Wayne CoalitionWayne-Westland Community SchoolsCity of WayneWayne Chamber of CommerceRomulus Community SchoolsEdsel & Eleanor Ford House, Grosse Pointe ShoresCity of Royal Oak Memorial ParkOrion Township Community CenterUnited Shore Professional Baseball LeagueCity of Sterling HeightsTroy School DistrictFarmington Farmers MarketCity of Farmington HillsCity of Farmington Hills ParksCommunity OrganizationsFarmington Public SchoolsFarmington Hills Fire Department
Group A-Facility 2 -- Beaumont Hospital, Trenton	Part V, Section B, line 6a: Beaumont Health conducted the CHNA for the communities served by Beaumont Hospital Dearborn (formerly Oakwood Hospital Dearborn), Beaumont Hospital Farmington Hills (formerly Botsford General Hospital), Beaumont Hospital Grosse Pointe (formerly Beaumont Grosse Pointe), Beaumont Hospital Royal Oak (formerly Beaumont Royal Oak), Beaumont Hospital Taylor (formerly Oakwood Hospital Taylor), Beaumont Hospital Trenton (formerly Oakwood Hospital Trenton), Beaumont Hospital Troy (formerly Beaumont Troy), and Beaumont Hospital Wayne (formerly Oakwood Hospital Wayne).
Group A-Facility 2 -- Beaumont Hospital, Trenton	Part V, Section B, line 7d: In addition to the Hospital website, the CHNA was sent to all the participants of the focus groups and those interviewed, distributed internally to Beaumont leaders and various staff, given to the Beaumont Board of Directors, Beaumont community advisory boards, and to the community members who are engaged in the community coalitions of Beaumont.
Group A-Facility 2 -- Beaumont Hospital, Trenton	Part V, Section B, line 11: The 2019 CHNA for Beaumont Hospital Trenton identified two priority health needs to be addressed. The Implementation Strategy for Beaumont Hospital Trenton focused on the priority health needs of chronic disease management (cardiovascular disease, diabetes, and obesity) and mental health. The health needs of substance abuse, 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).The Community Health Needs Assessment (CHNA) was conducted in 2019 for each of the Beaumont Health hospitals but it was not adopted until the end of the year and we are listing what was done in 2019 based on the 2016 CHNA.To best address the conditions, behaviors, and socioeconomic and environmental factors that drive health, Beaumont Hospital Trenton formed Healthy Trenton, a multi-sector coalition created to promote healthy eating and active living to address cardiovascular disease, diabetes and obesity. Coalition members include local government leadership, community residents, the local school system, nonprofit organizations, faith-based organizations, medical providers, insurance providers, and those representing chronic disease organizations. Beaumont provides "backbone support" to this coalition - providing staff, consultants and access to a wide range of resources including evidence-based programming and data collection.A summary of the progress on the actions to address the priority health needs selected is as follows:Priority 1: Cardiovascular DiseaseActivities of Beaumont Healthy Trenton in 2019 include a weekly walking program at the farmers market during the market season that hosted walks and walkers, continued a neighborhood walking groups program to encourage individuals to walk with others, and promotion of a walking app that incentivizes individuals to reach daily walking goals. In 2019, groups and individuals registered as neighborhood walking groups and signed onto the walking app under the Beaumont Gets Walking group. Beaumont Hospital Trenton also sponsors and participates in the Trenton summer festival - a 3 day event with health screenings and nutrition education and events. Beaumont Healthy Trenton launched a healthy restaurant initiative to recognize restaurants that provide healthy meals meeting heart healthy criteria to the community and three local restaurants were acknowledged at the gold level in 2019. In 2019, Beaumont Hospital Trenton provided 525 people with 806 heart health screening services in the community. The screenings consisted of blood pressure, cholesterol, glucose, stroke risk assessments and BMI. All participants were provided with counseling and information on blood pressure, cholesterol and glucose. All participants with high-risk results were followed up with by a phone call and letter to participants for follow-up care. In addition, Beaumont Hospital Trenton offered the 7 for $70 comprehensive heart and vascular disease screening to 132 persons representing 759 different tests including blood pressure, BMI, electrocardiogram, abdominal aortic aneurysm ultrasound, PAD screening and cholesterol measures.Priority 2: DiabetesBeaumont Hospital, Trenton provides the National Diabetes Prevention Program for the community. This national evidence-based program from the Centers for Disease Control and Prevention (CDC) is supported and promoted by the American Medical Association as one of the most effective ways to help physicians prevent or delay Type 2 diabetes in high-risk patients. This year-long program for those with pre-diabetes was provided to 12 individuals in the Trenton service area. Beaumont Hospital Trenton provided diabetes screening as part of the heart health screening program in the community to 525 unduplicated individuals with 806 screenings. In addition, 67 individuals received diabetes education at local events.Priority 3: ObesityBeaumont Hospital, Trenton launched "Beaumont Gets Walking" in 2017 and was continued throughout 2019. Walking groups were provided toolkits to support their walking consisting of pedometers, lanyards and walking logs for each member along with tip sheets. Logs are turned in for incentive prizes and members receive ongoing encouragement, tips, and information on activities related to walking. In 2019, 42 groups and 135 individuals were formed bringing the cumulative total to 219 groups and 771 individuals in Trenton and immediately surrounding communities.Beaumont Hospital, Trenton provides nutrition education and "hands-on" cooking classes through a partnership with Gleaners Food Bank of Southeastern Michigan to offer Cooking Matters in the Community and Cooking Matters at the Store. Cooking Matters equips families with the skills they need to stretch their food dollars and prepare healthy meals on a budget. There was one class of Cooking Matters offered in the Trenton area that was attended by 18 individuals, with 72 units of service provided. Participant satisfaction with the classes was 98% (very good). And, outcome data indicated an aggregate increase in knowledge of 25% including significant improvement using nutrition facts on food labels, adjusting meals to be healthier and confidence buying healthy foods for their family on a budget.In the Beaumont Trenton service area, 265 children were provided CATCH (Coordinated Approach to Child Health) Kids Club program in after-school and summer programs. The total number of units of service for these children was 12,217 which is a combination of physical activity and nutrition education. CATCH Kids Club creates behavior change by enabling children to identify healthy foods, and by increasing the amount of moderate to vigorous physical activity children engage in each day. CATCH Kids Club is based on the CDC Whole School, Whole Community, Whole Child model in which health education, school environment, and family/community involvement work together to support youth in a healthy lifestyle. Aggregate student outcome data indicated improvements in multiple measures including a 38% increase in the consumption of fruits and vegetables, and a small increase in exercise or participation in sports activities for at least 20 minutes. And, 100% of students reported they almost always or always read nutrition labels on packages after participating in CATCH Kids Club for a school year.In addition to the above activity, there were 135 individuals that received obesity related nutritional information at community events and 856 individuals received information about local activity options.
Group A-Facility 3 -- Beaumont Hospital, Wayne	Part V, Section B, line 5: The 2019 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 qualitative information for the CHNA. Participants included community leaders, public health experts 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 participated 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 MichiganDearborn Public SchoolsHealthy Dearborn CoalitionCity of DearbornRiver Rouge School DistrictCity of Dearborn and RecreationAmerican Heart AssociationNational Kidney Foundation of MichiganTaylor School DistrictHealthy Taylor CoalitionCity of TaylorCity of Taylor Parks and RecreationDownriver Family YMCACity of Trenton Parks and RecreationTrenton Public SchoolsHealthy Trenton CoalitionCity of TrentonWayne County ParksTraffic Safety CommissionWestwood Community School DistrictHealthy Wayne CoalitionWayne-Westland Community SchoolsCity of WayneWayne Chamber of CommerceRomulus Community SchoolsEdsel & Eleanor Ford House, Grosse Pointe ShoresCity of Royal Oak Memorial ParkOrion Township Community CenterUnited Shore Professional Baseball LeagueCity of Sterling HeightsTroy School DistrictFarmington Farmers MarketCity of Farmington HillsCity of Farmington Hills ParksCommunity OrganizationsFarmington Public SchoolsFarmington Hills Fire Department
Group A-Facility 3 -- Beaumont Hospital, Wayne	Part V, Section B, line 6a: Beaumont Health conducted the CHNA for the communities served by Beaumont Hospital Dearborn (formerly Oakwood Hospital Dearborn), Beaumont Hospital Farmington Hills (formerly Botsford General Hospital), Beaumont Hospital Grosse Pointe (formerly Beaumont Grosse Pointe), Beaumont Hospital Royal Oak (formerly Beaumont Royal Oak), Beaumont Hospital Taylor (formerly Oakwood Hospital Taylor), Beaumont Hospital Trenton (formerly Oakwood Hospital Trenton), Beaumont Hospital Troy (formerly Beaumont Troy), and Beaumont Hospital Wayne (formerly Oakwood Hospital Wayne).
Group A-Facility 3 -- Beaumont Hospital, Wayne	Part V, Section B, line 7d: In addition to the Hospital website, the CHNA was sent to all the participants of the focus groups and those interviewed, distributed internally to Beaumont leaders and various staff, given to the Beaumont Board of Directors, Beaumont community advisory boards, and to the community members who are engaged in the community coalitions of Beaumont.
