COREWELL HEALTH: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: COREWELL HEALTH (EIN 38-1405141)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-13
IRS object ID: 201203189349301700
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-13T09:58:43-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	861065772	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DELOITTE TAX LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	200 RENAISSANCE CENTER SUITE 3900	AddressLine1
City	DETROIT	City
State	MI	State
ZIP Code	48243	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	381405141	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	OAKWOOD HEALTHCARE INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	OAKW	NameControl
Phone	3135865052	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	15500 LUNDY PARKWAY	AddressLine1
City	DEARBORN	City
State	MI	State
ZIP Code	48126	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JOHN KEUTEN	Name
Title	SVP AND CFO	Title
Phone	3135865052	Phone
Date Signed	2012-11-12	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	LORI BOYCE	Name
PTIN	P00121981	PTIN
Phone	3133963000	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JOHN KEUTEN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	15500 LUNDY PARKWAY	AddressLine1
City	DEARBORN	City
State	MI	State
ZIP Code	48126	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1437881860	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.OAKWOOD.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1948	YearFormation
State Legal Domicile	MI	StateLegalDomicile
Activity Or Mission Description	PROVIDE EXCELLENCE IN CARE, HEALING AND HEALTH TO THE INDIVIDUALS AND COMMUNITIES WE SERVE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	10003	TotalNbrEmployees
Total Nbr Volunteers	849	TotalNbrVolunteers
Total Gross UBI	13483881	TotalGrossUBI
Net Unrelated Business Txbl Income	149481	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	6500809	ContributionsGrantsPriorYear
Contributions Grants Current Year	6732339	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1039313369	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1112992299	ProgramServiceRevenueCY
Investment Income Prior Year	21848521	InvestmentIncomePriorYear
Investment Income Current Year	16332800	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3973257	OtherRevenuePriorYear
Other Revenue Current Year	3952544	OtherRevenueCurrentYear
Total Revenue Prior Year	1071635956	TotalRevenuePriorYear
Total Revenue Current Year	1140009982	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	10420364	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	11311943	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	493798683	SalariesEtcPriorYear
Salaries Etc Current Year	518036366	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	3044436	TotalFundrsngExpCurrentYear
Other Expense Prior Year	521177822	OtherExpensePriorYear
Other Expenses Current Year	570306728	OtherExpensesCurrentYear
Total Expenses Prior Year	1025396869	TotalExpensesPriorYear
Total Expenses Current Year	1099655037	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	46239087	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	40354945	RevenuesLessExpensesCY
Total Assets BOY	977794295	TotalAssetsBOY
Total Assets EOY	1028254726	TotalAssetsEOY
Total Liabilities BOY	668886326	TotalLiabilitiesBOY
Total Liabilities EOY	714773269	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	308907969	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	313481457	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	PROVIDE EXCELLENCE IN CARE, HEALING AND HEALTH TO THE INDIVIDUALS AND COMMUNITIES WE SERVE.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	587194303	Expense
Grants	290775	Grants
Revenue	887026841	Revenue
Description	PATIENT CARE SERVICES OAKWOOD HEALTHCARE SYSTEM (OHS) OPERATES FOUR ACUTE CARE HOSPITALS AND 60 PRIMARY CARE/SPECIALTY CARE SITES. WITH A TOTAL OF 1,267 LICENSED ACUTE CARE BEDS, OAKWOOD CARED FOR APPROXIMATELY 57,000 ADMISSIONS AND AVERAGED A DAILY INPATIENT CENSUS OF 774 PATIENTS IN 2011. WITH ALMOST 189,000 EMERGENCY ROOM VISITS ACROSS FIVE LOCATIONS AND 228,200 ACUTE CARE OUTPATIENT REGISTRATIONS, OAKWOOD OFFERS A COMPREHENSIVE MENU OF SERVICES ACROSS THE CONTINUUM, INCLUDING TRAUMA, ACUTE CARE, REHABILITATION AND MENTAL HEALTH SERVICES. OAKWOOD CURRENTLY HOLDS APPROXIMATELY 37% OF THE INPATIENT MARKET SHARE IN A PRIMARY SERVICE AREA COVERING 500 SQUARE MILES SERVING A POPULATION OF ALMOST 1 MILLION PEOPLE. OAKWOOD CLINICIANS DELIVER EVIDENCE BASED CARE USING PROTOCOLS AND STANDARD ORDER SETS AND WAS THE FIRST SYSTEM IN SOUTHEASTERN MICHIGAN TO VOLUNTARILY PROVIDE QUALITY AND PRICING INFORMATION ON ITS WEBSITE. OAKWOOD HAS DEVELOPED A SET OF KEY SERVICE LINES THAT REPRESENT NEARLY 46% OF THE INPATIENT ADMISSIONS. THE SERVICE LINES FOCUS ON HEART AND VASCULAR SERVICES, WOMEN'S HEALTH, ORTHOPAEDICS, NEUROSCIENCES AND CANCER CARE.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	61231653	Expense
Grants	11021168	Grants
Revenue	32421379	Revenue
Description	GRADUATE MEDICAL EDUCATIONOAKWOOD OFFERS ALLOPATHIC, OSTEOPATHIC AND PODIATRIC MEDICAL RESIDENCY PROGRAMS TO ENHANCE THE DELIVERY OF PATIENT CARE. THERE ARE APPROXIMATELY 90 FACULTY AND OVER 250 MEDICAL RESIDENTS COVERING 24 PROGRAMS. PROGRAMS INCLUDE PRIMARY CARE SPECIALTIES, OB/GYN, GERIATRICS, RADIOLOGY, PODIATRY, TRANSITIONAL EDUCATION, OPHTHALMOLOGY AND OTHERS. OAKWOOD PARTICIPATES IN WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE (WSU SOM) SPONSORED PROGRAMS INCLUDING OTOLARYNGOLOGY, UROLOGY, DERMATOLOGY, PHYSICAL MEDICINE AND REHABILITATION AND ORTHOPAEDICS RESIDENCY PROGRAMS. ALL OF THE ALLOPATHIC RESIDENCY PROGRAMS ARE AFFILIATED WITH THE NATIONALLY RANKED WSU SOM. THE OSTEOPATHIC PROGRAMS ARE AFFILIATED WITH THE MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE. THE RESIDENCY PROGRAMS HAVE FILLED NEARLY 100% OF THEIR SLOTS OFFERED IN THE MATCH OVER THE LAST 3 YEARS AND HAVE GRADUATING CLASSES WITH NEAR 90% BOARD PASS RATES OVER THE LAST 3 YEARS AS WELL. THE SYSTEM PARTICIPATED IN APPROXIMATELY 15 CLINICAL TRIALS AND IS ACTIVE IN ORIGINAL RESEARCH. OAKWOOD'S MEDICAL EDUCATION PROGRAMS ARE ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION AND THE AMERICAN OSTEOPATHIC ASSOCIATION.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	240326449	Expense
Revenue	144473940	Revenue
Description	UNCOMPENSATED AND UNDER-COMPENSATED CARE SERVICESOAKWOOD'S UNCOMPENSATED CARE FOR OUR COMMUNITIES IS EXEMPLIFIED BY CARE PROVIDED TO PERSONS NEEDING EMERGENCY AND INPATIENT CARE AS WELL AS OTHER SERVICES. OAKWOOD DELIVERED PATIENT CARE SERVICES TO OUR COMMUNITY'S UN-INSURED AND UNDER-INSURED THROUGH OUR CHARITY CARE (OAKASSIST) PROGRAM. OAKWOOD WROTE OFF APPROXIMATELY 12,500 CASES AT AN ESTIMATED $67 MILLION IN CHARGES AT A COST OF APPROXIMATELY $20 MILLION TO CHARITY CARE IN 2011. FEDERAL POVERTY GUIDELINES, ABSENCE OF ASSETS, CREDIT SCORES AND A NUMBER OF OTHER CRITERIA ARE USED TO ENSURE THAT OAKWOOD PROVIDES CARE TO THE MOST DESERVING OF OUR POPULATION. ANOTHER COMPONENT TO OAKWOOD'S TOTAL UNCOMPENSATED CARE IS MADE UP OF BAD DEBT AND LOSSES INCURRED ON MEDICAID BUSINESS. IN 2011, OAKWOOD WROTE OFF APPROXIMATELY $87.1 MILLION IN BAD DEBT AT A COST OF APPROXIMATELY $27 MILLION. IN ADDITION, 17.4% OF OAKWOOD'S PATIENT REVENUE IS FROM THE MEDICAID PROGRAM. UNFORTUNATELY, MEDICAID REIMBURSEMENT IS INSUFFICIENT TO COVER COSTS OF CARE WITH AN APPROXIMATE $49.1 MILLION SHORT FALL. IN TOTAL, OAKWOOD PROVIDED ALMOST $240.3 MILLION (GROSS CHARGES) IN UNCOMPENSATED CARE IN 2011 AS WE LIVE UP TO OUR MISSION OF PROVIDING EXCELLENCE IN HEALTH AND HEALING TO ALL THOSE IN THE COMMUNITIES WE SERVE.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	888752405	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	1	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	1	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	880	NumberFormsTransmittedWith1096
