2019-11-15T09:45:54-06:00 2018-12-31 861065772 DELOITTE TAX LLP 200 RENAISSANCE CENTER SUITE 3900 DETROIT MI 482431313 990 2018-01-01 382549505 BOTSFORD CONTINUING CARE CORPORATION BOTS 2484266950 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 MARIA MILLER TREASURER 2484266950 2019-11-15 1 LORI BOYCE P00121981 3133963000 167.219.88.228 2019-11-15 09:08:25 ES P CD71869BFC494223FABD92E93AB0669CE7B22062 2B300E1FC09CCA321063079848B1E489E0A7BF4B 2018 2020-03-31 21:24:44Z BOTSFORD CONTINUING HEALTH CENTER MARGARET LIGHTNER 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 19365877 0 X WWW.BEAUMONTCOMMONSFH.ORG X 1984 MI TO CREATE A FULLNESS OF LIFE THROUGH THE JOY OF RELATIONSHIPS, THE ART OF CARING, AND THE SPIRIT OF LIVING. 3 0 370 15 -54483 0 0 0 19983562 19232558 0 0 -38508 -38510 19945054 19194048 7500 0 0 0 12045314 10764001 0 0 0 9673241 11976921 21726055 22740922 -1781001 -3546874 23848732 25156812 29952880 41697504 -6104148 -16540692 X IN THE INTEREST OF MEETING OUR COMMUNITY'S NEEDS FOR A CONTINUUM OF CARE, BOTSFORD CONTINUING CARE CORPORATION, IN CONCERT WITH BEAUMONT HOSPITAL - FARMINGTON HILLS, WILL PROVIDE AN ENVIRONMENT IN WHICH CLIENTS WILL RECEIVE PERSONAL ATTENTION BY HEALTH CARE PROFESSIONALS. 0 0 21377076 19232558 THE SKILLED NURSING UNIT (SNF) IS A 179 BED FACILITY.THE ASSISTED LIVING FACILITY IS A 63 BED FACILITY. IT IS A SAFE AND SUPPORTIVE ENVIRONMENT FOR OLDER ADULTS NEEDING SOME ASSISTANCE WITH THEIR DAILY ROUTINE. EACH RESIDENTS' CARE IS CUSTOMIZED TO HIS OR HER INDIVIDUAL NEEDS IN ORDER TO PROVIDE SUPPORT AND ASSISTANCE WHILE MAINTAINING AND PROVIDING INDEPENDENCE. THE CENTER FEATURES RESIDENTIAL SUITES WITH PRIVATE BATHS AND GENEROUS LIVING SPACE FOR TREASURED PERSONAL FURNISHINGS. EACH IS EASILY ACCESSIBLE TO COMMUNITY LIVING, DINING, AND SOCIAL AREAS.THE INDEPENDENT LIVING APARTMENT IS A 51 APARTMENT FACILITY. EACH APARTMENT IS WHEELCHAIR ACCESSIBLE, HAS 24 HOUR SECURITY SERVICES AND ILLUMINATED THERMOSTATS, AND INCLUDES EMERGENCY CALL SERVICE. EACH UNIT ALSO HAS PRIORITY ACCESS TO HEALTH SERVICES. EACH APARTMENT INCLUDES COMPLETE KITCHEN AND LAUNDRY FACILITIES AND INCLUDES ACCESS TO ADJACENT TOWN COMMONS BUILDING. THE TOWN COMMONS BUILDING INCLUDES DINING SERVICES, A POOL, EXERCISE ROOM, AND LIBRARY WITH MEDIA SERVICES. 21377076 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 41 0 1 370 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 3 0 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MI X BARBARA HRIT 9475221515 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 DAVID KULEK TREASURER (END 10/18) 48.00 2.00 X X 145455 0 14322 MARGARET LIGHTNER PRESIDENT AND SECRETARY 48.00 2.00 X X 255872 0 87949 MARIA MILLER TREASURER (START 