Group A-Facility 3 -- Beaumont Hospital, Wayne	Part V, Section B, line 11: The 2019 CHNA for Beaumont Hospital Wayne identified two priority health needs to be addressed. The Implementation Strategy for Beaumont Hospital Wayne focused on the priority health needs of chronic disease management (cardiovascular disease, diabetes, and obesity) and mental health. The health needs of substance abuse, 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).The Community Health Needs Assessment (CHNA) was conducted in 2019 for each of the Beaumont Health hospitals but it was not adopted until the end of the year and we are listing what was done in 2019 based on the 2016 CHNA.To best address the conditions, behaviors, and socioeconomic and environmental factors that drive health, Beaumont Hospital Wayne formed Healthy Wayne and Healthy Westland, multi-sector coalitions that currently have over 145 individuals participating to promote healthy eating and active living to address cardiovascular disease, diabetes and obesity. Coalition members include local government leadership, community residents, the local school system, nonprofit organizations, faith-based organizations, medical providers, insurance providers, and those representing chronic disease organizations. Action teams in this coalition include healthy eating, healthy active living, healthy worksites, healthy schools, community engagement and awareness, and healthy built environment. Beaumont provides "backbone support" to these coalitions- providing staff, consultants and access to a wide range of resources including evidence-based programming and data collection.A summary of the progress on the actions to address the priority health needs selected is as follows:Priority 1: Cardiovascular DiseaseActivities of Beaumont Wayne to address cardiovascular disease include heart health screenings. Beaumont Community Health reached 360 participants and provided 1,175 heart health screenings in the community. The screenings consisted of blood pressure, blood cholesterol, blood glucose, stroke risk assessments and body mass index (BMI). All participants were provided with counseling and information on blood pressure, cholesterol and glucose. All participants with high-risk results were followed up with by a phone call and letter to participants for follow-up care. Beaumont Wayne 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 2019, 5 students were screened for heart abnormalities in the Wayne hospital service area. Beaumont Wayne 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. Priority 2: DiabetesBeaumont Hospital Wayne provides the National Diabetes Prevention Program for the community. This national evidence-based program from the Centers for Disease Control and Prevention (CDC) is supported and promoted by the American Medical Association as one of the most effective ways to help physicians prevent or delay Type 2 diabetes in high-risk patients. This year-long program for those with pre-diabetes was provided to 16 individuals in the Wayne service area. The units of education and support, average weight loss following the course and average physical activity minutes per week for additional people were reached through diabetes education presentations.Beaumont Hospital Wayne provided 27 individuals with 117 units of diabetes PATH (Personal Action Toward Health) through two cohorts. 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 a high level 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 reported exercising more than 150 minutes per week. Participant satisfaction with the classes was very good. Beaumont Hospital Wayne provided diabetes screening as part of the heart health screening program in the community to individuals with glucose screenings.Priority 3: ObesityBeaumont Hospital Wayne launched neighborhood walking groups in 2017 and continued in 2019. Participants were provided toolkits to support their walking consisting of pedometers, lanyards and walking logs for each member along with tip sheets. Logs are turned in for incentive prizes and members receive ongoing encouragement, tips, and information on activities related to walking. New walking groups were formed with new individuals participating. The Wayne walking clubs now consist of walking clubs with walkers. The Beaumont Gets Walking CARROT app program launched in 2018 was designed to encourage physical activity by offering rewards. Participants were recruited from the Beaumont Hospital Wayne area. A restaurant recognition program was begun in 2018 to recognize restaurants that provide healthy meals to the community. Free yoga opportunities were offered in Wayne courtesy of Healthy Wayne partners from Lifetime Fitness Center of Canton in 2019. Several series of free yoga classes were conducted in Goudy Park, at the Wayne Public Library, Wayne Historical Museum and at Franklin Middle School. These community physical activity classes reached 70 middle school students. Behavioral shifts were reported by the principal who observed students exhibiting a greater ability to focus and improved interactions with others from those participants involved in the course.At Wayne Memorial High School, a drop in free four-week yoga class was held in February and March at the request of the assistant principal for teachers, staff and opened to the community for the first time serving 29 participants. In the spring quarter, Healthy Wayne coalition organizations participated in the Franklin Middle School Heart Health Day for students and parents as well as career day activities offering information and resources. In addition, at the opening of the fall session Healthy Wayne provided information as a vendor at Franklin Middle School's open house. Also, in the fall Healthy Wayne was asked to offer free yoga for the girls' basketball varsity and jr. varsity teams at Wayne Memorial H.S. The classes were held for four weeks serving 57 students. Immediately following, Healthy Wayne partnered with Michigan State University extension program to deliver a 6 session nutrition series for the girls' basketball team athletes. Included in the program were key nutritional guidelines, the importance of hydration and the American Heart Association's Rethink Your Drink Sugary Drinks education, as well as the significance of healthy snacks and balanced meals for athletic performance with an average attendance of 30 students and their coaches per session.The fourth annual Healthy Wayne community walk was held on August 14, 2019 at Attwood Park and led by Mayor John Rhaesa. Representatives from over 30 partner organizations walked from Wayne Westland community schools district, the City of Wayne, Beaumont Wayne hospital staff, and residents. This year a new partnership with Wayne Historical Society was formed. This organization participated in several planning meetings and shared community resources as vendors at the walk. Other vendors at the event included Wayne Library, Oakstreet Health, and the National Kidney Foundation of Michigan along with Healthy Wayne. The Healthy Wayne healthy worksites team identified a need at the Senior Alliance for Support to develop a walking club. At the invitation of their human resources manager, a presentation was made to 27 staff about the benefits of walking. The result was the development of a 24-member worksite walking team. Additional walking initiative promotions implemented at City of Wayne concerts in the park, Beaumont Wayne Family Safety and Awareness Day and other events resulted in registering 39 new walking clubs and 151 new walkers for a total of 187 walking clubs.
The healthy eating team continued to work in collaboration with the sole	full-service grocery store in Wayne Fresh Choice Market to promote through the Healthy Wayne Facebook page selections of healthy choices from their circular of specials. Attention was paid to local grocery store healthy options available for those managing Type 2 diabetes, and to pairing them with recipes. Additionally, the healthy eating team met and worked closely with the Beaumont Hospital Wayne clinical dietician to refine the healthy restaurant guidelines and locate new sites for the restaurant initiative. Restaurant owners were identified and meetings were held with US 12, Nick's Coney Island, Tropical Smoothie Cafe, and Billy's Shwarma. All four of their menus were reviewed by the dietician and the team, and each owner was given a list of potential menu items which might eventually meet the criteria for bronze, silver or gold level healthy restaurant status. Currently of those who agreed to participate in the program US 12 has submitted recipes for analysis by the dietician. Additional follow up will be conducted in 2020 to explore the feasibility of new restaurant certifications in Wayne by the coalition. The second annual Healthy Westland Fall Fitness Festival, which has become a signature program for the coalition gained significant community involvement and support from both the community engagement team and physical activity teams. Planning for the festival began in March with the securing of the location at the city's premiere park site, Tattan Park and a financial commitment for $1,800 to provide food for all the event participants free of charge. The 2nd annual Healthy Westland Fall Fitness Festival reached over 225 participants and over 35 businesses at the September event. Some highlights of the day included a visit from Mayor Wild and several city councilmen and press coverage by WLND Cable T.V. with a live recording for the City's Facebook page. Vendor support was gained from Beaumont Hospital Wayne physical therapy staff, Beaumont diabetes community educators, City of Westland Library, National Kidney Foundation of Michigan, Blue Cross Complete of Michigan, Wayne County Health, Planet Fitness, Hope Clinic, YMCA of Livonia, The Gymnastics Academy, a massage therapist giving free massages, Wayne Westland Community Schools Family Resource Center, Ford Career Tech Center student volunteers, Reggie of Reggie's Rainbow, and comfort dog Murphy among many other supporters. Adding to the festivities, a D.J. hosted the day's events with music and free workouts provided by The Dance Academy and Forum Fitness. Beaumont Hospital Wayne provides nutrition education and "hands-on" cooking classes through a partnership with Gleaners Food Bank of Southeastern Michigan to offer Cooking Matters in the Community, Cooking Matters at the Store and Cooking Matters for Teens. Cooking Matters equips families with the skills they need to stretch their food dollars and prepare healthy meals on a budget. These popular classes were attended by 44 individuals, in addition, 35 teens participated in the teen program and 52 individuals participated in Cooking Matters at the Store in which attendees visit a grocery store with a health educator to learn how to select low-cost nutritious foods. An additional 154 individuals visited nutrition education tables at a variety of events in Wayne in 2019. Over the summer Gethsemane Church in Westland received two Cooking Matters classes serving kids from ages 8 to 18. From the two classes 21 graduated. In another activity, a mobile food pantry was offered during the summer at Jefferson Barnes Community Vitality Center, a first for the location. The mobile pantry was able to serve over 90 families from the Westland community. The Healthy Westland healthy eating team efforts were also given support from the Westland Public Library who agreed to create a seed library for the community. Free seeds were donated by Barsons Garden Shop of Westland and the Library. A description of how the seed library worked was displayed on take home cards along with gardening how-to books available at the library for check out. In the late summer and fall two youth walking groups were begun in Westland over the 2019 year. To support the Jefferson Barnes Community Vitality Center free summer youth camp Healthy Westland provided a Benefits of Walking presentation to the campers and registered over 30 youth in the walking club. The campers were led on weekly walks by Beaumont teen center staff. Upon completion of their walking goals program finishers received incentives of fanny packs and Beaumont Gets Walking t-shirts for their efforts. A second youth walking group was established following a request for support by Gateway Family Worship Center for their Healthy You and Me 10-week group. 30 kids joined the Gateway Worship Center walking club in October with 26 of them completing 111 laps at their final turkey trot walk. At the conclusion of the series, the pastor reported the youth group faithfully wore their pedometers every week and took their walking commitment seriously.Michigan Harvest of the Month is a nutrition education program used at farmer's market that encourages local healthy eating choices through fresh fruit and vegetable education and food tastings. In 2019, 154 individuals participated in the program.