Number W2 G Included	1	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	10003	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	1	ForeignFinancialAccount
Name Of Foreign Country	CJ	NameOfForeignCountry
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	MI	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	MATT ELSEY	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	3135865052	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	15500 LUNDY PARKWAY	AddressLine1
City	DEARBORN	City
State	MI	State
ZIP Code	48126	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (40 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Institutional TrusteeInstitutionalTrustee	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
BRIAN CONNOLLY
PRESIDENT & CEO	40.00	X	X	1497903	0	472236
JOHN KEUTEN
SVP & CFO	30.00	X	X	364639	0	124865
MALCOLM HENOCH MD
SVP & CMO	40.00	X		537813	0	141974
LIZABETH ARDISANA
TRUSTEE	1.00	X		0	0	0
SAMIR DABBOUS MD
TRUSTEE	40.00	X		239520	0	0
LEON JUDD
TRUSTEE	1.00	X		0	0	0
ROBERT KRAMER
TRUSTEE	1.00	X		0	0	0
RICHARD KUGHN
TRUSTEE	1.00	X		0	0	0
JOHN LEWIS
CHAIRPERSON	1.00	X		0	0	0
MARTIN MULLOY
TRUSTEE	1.00	X		0	0	0
JERRY NORCIA
TRUSTEE	1.00	X		0	0	0
TIMOTHY O'BRIEN
TRUSTEE	1.00	X		0	0	0
LESTER ROBINSON
TRUSTEE	1.00	X		0	0	0
ROBERT ROSOWSKI
TRUSTEE	1.00	X		0	0	0
THOMAS SAELI
TRUSTEE	1.00	X		0	0	0
EDGAR SCRIBNER
TRUSTEE	1.00	X		0	0	0
A BALA SETTY
TRUSTEE	1.00	X		0	0	0
JOSEPH DIEDERICH
EX OFFICIO (RETIRED 9/30/2011)	40.00			679003	0	164275	X
SETH LLOYD
SECRETARY, CORPORATE COUNSEL	40.00		X	322392	0	10771
MARK ANTHONY BUSTAMANTE
PRESIDENT & CMO - PHYSICIAN PRACTICES	40.00			341873	0	51953		X
DAVID CAMPBELL
SENIOR ADVISOR	40.00			169281	0	14947		X
PAUL CONWAY
SVP HUMAN RESOURCES	40.00			346569	0	100574		X
MAUREEN D'AGOSTINO
SVP ORGANIZ. EXCELLENCE	40.00			230675	0	65517		X
MICHAEL GEHEB
EVP PHYS PLANNING & OPS	40.00			671494	0	183863		X
EDITH HUGHES
SITE PRESIDENT	40.00			325744	0	41279		X
BILL ISENSTEIN
SVP MANAGED CARE	40.00			427259	0	36136		X
BARBARA MEDVEC
SVP, CHIEF NURSING OFFICER	40.00			345292	0	87812		X
CARLA O'MALLEY
EXECUTIVE DIRECTOR, FOUNDATION	1.00			337680	0	121481		X
BRYCE ROSCHE
SVP SERVICE EXCELLENCE	40.00			275162	0	71650		X
KELLY SMITH
SITE PRESIDENT	40.00			263764	0	31904		X
PAULA SMITH
SVP & CHIEF INFORMATION OFFICER	40.00			356520	0	126988		X
DOUGLAS WELDAY
EVP & DIVISION PRES.	40.00			685837	0	232792		X
ERIC WIDNER
SITE PRESIDENT	40.00			323158	0	38860		X
MARY ZATINA
SVP GOVERNMENT RELATIONS	40.00			329933	0	92725		X
KASSEM CHARARA
STAFF PHYSICIAN	40.00			604798	0	27301			X
JOHN JOSEPH FATH
STAFF PHYSICIAN	40.00			699183	0	28110			X
FREDRICK SONG CHUN JUNN
STAFF PHYSICIAN	40.00			876774	0	36248			X
TEJPAUL SINGH PANNU
STAFF PHYSICIAN	40.00			555354	0	33984			X
KEVIN JOSEPH SPRAGUE
STAFF PHYSICIAN	40.00			936225	0	17850			X
GERALD FITZGERALD
FORMER TRUSTEE	0.00			19382	0	0				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	12763227	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2356095	TotalOtherCompensation
Number Individuals GT100 K	523	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
CARETECH SOLUTIONS INC
901 WILSHIRE DR SUITE 250	TROY	MI	48048	INFORMATION TECHNOLOGY SERVICES	23942486
DELL USA LP
PO BOX 676044	DALLAS	TX	752676044	BILLING SOLUTIONS/OFFICE MANAGEMENT	20323626
WALBRIDGE ALDINGER CO
777 WOODWARD AVE STE 300	DETROIT	MI	482263529	CONSTRUCTION MANAGEMENT	9970549
MORRISON MANAGEMENT SPECIALISTS INC
5801 PEACHTREE DUNWOODY RD	ATLANTA	GA	30342	FOOD/RETAIL SERVICES	7086477
GEORGE MCINTOSH INC
3040 HILTON RD	FERNDALE	MI	482201019	CONSTRUCTION MANAGEMENT	7043335

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	186	NumberOfContractorsGT100K
Related Organizations	5096573	RelatedOrganizations
Government Grants	1635766	GovernmentGrants
Total Contributions	6732339	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
PATIENT CARE SERVICES	900099	1080570920	1031622245	13366371	$35,582,304
GRADUATE MEDICAL EDU.	900099	32421379	32421379

Field	Value	IRS element (for citing)
Total Program Service Revenue	1112992299	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	12303218	TotalRevenueColumn
Exclusion	$12,303,218	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1041741	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1106280	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-64539	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-64539	TotalRevenueColumn
Related Or Exempt Function Income	-121464	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	56925	UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	300335877	Securities
Other	459303	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	296285918	Securities
Other	479680	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	4049959	Securities
Other	-20377	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	4029582	TotalRevenueColumn
Exclusion	$4,029,582	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA REVENUE	624410	1009912	$1,009,912
GIFT SHOP	900099	948937	$948,937
CHILD CARE	453220	664113	$664,113

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1394121	TotalRevenueColumn
Unrelated Business Revenue	60585	UnrelatedBusinessRevenue
Exclusion	$1,333,536	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	4017083	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1140009982	TotalRevenueColumn
Related Or Exempt Function Income	1063922160	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	13483881	UnrelatedBusinessRevenue
Exclusion	$55,871,602	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	166839	Total
Program Services	166839	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	11145104	Total
Program Services	11145104	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	11255958	Total
Program Services	222578	ProgramServices
Management And General	10574219	ManagementAndGeneral
Fundraising	459161	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	19382	Total
Management And General	19382	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	422224867	Total
Program Services	338718896	ProgramServices
Management And General	83505971	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	28372563	Total
Program Services	21781996	ProgramServices
Management And General	6590567	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	25531779	Total
Program Services	19676451	ProgramServices
Management And General	5855328	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	30631817	Total
Program Services	23516456	ProgramServices
Management And General	7115361	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	7867313	Total
Program Services	4410886	ProgramServices
Management And General	3456427	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2079660	Total
Management And General	2079660	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	505238	Total
Management And General	505238	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	87040	Total
Management And General	87040	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	1298209	Total
Management And General	1298209	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	102540442	Total
Program Services	67706611	ProgramServices
Management And General	34833831	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	3252571	Total
Program Services	350101	ProgramServices
Management And General	2902470	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	12365064	Total
Program Services	4706803	ProgramServices