10/18) 2.00 48.00 X X 0 201364 74072 PAUL LACASSE CHAIRPERSON 2.00 52.00 X 0 923761 257715 DEBBIE FULLER MDS RN LTC 50.00 0.00 X 117062 0 22410 DENISE BAILEY DIRECTOR OF NURSING LTC 50.00 0.00 X 111742 0 32995 DIANE BERI ASSOCIATE ADMINISTRATOR LTC 50.00 0.00 X 126062 0 19733 LYDIA WARD LPN LTC 50.00 0.00 X 107569 0 10933 PATIENCE C UKACHUKWU INF PREVENTIONIST COORD LTC 50.00 0.00 X 165521 0 6463 1029283 1125125 526592 8 0 1 0 MORRISON MANAGEMENT SPECIALISTS INC PO BOX 102289 ATLANTA GA 303682289 FOOD SERVICE STAFFING 2352391 SELECT REHABILITATION INC PO BOX 71985 CHICAGO IL 606941985 THERAPY SERVICES 2038574 READY NURSING SOLUTIONS PO BOX 182466 SHELBY TWP MI 48318 NURSING SERVICES 1050865 ONE CARE PHARMACY PO BOX 796 LAMBERTVILLE MI 48144 PHARMACY SERVICES 881291 TRICOUNTY NURSES PLUS LLC 20600 EUREKA RD STE 70 TAYLOR MI 48180 NURSING SERVICES 409097 12 PATIENT SERVICES 623000 16793373 16793373 ASSISTED LIVING 623990 1454569 1454569 INDEPENDENT LIVING 623990 912706 912706 DIETARY SERVICES 900099 71910 71910 19232558 73917 171829 -97912 -97912 -54483 -43429 OTHER SERVICES 900099 59402 59402 59402 19194048 19232558 -54483 15973 X 503598 503598 7538774 7180922 357852 239467 232283 7184 1885082 1744255 140827 597080 544537 52543 49401 49401 66631 66631 1749 1749 6613114 6613114 2030 814 1216 199195 171172 28023 15226 15226 1397755 1289349 108406 9428 9428 7250 7250 420473 420473 1098499 1014944 83555 161256 156418 4838 MEDICAL SUPPLIES 1334135 1334135 CORPORATE ALLOCATION 465963 465963 EMPLOYEE EDUCATION 90088 90088 EVENT SUPPLIES 40607 40607 4121 4121 22740922 21377076 1363846 0 3283311 4982323 3034383 3340313 30132 30838 175872 170000 42541217 26378329 16870034 16162888 455000 470450 23848732 25156812 2400007 2451188 81839 53415 27471034 39192901 29952880 41697504 X -6121384 -16656607 17236 115915 -6104148 -16540692 23848732 25156812 X -3546874 -6889670 X 0 1 X 1 0 X 1050 1050 21206528 20585059 20074909 19983563 19291960 101142019 21207578 20585059 20074909 19983563 19291960 101143069 0 0 0 101143069 135918 134646 131718 73325 46751 522358 135918 134646 131718 73325 46751 522358 34865 60285 95150 21378361 20779990 20206627 20056888 19338711 101760577 0.99390 0.97420 0.00510 0.00580 X 0 0 0 0 0 0 0 0 1 1749 1749 0 PART II-B, LINE 1: BOTSFORD CONTINUING CARE CORPORATION PAID DUES TO HEALTH CARE ASSOCIATION OF MICHIGAN (HCAM). HCAM IDENTIFIED THAT 11.1% OF OPERATION DUES AND 25% OF AMERICAN HEALTH CARE ASSOCIATION (AHCA) DUES WERE SPENT ON LOBBYING AND RELATED EXPENSES. 