Group A-Facility 4 -- Beaumont Hospital, Taylor	Part V, Section B, line 5: The 2019 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 qualitative information for the CHNA. Participants included community leaders, public health experts 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 participated 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 MichiganDearborn Public SchoolsHealthy Dearborn CoalitionCity of DearbornRiver Rouge School DistrictCity of Dearborn and RecreationAmerican Heart AssociationNational Kidney Foundation of MichiganTaylor School DistrictHealthy Taylor CoalitionCity of TaylorCity of Taylor Parks and RecreationDownriver Family YMCACity of Trenton Parks and RecreationTrenton Public SchoolsHealthy Trenton CoalitionCity of TrentonWayne County ParksTraffic Safety CommissionWestwood Community School DistrictHealthy Wayne CoalitionWayne-Westland Community SchoolsCity of WayneWayne Chamber of CommerceRomulus Community SchoolsEdsel & Eleanor Ford House, Grosse Pointe ShoresCity of Royal Oak Memorial ParkOrion Township Community CenterUnited Shore Professional Baseball LeagueCity of Sterling HeightsTroy School DistrictFarmington Farmers MarketCity of Farmington HillsCity of Farmington Hills ParksCommunity OrganizationsFarmington Public SchoolsFarmington Hills Fire Department
Group A-Facility 4 -- Beaumont Hospital, Taylor	Part V, Section B, line 6a: Beaumont Health conducted the CHNA for the communities served by Beaumont Hospital Dearborn (formerly Oakwood Hospital Dearborn), Beaumont Hospital Farmington Hills (formerly Botsford General Hospital), Beaumont Hospital Grosse Pointe (formerly Beaumont Grosse Pointe), Beaumont Hospital Royal Oak (formerly Beaumont Royal Oak), Beaumont Hospital Taylor (formerly Oakwood Hospital Taylor), Beaumont Hospital Trenton (formerly Oakwood Hospital Trenton), Beaumont Hospital Troy (formerly Beaumont Troy), and Beaumont Hospital Wayne (formerly Oakwood Hospital Wayne).
Group A-Facility 4 -- Beaumont Hospital, Taylor	Part V, Section B, line 7d: In addition to the Hospital website, the CHNA was sent to all the participants of the focus groups and those interviewed, distributed internally to Beaumont leaders and various staff, given to the Beaumont Board of Directors, Beaumont community advisory boards, and to the community members who are engaged in the community coalitions of Beaumont.
Group A-Facility 4 -- Beaumont Hospital, Taylor	Part V, Section B, line 11: The 2019 CHNA for Beaumont Hospital Taylor identified two priority health needs to be addressed. The Implementation Strategy for Beaumont Hospital Taylor focused on the priority health needs of chronic disease management (cardiovascular disease, diabetes, and obesity) and mental health. The health needs of substance abuse, 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).The Community Health Needs Assessment (CHNA) was conducted in 2019 for each of the Beaumont Health hospitals but it was not adopted until the end of the year and we are listing what was done in 2019 based on the 2016 CHNA. To best address the conditions, behaviors, and socioeconomic and environmental factors that drive health, Beaumont Hospital Taylor formed Healthy Taylor, a multi-sector coalition that currently has 133 individuals participating to promote healthy eating and active living to address cardiovascular disease, diabetes and obesity. Coalition members include local government leadership, community residents, the local school system, nonprofit organizations, faith-based organizations, medical providers, insurance providers, and those representing chronic disease organizations. Beaumont provides "backbone support" to this coalition - providing staff, consultants and access to a wide range of resources including evidence-based programming and data collection.A summary of the progress on the actions to address the priority health needs selected is as follows:Priority 1: Cardiovascular DiseaseActivities of Beaumont Healthy Taylor in 2019 include a weekly walking program at the farmers market during the market season that hosted walks and walkers, continued a neighborhood walking groups program to encourage individuals to walk with others, and promotion of a walking app that incentivizes individuals to reach daily walking goals. In 2019, groups and individuals registered as a neighborhood walking group and 64 individuals signed onto the walking app under the Beaumont Gets Walking group. Activities of Beaumont Hospital Taylor to address cardiovascular disease include heart health screenings to 110 unduplicated individuals with a total of 230 screenings and personalized counseling provided. Screenings measured blood pressure, cholesterol and glucose levels as well as stroke assessment and BMI assessment. Priority 2: DiabetesIn partnership with Gleaners Community Food Bank of Southeastern Michigan, Beaumont Hospital Taylor 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 11 individuals. Beaumont Hospital Taylor provided the Diabetes PATH (Personal Action Toward Health) education to individuals with units of service in the Taylor service area. This six-week workshop is an evidence-based program for those with Type 2 diabetes and their caregivers. It 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 participants were more confident about handling their health condition after taking the workshop, 37% reported testing their blood sugar 7 days per week compared to 31% at the start of the program. At the post-test, 24% reported exercising more than 150 minutes per week compared to 12% at the start of the program.Beaumont Hospital Taylor provided the National Diabetes Prevention Program to 12 individuals in the community in 2019 through 2 cohorts. Beaumont Health's program has received full recognition status. This national evidence-based program from the Centers for Disease Control and Prevention (CDC) is supported and promoted by the American Medical Association as one of the most effective ways to help physicians prevent or delay Type 2 diabetes in high-risk patients. Beaumont Hospital Taylor implemented one Diabetes PATH (Personal Action Toward Health) cohort. 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 a high level 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 reported exercising more than 150 minutes per week. Participant satisfaction with the classes was very good. Beaumont Hospital Trenton provided diabetes screening as part of the heart health screening program in the community to individuals with glucose screenings.Beaumont Hospital Taylor provided diabetes screening as part of the heart health screening in the community to 110 unduplicated individuals with 230 screening services. Additionally, individuals in the Beaumont Hospital Taylor service area received diabetes education at local events.Priority 3: ObesityBeaumont Hospital Taylor provides nutrition education and "hands-on" cooking through a partnership with Gleaners Food Bank of Southeastern Michigan to offer Cooking Matters for Adults, Cooking Matters for Teens and Cooking Matters at the Store in the community. Cooking Matters at the Store are held at local grocery stores and WIC (women, infants and children) clinics with a focus on comparison shopping and how to understand nutrition labels. These classes were attended by 11 individuals in the Beaumont Hospital Taylor service area in 2019 with additional individuals receiving nutritional education and information at the Beaumont Taylor Teen Health Center. These individuals were provided nutritional counseling sessions by a registered dietician and students (duplicated count) received MyPlate health education sessions. Outcome data indicated that of students reported there was an increase in the consumption of fruits and vegetables, an increase in consumption of water and an increase in physical activity.Beaumont Healthy Taylor in partnership with the City of Taylor Parks and Recreation continued its "Beaumont Gets Walking" programming in 2019 to promote physical activity in the community for all ages. Participants who registered were provided a toolkit with a pedometer, lanyard and walking log along with tip sheets. Logs were turned in for incentives and individuals received ongoing encouragement, tips and information about upcoming activities related to walking. The program launched 226 groups and 761 walkers. Two new fitness opportunities were offered this year in the Beaumont Hospital Taylor service area. In 2019, a free weekly yoga series was launched as well as a new weekly fitness series which included Zumba, boot camp and fit camp in the month of July. A total of 6 sessions were provided. Power of Produce is a nationally recognized program offered through the Farmers Market Coalition. Funding was secured from the Taylor Rotary for this program, which was extended into 2019 with carryover funding. The Power of Produce (POP) club started at the Taylor farmers market in June 2017 to empower kids to make healthy food choices and introducing them to where their food comes from. Kids twelve and under engage in a food related fun activity, receive tokens at each visit to purchase fruits and vegetables, and try a featured fruit or vegetable of the week. In the seven weeks that we operated the program, we had 238 visits and distributed 476 tokens. Several parents related that they came to the farmers market specifically because of the children's activities and there was a noticeable drop-off in market numbers when the program concluded. The post surveys were all positive.Rotary Family Day is an event that Healthy Taylor does in conjunction with the Taylor Rotary with an emphasis on encouraging young people to reduce screen time and becoming more active. Healthy Taylor spotlights various coalition members and health related groups. There were a total of 32 tables at the event in 2019 including 15 activity stations coordinated through Healthy Taylor, most of which had an interactive component such as a physical activity or health-related learning activity. The evening ended with two fitness opportunities: Zumba, Tiny Tumblers. An estimated 1,500 people attended the event in 2019, 422 interactions were recorded at the Healthy Taylor booths and the final activities had over 50 participants in each session.
A drop-in weekly yoga series was introduced in Taylor in 2018 and continued	into 2019 in conjunction with two coalition members Western Wayne Family Health Center and Downriver Church. This series was initially planned just for the summer but continued into 2019 with a short break during the months of April through August. While the group is relatively small (approximately 10 persons/session), there was a strong expressed desire to continue the series. The Church provides the space, WWFHC supplies the instructor and Healthy Taylor conducts the registration and sign-in. This year, there were 201 participants in these sessions (duplicated count), a 9% increase over last year.
Part V, Section B, Lines 7 & 10:	Beaumont Hospital, Dearborn'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, Trenton'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, Wayne'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, Taylor'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, Section B, Lines 16a, b, & c	Beaumont Hospital, Dearborn'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, Trenton'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, Wayne'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, Taylor'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) 2019