Management And General	7658261	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	15169144	Total
Program Services	7968882	ProgramServices
Management And General	7200262	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	39722347	Total
Program Services	33940805	ProgramServices
Management And General	5781542	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1637519	Total
Program Services	333714	ProgramServices
Management And General	1303805	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	893281	Total
Program Services	488849	ProgramServices
Management And General	404432	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	16798197	Total
Program Services	16798197	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	53018394	Total
Program Services	39496488	ProgramServices
Management And General	13521906	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	16888121	Total
Program Services	15858854	ProgramServices
Management And General	1029267	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	106321292	106321292	0
BAD DEBT	87152283	87152283	0
PHARMACEUTICALS	46284338	46284338	0
EQUIPMENT RENTAL & MAIN	30656865	19633309	11023556

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	25769410	Total
Program Services	22072673	ProgramServices
Management And General	1111462	ManagementAndGeneral
Fundraising	2585275	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1099655037	Total
Program Services	888752405	ProgramServices
Management And General	207858196	ManagementAndGeneral
Fundraising	3044436	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	-1148700	BOY
EOY	-917612	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	41101219	BOY
EOY	16033336	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	88724809	BOY
EOY	122740916	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	2331288	BOY
EOY	2297105	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	13599949	BOY
EOY	13131166	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	7110319	BOY
EOY	9829473	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	969635693	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	656733478	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	294727857	BOY
EOY	312902215	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	346689245	BOY
EOY	332701327	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	39579162	BOY
EOY	46481490	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	15010461	BOY
EOY	13010461	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	130068686	BOY
EOY	160044849	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	977794295	BOY
EOY	1028254726	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	106896226	BOY
EOY	118133300	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	495437	BOY
EOY	2440580	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	329021835	BOY
EOY	315641927	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
EOY	600000	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	5852429	BOY
EOY	2846665	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	226620399	BOY
EOY	275110797	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	668886326	BOY
EOY	714773269	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	308907969	BOY
EOY	313481457	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	308907969	BOY
EOY	313481457	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	977794295	BOY
EOY	1028254726	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	40354945	ReconcilationRevenueExpenses
Reconcilation Other Changes	-35781457	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	1	MailingsMembers
Mailings Members	$1	MailingsMembersAmount
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$32,299	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$62,242	OtherActivitiesAmount
Total Lobbying Expenditures IIB	94542	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	OAKWOOD HEALTHCARE INC. ENGAGES OUTSIDE CONSULTANTS TO CONDUCT STATE AND FEDERAL LOBBYING ACTIVITIES ON MATTERS PERTAINING TO NONPROFIT HEALTHCARE. THE FIRMS, SERVICES AND COSTS PROVIDED DURING 2011 PERTAINING TO LOBBYING ARE DISCLOSED ABOVE. ONE OF OAKWOOD HEALTHCARE INC.'S JOINT VENTURES ALSO ENGAGES OUTSIDE CONSULTANTS TO MONITOR POTENTIAL LEGISLATIVE CHANGES TO STATE LAWS THAT MAY POTENTIALLY EFFECT AUTOMOBILE ACCIDENT-RELATED REIMBURSEMENTS. 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.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtc
Included On FS	1	IncludedOnFS

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	15028139	BeginningOfYearBalance
Contributions	877025	Contributions
Investment Earnings Or Losses	150293	InvestmentEarningsOrLosses
Grants Or Scholarships	123936	GrantsOrScholarships
Other Expenditures	-513963	OtherExpenditures
End Of Year Balance	16445484	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	13622220	BeginningOfYearBalance
Contributions	252570	Contributions
Investment Earnings Or Losses	1467421	InvestmentEarningsOrLosses
Grants Or Scholarships	94773	GrantsOrScholarships
Other Expenditures	219299	OtherExpenditures
End Of Year Balance	15028139	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	11979183	BeginningOfYearBalance
Contributions	253884	Contributions
Investment Earnings Or Losses	1954301	InvestmentEarningsOrLosses
Grants Or Scholarships	109800	GrantsOrScholarships
Other Expenditures	455348	OtherExpenditures
End Of Year Balance	13622220	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	14924119	BeginningOfYearBalance
Contributions	550373	Contributions
Investment Earnings Or Losses	-2920938	InvestmentEarningsOrLosses
Grants Or Scholarships	54000	GrantsOrScholarships
Other Expenditures	520371	OtherExpenditures
End Of Year Balance	11979183	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.61000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.39000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.00000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	25818131	OtherCostOrOtherBasis
Book Value	25818131	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	289507461	OtherCostOrOtherBasis
Depreciation	191045059	Depreciation
Book Value	98462402	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	12166686	OtherCostOrOtherBasis
Depreciation	6915790	Depreciation
Book Value	5250896	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	496618636	OtherCostOrOtherBasis
Depreciation	362922167	Depreciation
Book Value	133696469	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	145524779	OtherCostOrOtherBasis
Depreciation	95850462	Depreciation
Book Value	49674317	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	312902215	TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
DEFERRED BOND ISSUE COSTS	1750003
DUE FROM (TO) AFFILIATES	96314472
MISC RECEIVABLES	8249990
PROFESSIONAL LIABILITY EXCESS	4287489
CAPITAL LEASE	49442895

Field	Value	IRS element (for citing)
Total Book Value Other Assets	160044849	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
ACCRUED COMPENSATION	$17,709,992
CLAIMS LIABILITY	$55,609,998
WORKERS COMPENSATION	$2,559,689
ASSET RETIREMENT OBLIGATION	$3,097,453
ACCRUED PENSION	$134,500,163
DUE TO THIRD PARTY PAYORS	$12,231,451
OTHER	$49,402,051

Field	Value	IRS element (for citing)
Total Of Amounts	275110797	TotalOfAmounts
Total Revenue	1140009982	TotalRevenue
Total Expenses	1099655037	TotalExpenses
Excess Or Deficit For Year	40354945	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-6270339	NetUnrealizedGLOnInvestments
Other	-$29,511,118	OtherAmount
Total Adjustments	-35781457	TotalAdjustments
Excess Or Deficit Per FS	4573488	ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART IV, LINE 2B:	THE ESCROW AGREEMENT WAS ENTERED INTO AS SECURITY FOR A JUDGEMENT OBTAINED IN A LEASE AGREEMENT.