1 1 429384 429384 33899711 20239329 13660382 4838707 4099080 739627 3373415 2039920 1333495 16162888 CONDO RESERVE FUND 455000 I/C LOAN FROM WILLIAM BEAUMONT HOSPITAL 29679509 I/C DEBT TO BEAUMONT HEALTH 9058392 39192901 0 0 0 0 0 0 0 1 0 DAVID KULEK TREASURER (END 10/18) 119251 0 24624 0 1580 0 0 0 14322 0 159777 0 0 0 MARGARET LIGHTNER PRESIDENT AND SECRETARY 179347 0 55190 0 21335 0 69138 0 18811 0 343821 0 0 0 MARIA MILLER TREASURER (START 10/18) 0 168965 0 30882 0 1517 0 57315 0 16757 0 275436 0 0 PAUL LACASSE CHAIRPERSON 0 522835 0 366982 0 33944 0 243133 0 14582 0 1181476 0 242996 PATIENCE C UKACHUKWU INF PREVENTIONIST COORD LTC 165440 0 0 0 81 0 0 0 6463 0 171984 0 0 0 PART I, LINE 3 BEAUMONT HEALTH, THE PARENT CORPORATION AND SOLE MEMBER OF BOTFORD GENERAL HOSPITAL, WHICH IS THE SOLE MEMBER OF BOTSFORD CONTINUING CARE CORPORATION, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 7 NON-FIXED PAYMENTS ARE PAID ONLY UPON APPROVAL OF THE COMPENSATION COMMITTEE AND ARE BASED UPON ESTABLISHED METRICS. 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 TOP TALENT IN BOTH EXECUTIVE AND NON-EXECUTIVE POSITIONS ACROSS THE ORGANIZATION, SIMILAR PHILOSOPHIES ARE UTILIZED, WHICH ALIGN WITH OUR ORGANIZATIONAL VALUES OF COMPASSION, RESPECT, INTEGRITY, TEAMWORK, AND EXCELLENCE. TO SUCCESSFULLY LEAD SUCH A LARGE, COMPLEX ORGANIZATION LIKE BEAUMONT HEALTH, HIGHLY TALENTED EXECUTIVE LEADERSHIP IS ESSENTIAL. SUCCESSFUL RECRUITING, RETENTION AND MOTIVATION OF LEADERS REQUIRES NATIONALLY COMPETITIVE COMPENSATION AND BENEFITS. BEAUMONT ALSO CONSIDERS RECRUITING EXECUTIVE LEADERS WHO COULD CHOOSE POSITIONS IN INDUSTRY SECTORS OTHER THAN HEALTH CARE. BASED ON A RIGOROUS OBJECTIVE METHODOLOGY, INCLUDING REVIEW OF AN INDEPENDENT CONSULTANT'S NATIONAL MARKET DATA FROM OTHER HEALTH SYSTEMS, ASSESSMENT OF JOB RESPONSIBILITIES, EVALUATION OF QUALIFICATIONS, AND REVIEW AND APPROVAL BY A BOARD COMMITTEE COMPRISED OF INDEPENDENT AND DISINTERESTED DIRECTORS, BEAUMONT HEALTH IS CONFIDENT THAT OUR EXECUTIVES' COMPENSATION IS BOTH COMPETITIVE AND REASONABLE. PHILOSOPHY OUR EXECUTIVE COMPENSATION PROGRAMS ARE BASED ON THE FOLLOWING KEY ATTRIBUTES: - PROGRAMS ARE ALIGNED TO THE MARKET - BEAUMONT PROVIDES MARKET COMPETITIVE COMPENSATION AND BENEFITS THAT ARE COMMONLY PROVIDED BY HEALTH SYSTEMS OF OUR SIZE AND COMPLEXITY. BEAUMONT EXECUTIVE COMPENSATION IS ALSO ALIGNED WITH THE PERFORMANCE OF THE ORGANIZATION. FOR EXAMPLE, WHEN THE ORGANIZATION ACHIEVED UPPER-QUARTILE PERFORMANCE, THE INTENT IS TO HAVE EXECUTIVE PAY ALIGNED WITH MARKET PAY IN THE UPPER-QUARTILE. LOWER LEVELS OF PERFORMANCE RESULTS IN LOWER LEVELS OF EXECUTIVE PAY, INCLUDING NO INCENTIVE PAY IF THE ORGANIZATION DOES NOT MEET CERTAIN FINANCIAL METRICS. - PERFORMANCE METRICS ARE TIED TO KEY STRATEGIC OBJECTIVES - A LARGE PORTION OF AN EXECUTIVE'S COMPENSATION AT BEAUMONT IS DEPENDENT ON HOW THE ORGANIZATION PERFORMS ON KEY GOALS AND METRICS INCLUDING PATIENT