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?42
Name and address		Type of Facility (describe)
1	1 - Beaumont Medical Park-Dearborn 18100 Oakwood Boulevard Dearborn,MI481244085	ASC/ General Medical
2	2 - Internal Medicine Resident-Midwest Dbrn 4700 Schaefer Road Dearborn,MI481263698	ASC/ General Medical
3	3 - Beaumont Commons-Dearborn 16351 and 16391 Rotunda Drive Dearborn,MI48120	Assisted Living, Skilled Nursing Facility
4	4 - Beaumont Medical Center-Southgate 15777 Northline Road Southgate,MI481952385	General Medical/ Physician Office
5	5 - Beaumont Medical Center-Canton 7300 and 7330 North Canton Center Road Canton,MI48187	General Medical/ Physician Office
6	6 - Beaumont Medical Center-Dearborn 17000 Hubbard Drive Dearborn,MI481264258	General Medical/ Physician Office
7	7 - Beaumont Medical Center-Westland 2001 South Merriman Road Westland,MI481865539	General Medical/ Physician Office
8	8 - Beaumont Medical Bldg-Wayne 33000 Annapolis Street Wayne,MI481842917	General Medical/ Physician Office
9	9 - Beaumont Heart & Vascular-Dearborn 22060 Beech Street Dearborn,MI481242847	General Medical/ Physician Office
10	10 - Beaumont Medical Serv-Dearborn 4900 Mercury Drive Dearborn,MI481262947	General Medical/ Physician Office
11	11 - Beaumont Medical Building-Wyandotte 1700 Biddle Avenue Wyandotte,MI481927205	General Medical/ Physician Office
12	12 - Beaumont Medical Center-Belleville 201 3rd Street Belleville,MI481112605	General Medical/ Physician Office
13	13 - Beaumont Weight Control Center-Canton 6300 North Haggerty Road Canton,MI481874472	General Medical/ Physician Office
14	14 - Beaumont Medical Bldg-Dearborn West 25045 Ford Road Dearborn,MI481281088	General Medical/ Physician Office
15	15 - Beaumont Medical Center-Garden City 29150 Ford Road Garden City,MI481352848	General Medical/ Physician Office
16	16 - Beaumont Imaging Center-Canton 2050 North Haggerty Road Canton,MI481873795	General Medical/ Physician Office
17	17 - Beaumont Blanzy Clinic 14319 Dix Toledo Road Southgate,MI481952592	General Medical/ Physician Office
18	18 - Beaumont Athens Clinic 15100 South Plaza Drive Taylor,MI481805203	General Medical/ Physician Office
19	19 - Midwest Taylor 8790 Telegraph Road Taylor,MI481802491	General Medical/ Physician Office
20	20 - Beaumont Family Medicine-Newport 3132 Newport Road Newport,MI481666100	General Medical/ Physician Office
21	21 - Beaumont OBGYN West 2142 Monroe Street Dearborn,MI481243057	General Medical/ Physician Office
22	22 - Beaumont Physical Therapy-Canton 4121 South Canton Center Road Canton,MI481882489	Rehab
23	23 - Beaumont Everingham Family Medicine 12100 South Huron River Drive Romulus,MI481741119	General Medical/ Physician Office
24	24 - Beaumont Sleep Apnea Center-Riverview 14031 Pennsylvania Road Riverview,MI48193	General Medical/ Physician Office
25	25 - Beaumont Family Medicine Ctr-Taylor 9340 Telegraph Road Taylor,MI481803362	General Medical/ Physician Office
26	26 - Beaumont Physical Therapy-Taylor 8850 Telegraph Road Taylor,MI481802316	General Medical/ Physician Office
27	27 - Beaumont Sleep Apnea Center-Canton 42180 Ford Road Canton,MI481873673	General Medical/ Physician Office
28	28 - Beaumont Imaging Center-Trenton 1676 Fort Street Trenton,MI481832003	General Medical/ Physician Office
29	29 - Beaumont Medical Center-Brownstown 19725 Allen Road Brownstown Twp,MI481831090	General Medical/ Physician Office
30	30 - Beaumont Breast Care Center-Wayne 4491 Venoy Road Wayne,MI481842530	General Medical/ Physician Office
31	31 - Beaumont Lab-Hamlet 1331 Monroe Street Dearborn,MI481242888	General Medical/ Physician Office
32	32 - Beaumont Teen Health Center-Westwood 25912 Annapolis Street Inkster,MI481413201	General Medical/ Physician Office
33	33 - Beaumont Geriatric Ctr-Henry Ford Vill 15101 Ford Road Dearborn,MI481264611	General Medical/ Physician Office
34	34 - Beaumont Allied Medical Group 35180 Nankin Boulevard Westland,MI481852092	General Medical/ Physician Office
35	35 - Beaumont Teen Health Ctr-Romulus 9650 Wayne Road Romulus,MI481741500	General Medical/ Physician Office
36	36 - Adult Medical Care 35330 Nankin Boulevard Westland,MI481857223	General Medical/ Physician Office
37	37 - Beaumont Teen Health Center-River Rouge 1460 Coolidge Highway River Rouge,MI482181118	General Medical & Non-medical
38	38 - Patient Services Center-Allen Park 15101 Southfield Road Allen Park,MI481012697	General Medical/ Physician Office
39	39 - Beaumont Main Street Int Med-Woodhaven 25000 Hall Road Woodhaven,MI481835112	General Medical/ Physician Office
40	40 - Beaumont School Wellness Program-Truman 11211 Beech Daly Road Taylor,MI481803942	General Medical/ Physician Office
41	41 - Beaumont Child & Adolescent Health Care 33475 Palmer Road Westland,MI481864614	General Medical/ Physician Office
42	42 - Beaumont Childrens Center-Dearborn 18501 Rotunda Drive Dearborn,MI481243882	General Medical & Non-medical