PART V, LINE 4:	OAKWOOD HEALTHCARE FOUNDATION MAINTAINS ENDOWMENT FUNDS ON BEHALF OF OAKWOOD HEALTHCARE INC. THE INTENDED USE OF OAKWOOD HEALTHCARE FOUNDATION'S ENDOWMENT FUNDS IS TO PROVIDE FUNDS TO SUPPORT THE MISSION AND VISION OF THE OAKWOOD HEALTHCARE SYSTEM. OAKWOOD HEALTHCARE FOUNDATION PROVIDES FUNDING FOR ONGOING CAPITAL AND OPERATIONAL NEEDS, COMMUNITY OUTREACH PROGRAMS, SCHOLARSHIPS AND EDUCATION.	DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:
PART X:	THE COMPANY ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES. ACCORDINGLY, OHI HAS REVIEWED ALL TAX PROSITIONS, EVALUATED POTENTIAL EXPOSURE, AND FOUND IT NOT TO BE MATERIAL.	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:
	WRITE DOWN OF SOFTWARE IMPLEMENTATION -656,175. INTERUNIT TRANSFERS -654,326. PENSION & POSTRETIREMENT LIAB ADJ -25,353,186. CHANGE IN INVESTMENTS WITH OTHER ORGANIZATIONS -2,847,431. TOTAL TO SCHEDULE D, PART XI, LINE 8: -29,511,118.	PART XI, LINE 8 - OTHER ADJUSTMENTS:

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA & THE CARIBBEAN	Region
Number Of Offices	0	NumberOfOffices
Number Of Employees	1	NumberOfEmployees
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConducted
Specific Services Provided	N/A	SpecificServicesProvided

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	1	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	1	TotalNumberOfEmployees
Subtotal Amount Spent	0	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	0	TotalAmountSpent
Transfer To Foreign Corp	0	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	1	OwnForeignCorp
Passive Foreign Invest Co	0	PassiveForeignInvestCo
Foreign Partnership	0	ForeignPartnership
Boycott Countries	0	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS OUTSIDE THE U.S.:	Identifier
Explanation	SCHEDULE F, PART I, LINE 2: N/A	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	12551	NumberOfActivitiesOrPrograms
Persons Served	10802	PersonsServed
Total Community Benefit Expense	19744112	TotalCommunityBenefitExpense
Direct Offsetting Revenue	162954	DirectOffsettingRevenue
Net Community Benefit Expense	19581158	NetCommunityBenefitExpense
Percent Of Total Expense	0.01930	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	277469	NumberOfActivitiesOrPrograms
Persons Served	143249	PersonsServed
Total Community Benefit Expense	193611866	TotalCommunityBenefitExpense
Direct Offsetting Revenue	144473940	DirectOffsettingRevenue
Net Community Benefit Expense	49137926	NetCommunityBenefitExpense
Percent Of Total Expense	0.04850	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	290020	NumberOfActivitiesOrPrograms
Persons Served	154051	PersonsServed
Total Community Benefit Expense	213355978	TotalCommunityBenefitExpense
Direct Offsetting Revenue	144636894	DirectOffsettingRevenue
Net Community Benefit Expense	68719084	NetCommunityBenefitExpense
Percent Of Total Expense	0.06780	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4321	NumberOfActivitiesOrPrograms
Persons Served	133956	PersonsServed
Total Community Benefit Expense	7071192	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1261503	DirectOffsettingRevenue
Net Community Benefit Expense	5809689	NetCommunityBenefitExpense
Percent Of Total Expense	0.00570	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	24	NumberOfActivitiesOrPrograms
Persons Served	2365	PersonsServed
Total Community Benefit Expense	62024915	TotalCommunityBenefitExpense
Direct Offsetting Revenue	32423329	DirectOffsettingRevenue
Net Community Benefit Expense	29601586	NetCommunityBenefitExpense
Percent Of Total Expense	0.02920	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	866	NumberOfActivitiesOrPrograms
Persons Served	811	PersonsServed
Total Community Benefit Expense	3520429	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2333461	DirectOffsettingRevenue
Net Community Benefit Expense	1186968	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	1055501	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	1055501	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	2789	PersonsServed
Total Community Benefit Expense	170241	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	170241	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5214	NumberOfActivitiesOrPrograms
Persons Served	139921	PersonsServed
Total Community Benefit Expense	73842278	TotalCommunityBenefitExpense
Direct Offsetting Revenue	36018293	DirectOffsettingRevenue
Net Community Benefit Expense	37823985	NetCommunityBenefitExpense
Percent Of Total Expense	0.03730	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	295234	NumberOfActivitiesOrPrograms
Persons Served	293972	PersonsServed
Total Community Benefit Expense	287198256	TotalCommunityBenefitExpense
Direct Offsetting Revenue	180655187	DirectOffsettingRevenue
Net Community Benefit Expense	106543069	NetCommunityBenefitExpense
Percent Of Total Expense	0.10510	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	16400	TotalCommunityBuildingExpense
Net Community Building Expense	16400	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	91049	TotalCommunityBuildingExpense
Net Community Building Expense	91049	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	38199	TotalCommunityBuildingExpense
Net Community Building Expense	38199	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	19650	TotalCommunityBuildingExpense
Net Community Building Expense	19650	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	100	TotalCommunityBuildingExpense
Net Community Building Expense	100	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	165398	TotalCommunityBuildingExpense
Net Community Building Expense	165398	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$26,970,471	BadDebtExpenseAmount
Amount Attributable To	87229	AmountAttributableTo