SAFETY, QUALITY OF CARE, AND PATIENT EXPERIENCE AND SATISFACTION. AS SUCH, A SUBSTANTIAL PORTION OF AN EXECUTIVE'S PAY IS 'AT-RISK' (NOT GUARANTEED) BASED ON ORGANIZATIONAL PERFORMANCE. SOME OF THE 'AT RISK' PAY IS AWARDED OVER A MULTI-YEAR PERIOD AND THERE ARE NO GUARANTEES THE ENTIRE AMOUNT WILL BE PAID. THE EXECUTIVE'S ACTUAL TAKE HOME PAY IN ANY GIVEN YEAR MIGHT BE LESS THAN THE TOTAL COMPENSATION AS REPORTED ON THE 990 IF THE ORGANIZATION'S OBJECTIVES OVER MULTIPLE YEARS ARE NOT ACHIEVED. FURTHER, COLUMN E OF SCHEDULE J OF THE 990 CAN BE EASILY MISINTERPRETED AND IS OFTEN OVERSTATED DUE TO COUNTING COMPENSATION ACCRUED IN A GIVEN YEAR, BUT NOT YET VESTED. TO AVOID INADVERTENTLY "DOUBLE COUNTING" COMPENSATION THE BEST REFLECTION OF A SINGLE YEAR'S COMPENSATION IS SCHEDULE J COLUMN B (I-III), WHICH CONTAINS THE MOST ACCURATE SOURCE OF INFORMATION RELATED TO AN EXECUTIVE'S PAID COMPENSATION IN ANY GIVEN YEAR. YEAR TO YEAR, AN EXECUTIVE'S TOTAL COMPENSATION WILL VARY BASED ON ORGANIZATIONAL PERFORMANCE AS WELL AS THE SCHEDULED TIMING OF PAYMENTS OF AMOUNTS EARNED BUT NOT VESTED IN EARLIER YEARS. - GENERAL HEALTH AND WELFARE PROGRAMS ARE CONSISTENT WITH NON-EXECUTIVES - IN AN EFFORT TO DRIVE CONSISTENCY, TRANSPARENCY, AND FAIRNESS, BEAUMONT EXECUTIVES PARTICIPATE IN THE SAME HEALTH AND WELFARE PROGRAMS AS OTHER NON-EXECUTIVE EMPLOYEES. GOVERNANCE OF EXECUTIVE COMPENSATION BEAUMONT IS COMMITTED TO MAINTAINING HIGH STANDARDS OF CORPORATE GOVERNANCE. OUR CORPORATE GOVERNANCE PROCESS IS COMPLIANT, TRANSPARENT AND ENSURES COMPENSATION IS ADMINISTERED IN A FAIR AND EQUITABLE MANNER. EXECUTIVE COMPENSATION IS GOVERNED BY THE ORGANIZATION AND COMPENSATION COMMITTEE (OCC) OF THE BOARD OF DIRECTORS OF BEAUMONT HEALTH, THE PARENT ORGANIZATION OF A MULTI-ENTITY HEALTH SYSTEM. THE COMMITTEE IS COMPRISED OF INDEPENDENT BOARD MEMBERS WHO HAVE NO CONFLICTS OF INTEREST AS IT RELATES TO THE ORGANIZATION'S EXECUTIVE COMPENSATION. THE COMMITTEE IS RESPONSIBLE FOR: - REVIEWING, VALIDATING AND APPROVING PERFORMANCE GOALS AND METRICS RELATED TO THE EXECUTIVE'S AT-RISK COMPENSATION PLANS. - REVIEWING, VALIDATING AND APPROVING PERFORMANCE ACHIEVED ON THE EXECUTIVE AT-RISK COMPENSATION PLANS. - REVIEWING AND APPROVING COMPENSATION FOR EACH MEMBER OF THE ORGANIZATION'S SENIOR LEADERSHIP TEAM. - ENSURING COMPENSATION IS REASONABLE AND APPROPRIATE BASED ON PERFORMANCE ACHIEVED AND THE ORGANIZATION'S MISSION. THE COMMITTEE ALSO RECEIVES SUPPORT FROM OUTSIDE ADVISORS WITH EXPERTISE IN HEALTH CARE ORGANIZATIONS AND EXECUTIVE COMPENSATION. FORM 990, PART IV, LINE 10: THE FILING ORGANIZATION 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: PAUL LACASSE, DO MARIA MILLER FORM 990, PART VI, SECTION A, LINE 6 