Schedule H (Form 990) 2019

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:	Oakwood Healthcare, Inc. 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, Oakwood Healthcare, Inc. uses residency to determine eligibility for financial assistance.
Part I, Line 6a:	Beaumont Health - 46-5718220
Part I, Line 7:	Oakwood Healthcare, Inc. 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 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 2019.
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 not discriminate 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 portion 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 Oakwood Healthcare, Inc., 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 coalitions 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 Oakwood Healthcare, Inc., 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 and under insured 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 under insured.- 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 Dearborn is defined as the continuous zip codes that comprise 80 percent of inpatient discharges. The areas served include Oakland, Macomb and Wayne counties. The population in the communities served by Beaumont Dearborn is expected to decrease by 1.7 percent over the next five years. The decrease will impact all cities except Romulus, Flat Rock, and New Boston which expect small increases. The age composition of Dearborn is representative of that in the state of Michigan and the county as a whole. The cohort aged 65 years and older makes up the smallest segment of the population (16.2 percent) but is expected to experience the most growth over the next five years. This age group is expected to increase 12.7 percent while the other age groups are expected to decrease 3 to 6 percent. The community is primarily White (71.7 percent) and Black (18.3 percent). The City of Dearborn also has the highest proportion of Arab Americans in the country. Persons of Arab ancestry make up 8.5 percent of the Beaumont Dearborn population. The Arab population is most highly concentrated in Dearborn (zip codes 48126 and 48120) and Dearborn Heights (zip code 48127), with more than 76 percent of the Arab population residing in these three zip codes. The community is expected to become increasingly diverse over the next five years.Beaumont Hospital Trenton is defined as the continuous zip codes that comprise 80 percent of inpatient discharges. In the next five years, Beaumont Trenton's population is expected to decrease by 0.1 percent. Romulus, Flat Rock, Rockwood, Newport, and New Boston are expected to grow slightly. The age composition of the community is similar to the State of Michigan and the country. The cohort aged 65+ makes up the smallest segment of the population (19.7 percent) but is the only age group expected to grow over the next five years. This group is expected to increase by 16.1 percent while the other age groups are expected to decrease 7 percent or less. Beaumont Trenton has a much higher concentration of Whites compared to state and national levels, as well as other areas in the overall Beaumont community. Beaumont Trenton's population is 86.1 percent White; however, this number is expected to decrease slightly in the upcoming years. The other, Asian Pacific Islander and the multiracial groups will experience slight growth by 2023.Beaumont Hospital Wayne is defined as the continuous zip codes that comprise 80 percent of inpatient discharges. In contrast to other areas in Beaumont's overall community, Beaumont Wayne's population will decrease less than 1 percent over the next five years. The community has a lower percentage of people who are 65+ compared to the state and national levels, however, this group is the only one which is expected to grow in the next five years (+17.2 percent). The majority of Beaumont Wayne's population is White (67.6 percent). Compared to the state and national levers and other Beaumont communities, this population is more diverse. Twenty percent of Beaumont Wayne's population is Black and 7.5 percent is Asian Pacific Islander. The other, Asian Pacific Islander and multiracial communities in Wayne are projected to increase in the next five years. Beaumont Wayne is largely non-Hispanic with approximately 4 percent of the community's population being Hispanic. This population is expected to grow slightly over the next five years.Beaumont Hospital Taylor is defined as the continuous zip codes that comprise 80 percent of inpatient discharges. The population served by Beaumont Hospital Taylor is projected to decrease by 1.2 percent in five years. Lincoln Park zip code 48146 and Taylor zip code 48180 are the two most populated areas served and will experience the greatest decrease in population, while Flat Rock, Rockwood and Romulus will increase slightly. The 65 and older cohort makes up the smallest segment of the Taylor population (17.9 percent); however, it is the only age group expected to experience an increase in the next five years. Beaumont Taylor's population is primarily White (79.5 percent) and Black (12.9 percent). The community served also includes the City of Dearborn, which has the highest concentration of Arab Americans in the country. The overall racial composition of the community will remain relatively stable over the next five years.
Part VI, Line 5:	Oakwood Healthcare System and its employees board members physicians and volunteers are proud to be involved in making our community a healthier place to live, work and play, our governing and advisory boards are comprised of business, civic and community leaders who work and/or live in the area, and have a stake in community health improvement, board members are actively engaged in Oakwood's mission to provide excellence in care, healing and health to the individuals and communities we serve, a governing board strategic planning committee and medical staff strategic planning committee integrate their perspectives into both short and long-term visioning and planning geared toward fulfilling our mission. Each of our four acute care sites features an open medical staff, with elected leadership and active committee structure, in alignment with the ACA to promote health in the communities and address the identified health priorities in the community, Oakwood launched a healthy communities initiative in partnership with the cities and school districts of Dearborn, Trenton, Taylor, Wayne and Westland along with a leadership coalition to support the work, community coalitions were formed that consist of over 600 community members from various sectors along with community residents. Health communities is an integrated framework which coordinates primary healthcare public health and community interventions; and emphasizes a shared responsibility for community health while encouraging residents to take active roles in their own health. The coordinated collective approach taken by each coalition allows individual members to have a greater influence on the health of their community than they would achieve by acting individually, programs and services are provided at no cost to the community and include after school nutrition and physical education in 23 area schools, a school wellness program in Taylor, Michigan, school-based health clinics in Westland, River Rouge, Romulus, Taylor and Inkster, other community benefit programs offered include community health screenings including blood pressure, cholesterol (total and HDL) and glucose testing and health education, nutritional seminars are offered for all age groups in the community, fitness programs are offered in the community for those of all ages including walking programs for those of all ages, a bike sharing initiative was implemented in the Dearborn community, community-based health insurance assistors are available for enrollment into the health insurance marketplace and Medicaid, diabetes prevention programs, chronic disease management, nutrition and healthy cooking classes are also conducted, grocery store tours are provided by a registered dietitian for nutrition education. Smoking cessation hotline and information are provided to assist community members in their efforts to stop smoking, Oakwood also operates an HIV/AIDS program and TB clinic for those in need of these specialized services, a prescription for health program was initiated in 2017 for food insecure patients with chronic disease to obtain $20. 00 worth of fresh fruits and vegetables weekly at local grocery stores.The Center for Exceptional Families and the University of Michigan-Dearborn collaborated to bring a new autism center to the community which includes an autism-focused cross training program for students, health providers and educators, a significant portion of the Oakwood Healthcare System service area consists of federal medically underserved areas as designated by HRSA (Health Resources and Services Administration). Multi -level partnerships and collaborations with federally qualified health centers and other community based clinics are in place. Oakwood maintains strong collaborative relationships with local FQHC's and other low cost and free health clinics that serve our uninsured and underinsured community members, Oakwood also partnered with Wayne County to open a FQHC in Wayne, Michigan, Oakwood provides physicians and supplies to the FQHC, we also actively participate in work groups committees and boards associated with community programs.Many of our executives, managers and other employees serve as lead volunteers or board directors and officers for key non-profit agencies and government commissions in the region, these include organizations and authorities associated with health care social services, education, municipal governance, industry and trade groups as well as service organizations and chambers of commerce, many Oakwood employees also offer ad-hoc consulting advice, Oakwood has also maintained long standing, demonstrated partnerships with vital community agencies such as Access (serving the Arab American community and others with health and social services as well as employment programs); Southwest Solutions (social services and housing agency); Starfish Family Services (social services); Cabrini, MAPI and Hope clinics (free medical clinics); First Step (domestic violence and sexual assault response agency); and Western Wayne Family Health Centers (FQHC's). We offer these agencies programs and services, in kind or discounted fees for lab services, and collaborate in various grant applications and collaborative programs, partnerships are also in place for regional workforce development and health information technology, Oakwood staff assists in community job fairs, giving job advice, reviewing resumes and conducting mock interviews along with providing internships for students attending colleges and universities, the community health department partners with U of M Public Health and Wayne State offering large numbers of internships each year, other examples include our focused work and cooperation with Gift of Life-Michigan to raise awareness and support recruitment of organ and tissue donors and a well-developed Speaker's Bureau that offers volunteer Oakwood speakers to talk to community and other groups about a broad range of topics, our Arts for the Spirit program presents healing art and music programs in our hospitals that are free and open to the public. We have a strong tradition of being a part of our community, with shared vision of creating health and wellness for all and continue to expand that outreach with every passing year.
Part VI, Line 6:	Beaumont Health ("the System"), the sole member of Oakwood Healthcare, Inc., 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 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 2019, Beaumont had 178,796 inpatient discharges, 577,398 emergency visits and 17,653 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. Beaumont provides graduate medical education to 955 residents and fellows and had 105 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 Taylor (Level 4), 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 supports 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 2019, over 800 community members sit 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. This tax return reflects the activities of Oakwood Healthcare Inc. In addition to the activities above, the four hospitals as part of Beaumont Health (formerly Oakwood Healthcare Inc) provide a wealth of programs and services that support community health. Community health staff conduct their health promotion activities community coalitions to ensure community engagement and involvement in services, programs and events that promote health and wellness in their communities. The Center for Exceptional Families provides a wide range of health services for children with multiple disabilities and their families. A TB clinic and Ryan White clinic also provide valuable services to community members that need this access to care. Seven child and adolescent health clinics located right in the community and in schools provide physical and mental health care to youth who would otherwise have difficulties in accessing care.
Part VI, Line 7, Reports Filed With States	MI

Schedule H (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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

2019

Open to Public
Inspection

Name of the organization
Oakwood Healthcare Inc

Employer identification number
38-1405141

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

Grants and Other Assistance to 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)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)

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) 2019

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) Resident Stipends	254	13,954,598
(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:

Oakwood Healthcare System makes contributions primarily to organizations that have been recognized by the IRS as tax-exempt charitable organizations under IRC Section 501(c)(3). Government grants received by Oakwood Healthcare System are monitored by their respective departments. Oakwood Healthcare, Inc. follows these guidelines and is subject to an A-133 audit annually upon meeting the expenditure threshold. Oakwood Healthcare System awards scholarships annually to employees, family members and student volunteers. The employees apply and applications are reviewed by an impartial selection committee. The committee is comprised of representatives from human resources, nursing/allied health, volunteer services, finance and the foundation. Applicants are scored using several key criteria, then ranked accordingly. In conjunction with the Organization's graduate medical education program summarized in program service accomplishments, Oakwood Healthcare, Inc. paid medical resident stipends in the amount of $13,954,598.46 during 2019.