Amount Reimbursed By Medicare	406081511	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	428663753	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-22582242	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (4 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
1 APEX BEHAVORIAL HEALTH PLLC
OUTPATIENT BEHAVIORAL HEALTH SERVICES	0.25000	0.00000	0.64770
2 SLEEP APNEA SPECIALTY CENTER-RIVERVIEW
SLEEP APNEA TESTING AND TREATMENT	0.30580	0.00000	0.52890
3 OAKLANE MEDICAL SUITES
MEDICAL FACILITY	0.68100	0.00000	0.22900
4 OAKWOOD ACCOUNTABLE CARE ORGANIZATION LLC
REDUCE HEALTHCARE COSTS AND MANAGE POPULATION WELLNESS	0.49000	0.00000	0.50000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	4	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (4 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Research FacilityResearchFacility	Er24 HoursEr24Hours
OAKWOOD HOSPITAL & MEDICAL CENTER
1	18101 OAKWOOD BLVD	DEARBORN	MI	48124	X	X	X	X	X
OAKWOOD ANNAPOLIS HOSPITAL
2	33155 ANNAPOLIS	WAYNE	MI	481842493	X	X	X		X
OAKWOOD SOUTHSHORE MEDICAL CENTER
3	5450 FORT STREET	TRENTON	MI	481834625	X	X	X		X
OAKWOOD HERITAGE HOSPITAL
4	10000 TELEGRAPH	TAYLOR	MI	481803349	X	X	X		X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (4 entries)

Hospital Facility NumberHospitalFacilityNumber	CHNA ConductedCHNAConducted	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Medical IndigencyMedicalIndigency	Insurance StatusInsuranceStatus	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Provided On AdmissionProvidedOnAdmission	Available On RequestAvailableOnRequest	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges	Uninsured DiscountUninsuredDiscount
OAKWOOD HOSPITAL & MEDICAL CENTER
1	0	1	1	200.000000000000	1	400.000000000000	1	X	X	X	X	1	1	X	X	X	X	X	1	0	1	X	0	1
OAKWOOD ANNAPOLIS HOSPITAL
2	0	1	1	200.000000000000	1	400.000000000000	1	X	X	X	X	1	1	X	X	X	X	X	1	0	1	X	0	1	X
OAKWOOD SOUTHSHORE MEDICAL CENTER
3	0	1	1	200.000000000000	1	400.000000000000	1	X	X	X	X	1	1	X	X		X	X	1	0	1	X	0	1	X
OAKWOOD HERITAGE HOSPITAL
4	0	1	1	200.000000000000	1	400.000000000000	1	X	X	X	X	1	1	X	X	X	X	X	1	0	1	X	0	1	X

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	56	NumberOfOtherFacilities

Other Facilities OtherFacilities (56 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
OAKWOOD HEALTH CARE CTR - ALLEN PARK
33155 ANNAPOLIS	WAYNE	MI	48184	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
LAB AT FAMILY HEALTH RIVERVIEW CENTER
19020 FORT STREET	RIVERVIEW	MI	48192	LAB DRAW SITE
OAKDALE MEDICAL VILLAGE
25045 FORD ROAD	DEARBORN	MI	48128	OUTPATIENT IMAGING, LAB DRAW SITE
OAKWOOD CARDIAC CENTER
22060 BEECH ROAD	DEARBORN	MI	48124	CARDIAC CENTER
OAKWOOD HEALTH CARE CTR - BELLEVILLE
201 THIRD STREET	BELLEVILLE	MI	48111	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
OAKWOOD HEALTH CARE CTR - BROWNSTOWN
17000 KING ROAD	BROWNSTOWN	MI	48183	OUTPATIENT PHYSICIAN CLINIC
OAKWOOD HEALTH CARE CTR - CANTON
7300 CANTON CENTER ROAD	CANTON	MI	48187	EMERGENCY ROOM, RADIOLOGY, OUTPATIENT IMAGING, LAB DRAW SITE
OAKWOOD HEALTH CARE CTR - MERCURY DR
4900 MERCURY DRIVE	DEARBORN	MI	48126	OUTPATIENT PHYSICIAN CLINIC
OAKWOOD HEALTH CARE CTR - SOUTHGATE
15777 NORTHLINE ROAD	SOUTHGATE	MI	48195	O/P CLINIC; CANCER CTR, URGENT CARE; RADIOLOGY; REHAB - PT; LAB DRAW SITE
OAKWOOD HEALTH CARE CTR - WESTLAND
2001 SOUTH MERRIMAN	WESTLAND	MI	48186	OUTPATIENT PHYSICIAN CLINIC, LAB DRAW SITE
OAKWOOD MEDICAL OFFICES - DEARBORN
18181 OAKWOOD BLVD	DEARBORN	MI	48124	OUTPATIENT PHYSICIAN CLINIC, LAB DRAW SITE
OAKWOOD MEDICAL OFFICES - TRENTON
5400 FORT STREET	TRENTON	MI	48183	OUTPATIENT PHYSICIAN CLINIC, CARDIAC REHAB. CLINIC, LAB DRAW SITE
OAKWOOD MEDICAL OFFICES - WAYNE
33000 ANNAPOLIS AVENUE	WAYNE	MI	48184	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC-PT, OT AND ST
OAKWOOD SPORTS MEDICINE - DEARBORN
2552 MONROE	DEARBORN	MI	48124	REHAB. CLINIC-PT
OAKWOOD HEALTH CARE CTR - TB CLINIC
2001 SOUTH MERRIMAN	WESTLAND	MI	48186	OUTPATIENT PHYSICIAN CLINIC (TB CLINIC)
OAKWOOD MEDICAL OFF BLDG GARDEN CITY
29150 FORD ROAD	GARDEN CITY	MI	48135	OUTPATIENT PHYSICIAN CLINIC, URGENT CARE
OAKWOOD MEDICAL OFFICE BLDG CANTON
7330 CANTON CENTER ROAD	CANTON	MI	48187	OUTPATIENT PHYSICIAN CLINIC
OAKWOOD LABORATORY - HAMLET BLDG
1331 MONROE STREET	DEARBORN	MI	48124	LAB DRAW SITE, RESPIRATORY CARE
OAKWOOD HOME MEDICAL EQUIP & OIS
1633 FAIRLANE CIRCLE	DEARBORN	MI	48124	DURABLE MEDICAL EQUIPMENT, INFUSION SERVICES
OAKWOOD ADULT & CHILD CARE SVCS
3601 PELHAM	DEARBORN	MI	48124	ADULT & CHILD CARE CENTER
OAKWOOD SOUTHSHORE SURGERY CENTER
5452 FORT STREET	TRENTON	MI	48183	O/P SURGICAL SERVICES, REHAB. CLINIC (PT/OT), ORTHO. CTR OF EXCELLENCE
OAKWOOD DEARBORN MEDICAL PARK
18100 OAKWOOD BLVD	DEARBORN	MI	48124	O/P PHYS/CARDIAC CLINICS; BREAST CARE/DIALYSIS CTR; O/P IMAGING; LAB DRAW
OAKWOOD SOUTHSHORE PHYS MED REHAB
2707 W JEFFERSON	TRENTON	MI	48183	REHAB. CLINIC-PT, OT AND ST
OAKWOOD HEALTHCARE FLAT ROCK
29100 GATEWAY BLVD	FLAT ROCK	MI	48134	OUTPATIENT PHYSICIAN CLINIC
INKSTER TEEN HEALTH CENTER
3250 MIDDLEBELT	INKSTER	MI	48141	OUTPATIENT PHYSICIAN CLINIC
OAKLANE MEDICAL SUITES
1700 HUBBARD	DEARBORN	MI	48126	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
SOUTH CANTON INTERNAL MEDICINE
42287 CHERRY HILL ROAD SUITE D	CANTON	MI	48188	OUTPATIENT PHYSICIAN CLINIC
HAGGERTY MEDICAL BLDG - CANTON
2050 NORTH HAGGERTY RD	CANTON	MI	48188	OUTPATIENT PHYSICIAN CLINIC, OUTPATIENT IMAGING
OAKWOOD HEALTHCARE CENTER NEWPORT
3132 NEWPORT ROAD	NEWPORT	MI	48166	OUTPATIENT PHYSICIAN CLINIC
OAKWOOD BREAST CARE CENTER
4491 VENOY	WAYNE	MI	48184	BREAST CARE CENTER
OAKWOOD TRAINING & DEVELOPMENT CTR
18501 ROTUNDA DRIVE	DEARBORN	MI	48124	OUTPATIENT PHYSICIAN CLINIC; REHAB. CLINIC-PT
OAKWOOD REHAB THERAPY SVCS-W DEARBORN
27731 NEWMAN ROAD	DEARBORN	MI	48124	REHAB. CLINIC-PT