BOTSFORD GENERAL HOSPITAL IS THE SOLE CORPORATE MEMBER OF BOTSFORD CONTINUING CARE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A BOTSFORD GENERAL HOSPITAL IS THE SOLE CORPORATE MEMBER OF BOTSFORD CONTINUING CARE CORPORATION, WITH THE RIGHT TO ELECT ONE OR MORE MEMBERS OF BOTSFORD CONTINUING CARE CORPORATION'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B AS THE SOLE CORPORATE MEMBER, BOTSFORD GENERAL HOSPITAL HAS CERTAIN RESERVED POWERS OVER OPERATIONS AND CAPITAL OF BOTSFORD CONTINUING CARE CORPORATION. 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 BOTFORD GENERAL HOSPITAL, WHICH IS THE SOLE MEMBER OF BOTSFORD CONTINUING CARE CORPORATION, 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 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 IX, LINE 11G CONTRACTED COURIER SERVICES: PROGRAM SERVICE EXPENSES 145,608. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 145,608. CONTRACTED DIETARY SERVICES: PROGRAM SERVICE EXPENSES 2,305,035. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,305,035. CONTRACTED RADIOLOGY SERVICES: PROGRAM SERVICE EXPENSES 53,372. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 53,372. CONTRACTED THERAPY AND OTHER SERVICES: PROGRAM SERVICE EXPENSES 1,886,327. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,886,327. CONTRACTED NURSING SERVICES: PROGRAM SERVICE EXPENSES 1,789,098. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,789,098. SERVICES AGREEMENTS: PROGRAM SERVICE EXPENSES 240,263. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 240,263. OTHER PROGRAM SERVICES: PROGRAM SERVICE EXPENSES 193,411. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 193,411. FORM 990, PART XI, LINE 9: EQUITY PENSION -2,310,161. RESTRICTED NET ASSETS RELATED FOR CAPITAL 98,679. TRANSFER TO AFFILIATES -4,678,188. BEAUMONT HEALTH 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 465718220 PARENT COMPANY OF THE HEALTH SYSTEM MI 501(C)(3) 12C, III-FI N/A 0 BEAUMONT MEDICAL TRANSPORTATION SERVICE 950 W MAPLE SUITE C TROY MI 48084 260203703 MEDICAL TRANSPORTATION SERVICES MI 501(C)(3) 10 BEAUMONT HEALTH 1 BOTSFORD GENERAL HOSPITAL 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 381426919 HOSPITAL MI 501(C)(3) 3 BEAUMONT HEALTH 1 COMMUNITY EMERGENCY MEDICAL SERVICE INC 25400 W EIGHT MILE ROAD SOUTHFIELD MI 48033 382410823 EMERGENCY MEDICAL SERVICES MI 501(C)(3) 10 BOTSFORD GENERAL HOSPITAL 1 MICHIGAN MOBILE PET IMAGING 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 331086165 MOBILE PET SCANNING MI 501(C)(3) 12A, I OAKWOOD HEALTHCARE INC 1 OAKWOOD HEALTHCARE INC 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 381405141 HOSPITAL MI 501(C)(3) 3 BEAUMONT HEALTH 1 OAKWOOD UNITED HOSPITALS INC 