Schedule I (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" 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

2019

Open to Public Inspection

Name of the organization

Oakwood Healthcare Inc

Employer identification number

38-1405141

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed 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 on 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 .........

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 on Line 1a? ..

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

Yes

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

Yes

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) 2019

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)
1John Fox President & CEO	(i) (ii)	0 ------------- 1,888,740	0 ------------- 2,608,595	0 ------------- 845,211	0 ------------- 1,384,561	0 ------------- 21,121	0 ------------- 6,748,228	0 ------------- 1,638,280
2David Wood MD Director	(i) (ii)	0 ------------- 727,137	0 ------------- 411,478	0 ------------- 33,273	0 ------------- 339,592	0 ------------- 16,360	0 ------------- 1,527,840	0 ------------- 310,931
3John Kerndl EVP & Chief Financial Officer	(i) (ii)	0 ------------- 699,977	0 ------------- 348,095	0 ------------- 8,202	0 ------------- 315,371	0 ------------- 27,383	0 ------------- 1,399,028	0 ------------- 285,023
4Samir Dabbous Physician	(i) (ii)	1,294,562 ------------- 0	0 ------------- 0	9,144 ------------- 0	25,242 ------------- 0	2,573 ------------- 0	1,331,521 ------------- 0	0 ------------- 0
5Muhammad Azrak Physician	(i) (ii)	939,248 ------------- 0	0 ------------- 0	29,728 ------------- 0	19,500 ------------- 0	22,512 ------------- 0	1,010,988 ------------- 0	0 ------------- 0
6Edward Mavashev Physician	(i) (ii)	900,565 ------------- 0	0 ------------- 0	1,867 ------------- 0	25,242 ------------- 0	22,512 ------------- 0	950,186 ------------- 0	0 ------------- 0
7Craig W Stevens Physician	(i) (ii)	866,778 ------------- 0	0 ------------- 0	8,244 ------------- 0	19,500 ------------- 0	27,383 ------------- 0	921,905 ------------- 0	0 ------------- 0
8Mohammed Alsaidi-Donovan Physician	(i) (ii)	877,314 ------------- 0	0 ------------- 0	1,566 ------------- 0	8,250 ------------- 0	20,852 ------------- 0	907,982 ------------- 0	0 ------------- 0
9David Claeys President - Dearborn & FH	(i) (ii)	405,740 ------------- 0	106,792 ------------- 0	2,852 ------------- 0	106,791 ------------- 0	16,818 ------------- 0	638,993 ------------- 0	106,792 ------------- 0
10Lee Ann Odom Start 819 Int.Pres.Trenton,Taylor,Wayne	(i) (ii)	350,351 ------------- 0	102,651 ------------- 0	1,806 ------------- 0	115,527 ------------- 0	1,948 ------------- 0	572,283 ------------- 0	102,651 ------------- 0
11Eric Widner President Wayne (End 2/19)	(i) (ii)	38,118 ------------- 0	80,345 ------------- 0	252,920 ------------- 0	5,500 ------------- 0	1,554 ------------- 0	378,437 ------------- 0	80,345 ------------- 0
12Christine Stesney-Ridenour Pres. Trenton,Taylor & Wayne (End 8/	(i) (ii)	197,655 ------------- 0	92,455 ------------- 0	22,255 ------------- 0	5,500 ------------- 0	14,111 ------------- 0	331,976 ------------- 0	92,455 ------------- 0
13Paulo Marciano CMO-Dearborn	(i) (ii)	192,993 ------------- 0	58,886 ------------- 0	605 ------------- 0	57,080 ------------- 0	1,116 ------------- 0	310,680 ------------- 0	58,886 ------------- 0
14Ashok Jain CMO-Wayne	(i) (ii)	172,787 ------------- 0	49,874 ------------- 0	2,834 ------------- 0	47,171 ------------- 0	15,320 ------------- 0	287,986 ------------- 0	49,874 ------------- 0
15Kassem Charara CMO - Taylor	(i) (ii)	180,304 ------------- 0	31,565 ------------- 0	287 ------------- 0	38,843 ------------- 0	19,705 ------------- 0	270,704 ------------- 0	31,565 ------------- 0
16Jonathan Kaper CMO-Trenton	(i) (ii)	155,761 ------------- 0	28,222 ------------- 0	191 ------------- 0	23,349 ------------- 0	87 ------------- 0	207,610 ------------- 0	28,222 ------------- 0

Schedule J (Form 990) 2019

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 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 Oakwood Healthcare, Inc. during 2019 include payments to the following individuals: Eric Widner, severance payment: $252,468
Part I, Line 4b:	Oakwood Healthcare, Inc. 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. John Fox, non-qualified plan distribution, SERP 457(F): $749,996
Part I, Line 5a:	Oakwood Healthcare, Inc. has short-term and long-term incentive plans for executives. Incentive awards are calculated based on the achievement of multiple targets, including the attainment of operating revenue targets.
Part I, Line 5b:	Oakwood Healthcare, Inc's operating revenue targets, used for purposes of determining short-term and long-term incentive awards for executives, include the revenues of Oakwood Healthcare, Inc. and its affiliate organizations.
Part III:	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 strong 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 Written Reasonableness Assessment Opinion and their 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' 2019 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 metrics. - Performance metrics are tied to key strategic objectives - most 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 totaling Columns (i) through (iii) for 2019, 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 consistent with IRS guidelines. 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 independent Committee also receives support from outside advisors with expertise in health care organizations and executive compensation.

Schedule J (Form 990) 2019

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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 instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
Oakwood Healthcare Inc

Employer identification number
38-1405141

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Michigan Finance Authority	80-0596186	59447PLJ8	05-01-2012	161,691,656	See Part VI		X		X		X
B	Michigan Finance Authority	80-0596186	59447PUT6	04-25-2013	53,999,789	See Part VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	31,605,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	161,691,855		53,999,789
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	1,687,398		667,921
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	25,289,969
11 Other spent proceeds .............	134,714,488		53,331,869
12 Other unspent proceeds .............
13 Year of substantial completion .............	2013
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........	X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, 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
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X

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

Cat. No. 50193E

Schedule K (Form 990) 2019

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
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
c Are there any research agreements that may result in private business use of bond-financed property? .............		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 %
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 .........	0 %
6 Total of lines 4 and 5 .............	0 %
7 Does the bond issue meet the private security or payment test? ...		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
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

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) 2019

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, Bond Issues:	Differences between the issue price (Part I, Column (E)) and total proceeds of issue ( Part II, Line 3) are due to investment earnings.
Part I, Line A, Column F:	Description of Purpose: Finance hospital/partial refund of bonds issued 4/7/1998, 12/10/2002, and 11/13/2003.
Part I, Line B, Column F:	Description of Purpose: Refunding of bonds issued 4/7/1998.
Part IV, Line 6, Column A:	This question is being answered without regard to a yield-restricted advance refunding escrow financed with proceeds of the bonds.

Schedule K (Form 990) 2019

Additional Data

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Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 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