OAKWOOD VENOY PATIENT SERVICE CENTER
4020 VENOY SUITE 200A	WAYNE	MI	48184	OUTPATIENT PHYSICIAN CLINIC; LAB DRAW SITE
OAKWOOD PHYSICAL THERAPY CENTER
4111 S CANTON CENTER ROAD	CANTON	MI	48188	REHAB. CLINIC-PT
LAB AT DEARBORN FAMILY PRACTICE
23870 MICHIGAN AVE	DEARBORN	MI	48124	LAB DRAW SITE
ONCOLOGY DOWNRIVER
19725 ALLEN ROAD SUITE 101	BROWNSTOWN	MI	48183	OUTPATIENT PHYSICIAN CLINIC; ONCOLOGY; O/P IMAGING; LAB DRAW SITE
OAKMAN MEDICAL GROUP
15120 MICHIGAN AVE	DEARBORN	MI	48126	OUTPATIENT PHYSICIAN CLINIC; LAB DRAW SITE
NAJAR OBGYN
2142 MONROE STREET SUITE A	DEARBORN	MI	48124	OUTPATIENT PHYSICIAN CLINIC
ADULT MEDICAL CARE PLCC
35330 NANKIN BLVD SUITE 701	WESTLAND	MI	48185	OUTPATIENT PHYSICIAN CLINIC
LAB AT WOODHAVEN
25000 HALL ROAD	WOODHAVEN	MI	48183	LAB DRAW SITE
TAYLOR TEEN CENTER
19275 NORTHLINE ROAD	SOUTHGATE	MI	48195	OUTPATIENT PHYSICIAN CLINIC (TEEN CENTER)
CHASE MEDICAL CLINIC
6211 CHASE ROAD	DEARBORN	MI	48126	OUTPATIENT PHYSICIAN CLINIC
ALLIED MEDICAL GROUP
35180 NANKIN BLVD	WESTLANDM	MI	48185	OUTPATIENT PHYSICIAN CLINIC
INTERNAL MEDICINE WYANDOTTE
1700 BIDDLE AVE	WYANDOTTE	MI	48192	OUTPATIENT PHYSICIAN CLINIC, LAB DRAW SITE
HENRY FORD VILLAGE GERIATRICS
15101 FORD ROAD 1ST FLOOR	DEARBORN	MI	48126	OUTPATIENT PHYSICIAN CLINIC
INTERNAL MEDICINE MONROE STREET
1611 MONROE STREET	DEARBORN	MI	48124	OUTPATIENT PHYSICIAN CLINIC
LINCOLN-ADAMS CHILDADOLESCENT HC CTR
33475 PALMER	WESTLAND	MI	48186	OUTPATIENT PHYSICIAN CLINIC
TAYLOR CLINIC
9340 S TELEGRAPH	TAYLOR	MI	48180	OUTPATIENT PHYSICIAN CLINIC
ATHENS CLINIC
15100 S PLAZA DRIVE	TAYLOR	MI	48180	OUTPATIENT PHYSICIAN CLINIC
INTERNAL MEDICINE DETROIT
18300 W MCNICHOLS RD	DETROIT	MI	48219	OUTPATIENT PHYSICIAN CLINIC
OAKWOOD IMAGING CENTER TAYLOR
8850 S TELEGRAPH RD	TAYLOR	MI	48180	OUTPATIENT IMAGING
EVERINGHAM FAMILY MEDICINE
12100 HURON RIVER DRIVE	ROMULUS	MI	48174	OUTPATIENT PHYSICIAN CLINIC
PRECISION ORTHOPEDICS
25755 TELEGRAPH RD	BROWNSTOWN	MI	48134	OUTPATIENT PHYSICIAN CLINIC
TRUMAN HIGH SCHOOL
11211 BEECH DALY RD	TAYLOR	MI	48180	OUTPATIENT PHYSICIAN CLINIC
OAKWOOD RAPER CLINIC
7804 ALLEN ROAD	ALLEN PARK	MI	48101	OUTPATIENT PHYSICIAN CLINIC
OAKWOOD MIDWEST MEDICAL CENTER
4700 SCHAEFFER ROAD	DEARBORN	MI	48126	OUTPATIENT PHYSICIAN CLINIC, OUTPATIENT IMAGING

Form990 Schedule H Part VI Form990ScheduleHPartVI (25 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 7: CHARITY CARE (LINE A) USED A COST TO CHARGE RATIO SPECIFIC TO EACH ACUTE CARE BUSINESS UNIT. MEDICAID (LINE B) ALSO USED A BUSINESS UNIT-SPECIFIC COST TO CHARGE RATIO. HEALTH PROFESSIONS EDUCATION (LINE F) USED A COMBINATION OF EXPENSES REPORTED IN THE GENERAL LEDGER, AND ALLOCATIONS FOR SPECIFIC EXPENSES FROM OTHER COST CENTERS TO THE MEDICAL EDUCATION PROGRAM. SUBSIDIZED HEALTH SERVICES (LINE G) USED A COST ACCOUNTING SYSTEM THAT INCLUDES ALL ACUTE CARE FACILITY ACTIVITY.
PART I, L7 COL(F): BAD DEBT IN THE AMOUNT OF $436,965 WAS REMOVED FROM THE EXPENSES COUNTED IN THE MEDICAL RESIDENT EDUCATION PORTION OF HEALTH PROFESSIONS EDUCATION. BAD DEBT EXPENSE OF $87,152,253 WAS EXCLUDED FROM TOTAL EXPENSES WHEN COMPUTING THE COMMUNITY BENEFIT PERCENTAGES. A FULL COPY OF THE COMMUNITY BENEFIT REPORT CAN BE FOUND AT HTTP://WWW.OAKWOOD.ORG/REPORT-TO-OUR-COMMUNITY
PART II: OAKWOOD HEALTHCARE SYSTEM HAS A STRONG CONNECTION TO THE COMMUNITIES IT SERVES. WE EXEMPLIFY THAT WITH WIDE AND EXTENSIVE PARTICIPATION FROM OUR EMPLOYEES AS BOARD MEMBERS AND VOLUNTEERS OF VARIOUS NON PROFIT AND PROFESSIONAL ORGANIZATIONS. WHAT IS REPORTED IN THE SECTION REGARDING COMMUNITY BUILDING ACTIVITIES ARE THOSE WHERE A DIRECT OUTLAY OF CASH OR STAFF/FACILITY RESOURCES WERE EXPENDED. ACTIVITIES THAT ARE COVERED IN THIS SECTION INCLUDE DUES TO VARIOUS CHAMBERS OF COMMERCE INCLUDING: GREATER DETROIT CHAMBER OF COMMERCE; SOUTHERN WAYNE COUNTY CHAMBER; CANTON AND DEARBORN CHAMBERS OF COMMERCE; AND THE AMERICAN ARAB CHAMBER OF COMMERCE. ADDITIONAL ACTIVITIES INCLUDE EFFORTS IN SUPPORT OF THE MICHIGAN FITNESS FOUNDATION, AND THE GOVERNOR'S COUNCIL ON PHYSICAL FITNESS, HEALTH AND SPORTS TO FOSTER HEALTH AND HEALTHY LIFESTYLES OF MICHIGAN CITIZENS. ALSO INCLUDED ARE COSTS RELATED TO THE COORDINATION AND OFFERING OF COMMUNITY BLOOD DONOR DRIVES (DONE IN PARTNERSHIP WITH THE AMERICAN RED CROSS) AND ORGAN DONOR DRIVES (DONE IN PARTNERSHIP WITH GIFT OF LIFE OF MICHIGAN) AT OUR LOCATIONS AND COMMUNITY LOCATIONS THAT TARGET OUR EMPLOYEES AND MEMBERS OF THE PUBLIC. THE OAKWOOD TAYLOR TEEN CENTER'S COMMUNITY TASK FORCE FOR COALITION BUILDING TO ADDRESS SUBSTANCE ABUSE IN THE COMMUNITIES OF ECORSE, LINCOLN PARK AND TAYLOR WAS ALSO LAUNCHED IN 2011.
PART III, LINE 4: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE COMPANY ANALYZES ITS HISTORICAL EXPERIENCE AND IDENTIFIES TRENDS FOR EACH OF THE MAJOR PAYOR SOURCES THEN ESTIMATES THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND THE PROVISION FOR DOUBTFUL ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY HEALTH CARE COVERAGE, THE COMPANY ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY ACCOUNTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL). THE COMPANY RECORDS A SIGNIFICANT PROVISION FOR DOUBTFUL ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATE AND THE AMOUNT ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE PROVISION FOR DOUBTFUL ACCOUNTS HAS BEEN REPORTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE.THE ORGANIZATION CONSIDERS BAD DEBT EXPENSE TO BE A COMMUNITY BENEFIT SINCE THE COSTS OF PROVIDING UNCOMPENSATED SERVICES TO PATIENTS IMPEDES THE ORGANIZATION'S ABILITY TO PROVIDE OTHER CHARITY CARE AND COMMUNITY BENEFIT SERVICES. ALSO, THE PROVISION OF UNCOMPENSATED CARE TO PATIENTS WITHOUT INSURANCE POSITIVELY IMPACTS THE HEALTH OF THE SOUTHEASTERN MICHIGAN COMMUNITIES IN WHICH WE SERVE.