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 382837961 FACILITY LEASING MI 501(C)(3) 12A, I OAKWOOD HEALTHCARE INC 1 OAKWOOD HOME CARE SERVICES 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 382877338 HOME HEALTH SERVICES MI 501(C)(3) 10 OAKWOOD HEALTHCARE INC 1 OAKWOOD HEALTH PROMOTIONS INC 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 382601965 ASSISTED AND RESIDENT CARE FACILITIES MI 501(C)(3) 10 OAKWOOD HEALTHCARE INC 1 WILLIAM BEAUMONT HOSPITAL 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 381459362 HOSPITAL MI 501(C)(3) 3 BEAUMONT HEALTH 1 BEAUMONT HEALTH FOUNDATION 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 364852171 FOUNDATION MI 501(C)(3) 7 BEAUMONT HEALTH 1 BEAUMONT MEDICAL GROUP-HOSPITAL BASED SERVICES 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 822768899 PHYSICIAN SUPPORT SERVICES MI 501(C)(3) 10 BEAUMONT HEALTH 1 BEAUMONT MEDICAL GROUP-PRIMARY CARE SERVICES 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 822796539 PHYSICIAN SUPPORT SERVICES MI 501(C)(3) 10 BEAUMONT HEALTH 1 BEAUMONT MEDICAL GROUP-SPECIALTY SERVICES 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 822784244 PHYSICIAN SUPPORT SERVICES MI 501(C)(3) 10 BEAUMONT HEALTH 1 BEAUMONT KIDNEY SPECIALTY SERVICES LLC 26400 WEST TWELVE MILE ROAD SOUTHFIELD MI 48034 262200439 DIALYSIS SERVICES MI N/A BOTSFORD CARE PARTNERS LLC 28050 GRAND RIVER AVENUE FARMINGTON HILLS MI 48336 454854213 HEALTHCARE SERVICES MI N/A DEARBORN SCHAEFFER OFFICE COMPANY LLC ONE TOWN SQUARE SUITE 1600 SOUTHFIELD MI 48076 262448025 REAL ESTATE MI N/A OAKMED LLC 1938 WOODSLEE DRIVE TROY MI 48083 461459737 PRIVATE DUTY NURSING MI N/A BEAUMONT INDEMNITY COMPANY LTD 23 LIME TREE BAY AVENUE GRAND CAYMAN GRAND CAYMAN CJ 980512415 PREMIUM DEPOSITS CJ N/A C 1 BEAUMONT NURSING HOME SERVICES INC 26935 NORTHWESTERN HIGHWAY SOUTHFIELD MI 48033 382799842 ASSISTED CARE LIVING MI N/A C 1 BEAUMONT PHYSICIANS INSURANCE COMPANY INC 26935 NORTHWESTERN HIGHWAY SOUTHFIELD MI 48033 274261262 PROFESSIONAL INSURANCE MI N/A C 1 BOTSFORD COMMONS PROPERTY ASSOCATION 28050 GRAND RIVER AVENUE FARMINGTON HILLS MI 48336 383203663 PROPERTY MANAGEMENT MI BOTSFORD CONTINUING CARE CORPORATION C 543457 107117 1.00000 1 OAKWOOD AFFILIATED VENTURES INC AND SUBSIDIARIES 15500 LUNDY PARKWAY DEARBORN MI 48126 371753159 OFFICE OF PHYSICIANS/NON-RESIDENTAL MI N/A C 1 PARASTAR EMERGENCY SYSTEMS INC 28050 GRAND RIVER AVENUE FARMINGTON HILLS MI 48336 382755982 MANAGEMENT DISPATCH SERVICES MI N/A C 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 1 0 1 1 WILLIAM BEAUMONT HOSPITAL E 29679509 COST BEAUMONT HEALTH E 9058392 COST BOTSFORD GENERAL HOSPITAL S 3766969 COST BEAUMONT HEALTH P 8337131 COST BEAUMONT HEALTH FOUNDATION R 108024 FMV