2019

Open to Public
Inspection

Name of the organization

Oakwood Healthcare Inc

Employer identification number

38-1405141

Return Reference	Explanation
Form 990, Part I, Item C	DBA: Beaumont Hospital, Trenton DBA: Beaumont Hospital, Wayne DBA: Beaumont Hospital, Taylor
Form 990, Part IV, Line 10:	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 other entities in the System, of which a portion is attributable to restricted contributions. Please see the Form 990, Schedule D of Beaumont Health Foundation for information regarding this endowment fund.
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 John Nemes David Wood, MD Ashok Jain, MD
Form 990, Part VI, Section A, line 3	Oakwood Healthcare, Inc. has outsourced the management duties of dietary services, clinical engineering, facility services, environmental services, laundry services and non-clinical services within the Company's physician practice division. All companies engaged to provide managerial services for the Organization report directly to site administrators and/or corporate directors employed by Oakwood Healthcare, Inc.
Form 990, Part VI, Section A, line 6	Beaumont Health is the sole corporate member of Oakwood Healthcare, Inc.
Form 990, Part VI, Section A, line 7a	Beaumont Health is the corporate member of Oakwood Healthcare, Inc., with the right to elect one or more members of Oakwood Healthcare, Inc.'s governing body.
Form 990, Part VI, Section A, line 7b	Beaumont Health, as the corporate member of Oakwood Healthcare, Inc., has reserved powers over Oakwood Healthcare, Inc.'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 to each voting member of the filing entity'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 Oakwood Healthcare, Inc., recognizes that it has an obligation to its patients, its payors, its designees and the communities it serves to observe the highest level of integrity to ensure clinical, business and academic decision making is not compromised by financial or other relationships with industry. The Corporate Compliance Office, with the assistance of human resources and specific individual departments, will coordinate upon hire and each calendar year thereafter, a process of obtaining conflict of interest/disclosure of remuneration statements. All areas of the institution will follow the human resources hiring process protocol to assure compliance with the conflict of interest program. At any time when a designee becomes involved in a relationship that is or may be perceived to be a conflict of interest, the designee must complete the conflict of interest/disclosure of remuneration statement and forward to the Corporate Compliance Officer. A conflict of interest or need to disclose remuneration may exist if a Beaumont designee or any member of their immediate family receives compensation in any form for services rendered in any capacity to any organization or individual that has any past, present or prospective business dealings with Beaumont, if such compensation might be reasonably construed as tending to prevent the designee from acting solely and wholly in the best interest of Beaumont Health.
Form 990, Part VI, Section B, line 15	Beaumont Health's Board of Directors, of which Oakwood Healthcare, Inc. is affiliated, 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's teams. The Committee has adopted a written executive compensation philosophy statement governing the work and review process of the Committee. The Committee follows the procedures described in the philosophy statement when it reviews and approves the compensation and employee benefits provided to senior management, including the Chief Executive Officer and other officers. The Committee reviews all aspects of compensation, including current and deferred compensation, and benefits, including qualified and non-qualified benefits. The Committee meets four times a year, and approves compensation and benefits only to the extent that the Committee has concluded that the compensation and benefits constitute no more than reasonable compensation for each executive. The Committee consists of six members, all of whom are disinterested members of the Board of Directors. The Committee works with an independent compensation consultant to prepare and review in advance comprehensive data showing the compensation provided by similarly situated organizations for functionally similar positions. The Committee also prepares a timely and thorough written record of its deliberations and conclusions. As a result, the Committee's review process is designed to satisfy the procedural criteria necessary to qualify for the rebuttable presumption of reasonableness under the federal income tax law intermediate sanctions rules. The Committee has expressly determined that the total compensation provided is reasonable, based on the review of the market data presented by the independent compensation consultant and on the review of all other relevant facts and circumstances.
Form 990, Part VI, Section C, line 19	The organization will provide any documents that are required to be open for public inspection to the public upon request.
Form 990, Part VI, Section B, Line 16b:	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:	Pension and Supplemental Pension Adjustment -7,004,077. Net Assets Released From Restriction 1,933,165. Other Transfers to Affiliates -138,331,732.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

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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

2019

Open to Public Inspection

Name of the organization

Oakwood Healthcare Inc

Employer identification number

38-1405141

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (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) Michigan Bone & Joint-Oakwood Southshore Medical Center PLLC 26901 Beaumont Blvd Southfield,MI48033 38-3582590	Ambulatory Medical Services	MI	0	0	Oakwood Healthcare Inc
(2) Midwest Surgery Center 1 Parklane Blvd Suite 1000E Dearborn,MI48126 45-3771730	Ambulatory Medical Services	MI	0	0	Oakwood Healthcare Inc
(3) Neuroscience LLC 26901 Beaumont Blvd Southfield,MI48033 38-3532220	Ambulatory Medical Services	MI	0	0	Oakwood Healthcare Inc
(4) Oakwood Medical Practices PLLC 26901 Beaumont Blvd Southfield,MI48033 32-0072212	Ambulatory Medical Services	MI	0	0	Oakwood Healthcare Inc
(5) Oakwood Group VIII LLC 26901 Beaumont Blvd Southfield,MI48033 30-0326803	Ambulatory Medical Services	MI	0	0	Oakwood Healthcare Inc
(6) Oakwood Group VII LLC 26901 Beaumont Blvd Southfield,MI48033 30-0326800	Ambulatory Medical Services	MI	0	0	Oakwood Healthcare Inc
(7) Oakwood Healthcare Group III LLC 26901 Beaumont Blvd Southfield,MI48033 38-3513234	Ambulatory Medical Services	MI	0	0	Oakwood Healthcare Inc
(8) Oakwood Youth Programs LLC 26901 Beaumont Blvd Southfield,MI48033 38-3532225	Ambulatory Medical Services	MI	0	0	Oakwood Healthcare Inc
(9) Oakwood Group IX LLC 26901 Beaumont Blvd Southfield,MI48033 38-3593302	Ambulatory Medical Services	MI	0	0	Oakwood Healthcare Inc
(10) Oakwood Ambulatory LLC 26901 Beaumont Blvd Southfield,MI48033 38-3593303	Ambulatory Medical Services	MI	0	0	Oakwood Healthcare Inc
(11) Oakwood Teen Centers LLC 26901 Beaumont Blvd Southfield,MI48033 38-3513233	Ambulatory Medical Services	MI	0	0	Oakwood Healthcare Inc
(12) Oakwood Professional Billing LLC 26901 Beaumont Blvd Southfield,MI48033 38-3532227	Ambulatory Medical Services	MI	0	0	Oakwood Healthcare Inc
(13) Oakwood Healthcare Group I LLC 26901 Beaumont Blvd Southfield,MI48033 38-3513232	Ambulatory Medical Services	MI	0	0	Oakwood Healthcare Inc
(14) Oakwood Infusion Services LLC 26901 Beaumont Blvd Southfield,MI48033 31-1552387	Home Infusion Services	MI	0	0	Oakwood Healthcare Inc
(15) Oakwood Southshore Surgery Center 26901 Beaumont Blvd Southfield,MI48033 14-1839341	Outpatient Surgery Center	MI	0	0	Oakwood Healthcare Inc
(16) Oakwood Group X LLC 23400 Michigan Ave Dearborn,MI48124 80-1338329	ambulatory Medical Services	MI	0	0	Oakwood Healthcare Inc
(17) Dearborn Real Estate Development LLC 26901 Beaumont Blvd southfield,MI48033 80-1206830	Real Estate - Medical Facility	MI	609,000	9,591,000	Oakwood Healthcare Inc
(18) Southshore Real Estate Development LLC 26901 Beaumont Blvd Southfield,MI48033 80-1206958	Real Estate - Medical Facility	MI	0	0	Oakwood Healthcare Inc

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 United Hospitals Inc 26901 Beaumont Blvd Southfield,MI48033 38-2837961	Facility Leasing	MI	501(c)(3)	12A, I	Oakwood Healthcare Inc	Yes
(8)Oakwood Home Care Services 26901 Beaumont Blvd Southfield,MI48033 38-2877338	Home Health Services	MI	501(c)(3)	10	Oakwood Healthcare Inc	Yes
(9)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
(10)William Beaumont Hospital 26901 Beaumont Blvd Southfield,MI48033 38-1459362	Hospital	MI	501(c)(3)	3	Beaumont Health	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) 2019

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) Dearborn Schaeffer Office Company LLC One Town Square Suite 1600 Southfield,MI48076 26-2448025	Real Estate	MI	Oakwood Healthcare Inc	Related	1,305,913	38,001,453		No			No	99.000 %
(2) Oakmed LLC 1938 Woodslee Drive Troy,MI48083 46-1459737	Private Duty Nursing	MI	Oakwood Healthcare Inc	Related	546,375	1,683,192		No			No	60.000 %
(3) Beaumont Kidney Specialty Services LLC 26400 West Twelve Mile Road Southfield,MI48034 26-2200439	Dialysis Services	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	N/A	C				Yes
(2) Beaumont Nursing Home Services Inc 26901 Beaumont Blvd Southfield,MI48033 38-2799842	Assisted Care Living	MI	N/A	C				Yes
(3) Beaumont Physicians Insurance Company Inc 26901 Beaumont Blvd Southfield,MI48033 27-4261262	Professional Insurance	MI	N/A	C				Yes
(4) Botsford Commons Property Assocation 26901 Beaumont Blvd Southfield,MI48033 38-3203663	Property Management	MI	N/A	C				Yes
(5) Oakwood Affiliated Ventures Inc and Subsidiaries 26901 Beaumont Blvd Southfield,MI48033 37-1753159	Office of Physicians/Non-Residental	MI	Oakwood Healthcare Inc	C	3,525,659	71,272,747	100.000 %	Yes
(6) Parastar Emergency Systems Inc 26901 Beaumont Blvd Southfield,MI48033 38-2755982	Management Dispatch Services	MI	N/A	C				Yes

Schedule R (Form 990) 2019

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) ............................