PART III, LINE 8: THE COST OF MEDICARE SERVICES WAS DETERMINED USING A COST ACCOUNTING SYSTEM THAT INCLUDED ALL ACUTE CARE FACILITY ACTIVITY. THE COST ACCOUNTING SYSTEM ASSIGNS DIRECT AND INDIRECT COST AT A CHARGE CODE LEVEL BASED ON RELATIVE VALUE UNITS AND OTHER ALLOCATION METHODOLOGIES. NET REVENUE AT A PATIENT ACCOUNT LEVEL IS BASED ON ACTUAL PAYMENTS WHERE AVAILABLE, AND MODELED REVENUE WHERE PAYMENT HAS YET TO BE RECEIVED. PATIENTS ARE THEN GROUPED BY PAYOR TO ARRIVE AT SUMMARIZED REVENUE AND COSTS.THE ORGANIZATION CONSIDERS THE MEDICARE SHORTFALL TO BE A COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: 1) SINCE THERE IS AN EXCESS OF EXPENSES OVER MEDICARE REIMBURSEMENT, OHI MUST COVER THE SHORTFALL. AS A RESULT, THE AMOUNT NEEDED TO COVER THE SHORTFALL IS NOT AVAILABLE FOR OTHER CHARITY CARE AND COMMUNITY BENEFIT SERVICES; 2) A SIGNIFICANT PORTION OF SERVICES PROVIDED TO MEDICARE BENEFICIARIES WOULD LIKELY QUALIFY FOR CHARITY CARE ABSENT INSURANCE COVERAGE UNDER THE MEDICARE PROGRAM; AND 3) THE PROVISION OF UNDER-COMPENSATED PATIENT CARE TO MEDICARE BENEFICIARIES POSITIVELY IMPACTS THE HEALTH OF THE SOUTHEASTERN MICHIGAN COMMUNITIES IN WHICH WE SERVE.
PART III, LINE 9B: PATIENTS PRESENTING FOR SERVICES WITHOUT INSURANCE COVERAGE ARE IDENTIFIED AS SELF PAY PATIENTS. FINANCIAL COUNSELING STAFF, IN THE ORGANIZATION'S "OAKASSIST" PROGRAM, ASSESS THIS POPULATION TO DETERMINE IF SOME TYPE OF INSURANCE COVERAGE MAY EXIST, SUCH AS A GOVERNMENT SPONSORED INSURANCE PROGRAM, OR IF A SELF-PAY DISCOUNT OR CHARITY CARE COVERAGE IS APPROPRIATE. THIS PROCESS IS INITIATED AS CLOSE TO THE DATE OF SERVICE OR PRE-SERVICE AS POSSIBLE. IF THE DETERMINATION OF DISCOUNTING OR OTHER COVERAGE IS NOT FOUND WITHIN AN AVERAGE OF 15 DAYS POST-SERVICE, THE PATIENT WILL RECEIVE A BILLING STATEMENT WITH DIRECTION TO CONTACT AN OAKWOOD REPRESENTATIVE IF FINANCIAL ASSISTANCE OF ANY KIND IS NEEDED. PRIOR TO FORWARDING ACCOUNTS TO A THIRD-PARTY COLLECTION AGENCY, THE ACCOUNTS ARE SCORED TO DETERMINE THE PATIENT'S ABILITY TO PAY AND DEEMED EITHER CHARITY OR BAD DEBT. ACCOUNTS ELIGIBLE FOR CHARITY CARE PURSUANT TO THE ORGANIZATION'S POLICY ARE WRITTEN-OFF TO A CHARITY CARE CODE AND NO FURTHER COLLECTION ACTIVITY IS PURSUED. IN CASES WHERE THE ORGANIZATION EXPECTS PAYMENT BUT IS UNABLE TO COLLECT, THE ACCOUNTS ARE CLASSIFIED AS BAD DEBT AND FORWARDED FOR FURTHER COLLECTION ACTIVITY.
PART V, SECTION B, LINE 11H: WEBSITE DIRECTS PATIENTS TO CONTACT OUR OAKASSIST (FINANCIAL COUNSELORS) FOR ASSISTANCE. FINANCIAL ASSISTANCE INFORMATION IS ALSO DOCUMENTED IN OUR ADMITTING PACKET PROVIDED TO THE PATIENT AND THE BILLING CLAIM CONTAINS THE FOLLOWING STATEMENT IN BOLD TYPE "FINANCIAL ASSISTANCE AVAILABLE". THE CLAIM ALSO CONTAINS THE CUSTOMER REPRESENTATIVE PHONE NUMBER.	OAKWOOD HOSPITAL & MEDICAL CENTER
PART V, SECTION B, LINE 11H: WEBSITE DIRECTS PATIENTS TO CONTACT OUR OAKASSIST (FINANCIAL COUNSELORS) FOR ASSISTANCE. FINANCIAL ASSISTANCE INFORMATION IS ALSO DOCUMENTED IN OUR ADMITTING PACKET PROVIDED TO THE PATIENT AND THE BILLING CLAIM CONTAINS THE FOLLOWING STATEMENT IN BOLD TYPE "FINANCIAL ASSISTANCE AVAILABLE". THE CLAIM ALSO CONTAINS THE CUSTOMER REPRESENTATIVE PHONE NUMBER.	OAKWOOD ANNAPOLIS HOSPITAL
PART V, SECTION B, LINE 11H: WEBSITE DIRECTS PATIENTS TO CONTACT OUR OAKASSIST (FINANCIAL COUNSELORS) FOR ASSISTANCE. FINANCIAL ASSISTANCE INFORMATION IS ALSO DOCUMENTED IN OUR ADMITTING PACKET PROVIDED TO THE PATIENT AND THE BILLING CLAIM CONTAINS THE FOLLOWING STATEMENT IN BOLD TYPE "FINANCIAL ASSISTANCE AVAILABLE". THE CLAIM ALSO CONTAINS THE CUSTOMER REPRESENTATIVE PHONE NUMBER.	OAKWOOD SOUTHSHORE MEDICAL CENTER
PART V, SECTION B, LINE 11H: WEBSITE DIRECTS PATIENTS TO CONTACT OUR OAKASSIST (FINANCIAL COUNSELORS) FOR ASSISTANCE. FINANCIAL ASSISTANCE INFORMATION IS ALSO DOCUMENTED IN OUR ADMITTING PACKET PROVIDED TO THE PATIENT AND THE BILLING CLAIM CONTAINS THE FOLLOWING STATEMENT IN BOLD TYPE "FINANCIAL ASSISTANCE AVAILABLE". THE CLAIM ALSO CONTAINS THE CUSTOMER REPRESENTATIVE PHONE NUMBER.	OAKWOOD HERITAGE HOSPITAL
PART V, SECTION B, LINE 19D: AMOUNT OF DISCOUNT WAS DETERMINED BASED ON FEDERAL POVERTY LEVEL AND NUMBER OF INDIVIDUALS IN THE FAMILY FOR 2011.	OAKWOOD HOSPITAL & MEDICAL CENTER
PART V, SECTION B, LINE 19D: AMOUNT OF DISCOUNT WAS DETERMINED BASED ON FEDERAL POVERTY LEVEL AND NUMBER OF INDIVIDUALS IN THE FAMILY FOR 2011.	OAKWOOD ANNAPOLIS HOSPITAL
PART V, SECTION B, LINE 19D: AMOUNT OF DISCOUNT WAS DETERMINED BASED ON FEDERAL POVERTY LEVEL AND NUMBER OF INDIVIDUALS IN THE FAMILY FOR 2011.	OAKWOOD SOUTHSHORE MEDICAL CENTER
PART V, SECTION B, LINE 19D: AMOUNT OF DISCOUNT WAS DETERMINED BASED ON FEDERAL POVERTY LEVEL AND NUMBER OF INDIVIDUALS IN THE FAMILY FOR 2011.	OAKWOOD HERITAGE HOSPITAL
PART V, SECTION B, LINE 21: IN 2011, FULL CHARGES WERE BILLED TO THE PATIENT AND REDUCED PER POLICY ONCE CONTACT WITH THE PATIENT WAS MADE.	OAKWOOD HOSPITAL & MEDICAL CENTER