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

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

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	R	1,122,529,124	FMV
(2) William Beaumont Hospital	S	1,056,659,257	FMV
(3) Oakwood Health Promotions Inc	R	462,765	FMV
(4) Botsford General Hospital	S	8,058,381	FMV
(5) Beaumont Medical Group-Specialty Services	R	33,420,747	FMV
(6) Beaumont Medical Group-Hospital Based Services	R	27,826,751	FMV
(7) Beaumont Medical Group-Primary Care Services	S	3,238,694	FMV
(8) Beaumont Health Foundation	R	19,468,507	FMV
(9) Oakwood United Hospitals Inc	R	15,655,580	FMV
(10) Beaumont Health Foundation	C	4,984,211	FMV
(11) Beaumont Health	E	62,992,000	FMV

Schedule R (Form 990) 2019

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) 2019

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) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: Provide excellence in care, healing and health to the individuals and communities we serve.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	13
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	12,890
6	Total number of volunteers (estimate if necessary) .............	6	753
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	10,274,590
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	166,749

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	7,630,828	7,454,631
9	Program service revenue (Part VIII, line 2g) .........	1,295,413,172	1,316,224,802
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,709,619	804,057
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	37,427,703	46,790,499
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,342,181,322	1,371,273,989
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	18,025,785	13,976,098
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)	666,797,486	660,364,742
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)....	555,528,239	588,117,811
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,240,351,510	1,262,458,651
19	Revenue less expenses. Subtract line 18 from line 12.......	101,829,812	108,815,338
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,162,366,707	1,121,448,718
21	Total liabilities (Part X, line 26).............	444,352,301	438,021,618
22	Net assets or fund balances. Subtract line 21 from line 20.....	718,014,406	683,427,100

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 581,262,299 including grants of $ 6,959,029 ) (Revenue $ 671,851,070 )
	Inpatient Services:Oakwood Healthcare, Inc., ("Oakwood System"), a wholly owned subsidiary of Beaumont Health, is a Michigan non-profit corporation originally incorporated in 1948.Beaumont Hospital, Dearborn (formerly Oakwood Hospital - Dearborn) has proudly served residents across southeastern Michigan since 1953. With 632 beds, Beaumont Hospital, Dearborn is a major teaching and research hospital and home to three medical residency programs in partnership with Wayne State University School of Medicine. Beaumont Hospital, Dearborn is verified as a Level II trauma center and has been accredited by the Joint Commission as a primary stroke center. The Hospital is also known for clinical excellence and innovation in the fields of orthopedics, neurosciences, women's health, and heart and vascular as well as cancer care.Beaumont Hospital, Wayne (formerly Oakwood Annapolis Hospital) opened its doors to western Wayne communities in 1957. This 185-bed, full-service hospital is the only hospital in the Wayne, Westland, Garden City, Canton, Inkster and Romulus area verified by the American College of Surgeons as a Level III trauma center. The Hospital has a long-standing partnership with Detroit Metro Airport and the Centers for Disease Control and Prevention to handle a wide variety of health and communicable disease concerns including mass trauma and emergency patients.Beaumont Hospital, Trenton (formerly Oakwood Hospital - Southshore) is a 193-bed acute care teaching hospital that sponsors nine university-affiliated residency programs. The Hospital opened its doors to Trenton and its surrounding communities in 1961.Beaumont Hospital, Taylor (formerly Oakwood Heritage Hospital), is a 180-bed hospital that is a recognized health care leader in the Detroit Metro region. It has proudly served Taylor and surrounding communities since 1977 with specialty services that include 24-hour emergency care, hyperbaric and wound care, a surgical pavilion, a pain management clinic, orthopedic surgery, a mental health facility, inpatient physical medicine and rehabilitation and full-service radiology, including advanced CT and MRI. Oakwood also includes over 60 outpatient sites, and a retirement community and rehabilitation skilled nursing center known as Oakwood Common, to serve the people and diverse communities of western Wayne County.At its core, the Oakwood System'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's four hospitals have 1,190 licensed beds. In 2019, the Oakwood System registered 59,079 admissions and 32,813 total surgeries.

4b	(Code: ) (Expenses $ 469,479,307 including grants of $ 5,620,732 ) (Revenue $ 542,646,885 )
	Outpatient and Other Services:The Oakwood System'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 Oakwood System also includes numerous community-based medical centers in the communities. All of these outpatient services are provided to patients on a non-discriminatory basis and irrespective of ability to pay.

4c	(Code: ) (Expenses $ 116,630,948 including grants of $ 1,396,337 ) (Revenue $ 134,807,689 )
	Emergency Services:The emergency care centers at the four hospitals in the Oakwood System are staffed and equipped to handle the most severe illnesses and injuries as well as minor traumas that require medical attention.Beaumont Hospital, Dearborn is a verified Level II trauma center that ensures advanced life-saving procedures are readily available 24/7 for patients with traumatic injuries. An 89-bed full-service emergency center provides rapid assessment and emergency care with response times below the national average for those requiring a heart or stroke intervention.Beaumont Hospital, Wayne has board-certified emergency medicine physicians, fast track service for rapid assessment and care for less urgent conditions, and advanced life-saving procedures.Beaumont Hospital, Trenton has achieved two-minute "door-to-evaluation and a "door-to-balloon" time of less than 56 minutes for those requiring a heart intervention which is well below the national average. Beaumont Hospital, Trenton is the only verified Level II trauma center serving the downriver community. This important distinction means that advanced life-saving procedures are readily available 24/7 for patients with traumatic injuries.Beaumont Hospital, Taylor is the only emergency room in Taylor offering 24/7 care.The Oakwood System treated 225,376 individuals in its emergency centers in 2019. The Oakwood System provides these medical services regardless of the patient's ability to pay and provides medical treatment to everyone entering the Oakwood System regardless of their financial circumstances.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,167,372,554

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	7,457,265	7,685,196	2,768,374

(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	4,984,211
e	Government grants (contributions)		1e	2,469,920

f	All other contributions, gifts, grants, and similar amounts not included above		1f	500

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		7,454,631

		Business Code
2a	Inpatient	622110	655,368,605	655,368,605
b	Outpatient	622110	529,334,175	519,059,585	10,274,590
c	Emergency	622110	131,500,463	131,500,463
d	Teaching Revenue	900099	21,559	21,559
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		1,316,224,802

3 Investment income (including dividends, interest, and othersimilar amounts) ......			74,541			74,541
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		3,435,067	6a
b	Less: rental expenses		0	6b
c	Rental income or (loss)		3,435,067	6c
d	Net rental income or (loss).......			3,435,067			3,435,067
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	729,516		7a
b	Less: cost or other basis and sales expenses	0		7b
c	Gain or (loss)	729,516		7c
d	Net gain or (loss).........			729,516			729,516
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	OP Pharmacy Revenue		446110	36,347,083	36,347,083
b	Medicaid HER Revenue		900099	2,646,104	2,646,104
c	Administration Revenue		900099	371,646	371,646
d	All other revenue ....			3,990,599	3,990,599
e	Total. Add lines 11a–11d ......			43,355,432
12	Total revenue. See instructions.....			1,371,273,989	1,349,305,644	10,274,590	4,239,124

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	21,500	21,500
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	13,954,598	13,954,598
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	2,998,669	1,211,368	1,787,301
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	505,389,422	461,320,305	44,069,117
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	22,529,248	17,219,460	5,309,788
9	Other employee benefits .......	91,755,990	82,621,555	9,134,435
10	Payroll taxes ...........	37,691,413	33,830,064	3,861,349
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	12,884		12,884
c	Accounting ...........
d	Lobbying ...........	30,824		30,824
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	43,359,447	32,819,249	10,540,198
12	Advertising and promotion ....	472,703	252,149	220,554
13	Office expenses .......	11,583,768	9,437,175	2,146,593
14	Information technology ......	325,161	48,392	276,769
15	Royalties ..
16	Occupancy ...........	39,012,384	36,086,456	2,925,928
17	Travel ............	746,943	418,358	328,585
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	719,753	709,928	9,825
20	Interest ...........	7,555,936	7,555,936
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	36,132,643	32,878,724	3,253,919
23	Insurance ...	11,053,929	10,722,318	331,611
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	218,627,213	218,627,213
b	Corporate Allocation	103,855,801	103,855,801
c	Income Tax Expense	35,017	35,017
d	Shared Service	50,250,874	50,250,874
e	All other expenses	64,342,531	53,496,114	10,846,417
25	Total functional expenses. Add lines 1 through 24e	1,262,458,651	1,167,372,554	95,086,097	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 ........			0	1	0
2	Savings and temporary cash investments .........			92,444,943	2	1,221,557
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			227,884,744	4	218,526,715
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			14,213,112	8	23,404,652
9	Prepaid expenses and deferred charges ......			1,923,131	9	1,528,230
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,206,945,357
b	Less: accumulated depreciation	10b	857,521,168	343,498,213	10c	349,424,189
11	Investments—publicly traded securities .			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			390,068,581	12	439,778,585
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			8,716,209	14	8,716,209
15	Other assets. See Part IV, line 11 ...........			83,617,774	15	78,848,581
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,162,366,707	16	1,121,448,718

17	Accounts payable and accrued expenses .....	36,925,237	17	26,137,516
18	Grants payable ...		18
19	Deferred revenue .........	5,287,428	19	5,381,033
20	Tax-exempt bond liabilities .........	247,597,055	20	237,429,240
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
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	154,542,581	25	169,073,829
26	Total liabilities. Add lines 17 through 25..	444,352,301	26	438,021,618

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	717,900,587	27	683,313,281
28	Net assets with donor restrictions ...........	113,819	28	113,819
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	718,014,406	32	683,427,100
33	Total liabilities and net assets/fund balances ........	1,162,366,707	33	1,121,448,718