PART V, SECTION B, LINE 21: IN 2011, FULL CHARGES WERE BILLED TO THE PATIENT AND REDUCED PER POLICY ONCE CONTACT WITH THE PATIENT WAS MADE.	OAKWOOD ANNAPOLIS HOSPITAL
PART V, SECTION B, LINE 21: IN 2011, FULL CHARGES WERE BILLED TO THE PATIENT AND REDUCED PER POLICY ONCE CONTACT WITH THE PATIENT WAS MADE.	OAKWOOD SOUTHSHORE MEDICAL CENTER
PART V, SECTION B, LINE 21: IN 2011, FULL CHARGES WERE BILLED TO THE PATIENT AND REDUCED PER POLICY ONCE CONTACT WITH THE PATIENT WAS MADE.	OAKWOOD HERITAGE HOSPITAL
OHI, SCHEDULE H, PART I: OTHER COMMUNITY BENEFIT INFORMATION. OAKWOOD HEALTHCARE FOUNDATION PROVIDES SIGNIFICANT ASSISTANCE TO THE STRENGTH OF OAKWOOD'S COMMUNITY BENEFIT PROGRAMS AND SERVICES. IN ADDITION TO PROVIDING THE FUNDS FOR MANY, IT EXPENDED NEARLY $900,000 IN 2011 TO COVER THE COSTS OF FUNDRAISING AND GRANT WRITING THAT IS DIRECTLY ASSOCIATED WITH COMMUNITY BENEFIT PROGRAMMING. TWO LARGE EVENTS WERE HELD IN 2011 THAT WERE SPECIFICALLY PRESENTED TO RAISE FUNDS TO OPERATE THE CENTER FOR EXCEPTIONAL FAMILIES, A MULTIDISCIPLINARY CLINIC FOR CHILDREN WITH PHYSICAL AND COGNITIVE IMPAIRMENTS. MANY OF THE SERVICES PROVIDED BY THE CENTER ARE NOT COVERED BY INSURANCE BUT ARE INTEGRAL TO CARE, WITH OTHER FINANCIAL SUPPORT RAISED FOR OPERATION OF THEIR PHYSICAL LOCATION. NUMEROUS GRANT APPLICATIONS TO FEDERAL AND STATE FUNDING SOURCES SUCH AS HRSA AND MICHIGAN DEPARTMENT OF COMMUNITY HEALTH AND OTHER PRIVATE FUNDING SOURCES WERE PREPARED, COMPLETED AND SUBMITTED BY THE FOUNDATION ON BEHALF OF PROGRAMS SUCH AS OAKWOOD'S SCHOOL BASED/SCHOOL LINKED HEALTH CENTERS, PREVENTION PROGRAMS, RYAN WHITE CLINIC FOR HIV CARE, THE CENTER FOR EXCEPTIONAL FAMILIES, CHILD PASSENGER SAFETY, NUTRITION EDUCATION AND OTHER PROGRAMS THAT BENEFIT OUR COMMUNITY.
PART VI, LINE 2: OAKWOOD HEALTHCARE SYSTEM USES AN ANNUAL ENVIRONMENTAL ASSESSMENT AS A BASELINE FOR THE DECISION MAKING IN BOTH COMMUNITY BENEFIT PROGRAMMING AND BUSINESS PLANNING. THE COMPREHENSIVE DOCUMENT IS PRODUCED EACH YEAR IN JUNE BY THE STRATEGIC PLANNING DEPARTMENT AFTER FOUR TO SIX MONTHS OF RESEARCH, DATA ANALYSIS AND PREPARATION. KEY LEADERS IN THE ORGANIZATION WHO REPRESENT COMMUNITY BENEFIT AND PATIENT FINANCIAL ASSISTANCE PROGRAMS ARE CONSULTED AS PART OF THE PREPARATION PROCESS. FINDINGS IN EACH YEAR'S REPORT ARE NOT NECESSARILY TIME LIMITED AND CAN BE APPLIED TO OTHER YEARS IN A 2-3 YEAR BUSINESS CYCLE.A KEY RECOMMENDATION FOCUSED ON THE VALUE OF PREVENTATIVE CARE AS SO MANY OF THE LEADING CAUSES OF MORBIDITY AND MORTALITY IN OUR REGION ARE DIRECTLY ATTRIBUTABLE TO CONDITIONS THAT ARE HIGHLY AFFECTED BY DIET, EXERCISE LEVEL, SMOKING STATUS AND OBESITY. POPULATION TRENDS IN THE OAKWOOD HEALTHCARE SYSTEM SERVICE AREA WERE PRESENTED AND ANALYZED. THESE TRENDS SHOWED A SHARP INCREASE IN THE POPULATION OF 55-74 YEARS OLD AND DECLINES IN OTHER GROUPS (FOR INSTANCE FEMALES IN THEIR CHILD BEARING YEARS). IMPLICATIONS RELATED TO THE HIGH PROPORTION OF BABY BOOMERS MANAGING MORE THAN ONE CHRONIC CONDITION (INCLUDING HEART DISEASE) AS WELL AS OBESITY AND DIABETES WERE APPLIED TO COMMUNITY BENEFIT PLANNING. DIABETES WAS ALSO SHOWN TO BE MORE PREVALENT IN OUR DIVERSE POPULATIONS OF AFRICAN AMERICANS, HISPANIC AMERICANS, AND IN PEOPLE OF EASTERN INDIAN ORIGIN. THESE NUMBERS, ALONG WITH THE FACT THAT HEART DISEASE, STROKE AND DIABETES ARE CONSISTENTLY AMONG THE TOP DIAGNOSES SEEN IN THE RANKING OF HEALTH STATUS INDICATORS FOR OUR COMMUNITIES, PROVIDE THE BASIS FOR ONE OF OUR LARGEST COMMUNITY OUTREACH PROGRAMS. OAKWOOD'S HEART HEALTH SCREENING AND EDUCATION OUTREACH IS COMPRISED OF BLOOD PRESSURE, TOTAL AND HDL CHOLESTEROL, AND GLUCOSE TESTING, AS WELL AS STROKE SCREENING INSTRUMENTS THAT ARE OFFERED IN CUSTOM PACKAGES TO COMMUNITY, SCHOOL, FAITH, COMMUNITY AND OTHER GROUPS. ALL SCREENINGS ARE ACCOMPANIED BY BASIC COUNSELING ABOUT EACH INDIVIDUAL'S SCREENING RESULTS AND HOW HE OR SHE CAN MAKE POSITIVE BEHAVIOR CHOICES AND LIFESTYLE ADAPTATIONS TO KEEP THEIR RESULTS IN THE NORMAL RANGE OR TO BRING THEM INTO A LOWER, MORE HEALTHFUL RESULT. DATA FROM BOTH THE WAYNE COUNTY HEALTH DEPARTMENT AND THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH INDICATE THAT OUR SERVICE AREA HAS HIGHER RATES OF HEART DISEASE THAN WHAT IS SEEN IN THE REST OF THE STATE AND ACROSS THE NATION AS A WHOLE.OAKWOOD'S HEART HEALTH OUTREACH AND SCREENING PROGRAMS HAVE BEEN CONSISTENTLY HIGH VOLUME PROGRAMS FOR OVER 20 YEARS AND ARE UTILIZED BY MANY GROUPS, INCLUDING THE COUNTY HEALTH DEPARTMENT. DATA FROM THE ENVIRONMENTAL ASSESSMENT SUPPORT THE NEED FOR THIS PROGRAM YEAR AFTER YEAR, AS THERE HAS BEEN NO SIGNIFICANT SHIFT IN THE LEADING CAUSES OF DEATH IN OUR SERVICE AREA, COUNTY AND STATE. DATA FROM THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH IN 2009 CONFIRMS THAT OUR AREA CONTINUES TO EXHIBIT HIGHER RATES OF ADULT OBESITY, ADULT TOBACCO USE AND HEART DISEASE IN THOSE AGED 18 YEARS OR OLDER AS WELL AS A HIGHER RATE OF DIABETES PREVALENCE AND RELATED DEATHS.DATA PERTAINING TO UNEMPLOYMENT RATES, POVERTY INCIDENCE AND RATES OF INSURANCE COVERAGE ARE ALSO KEY TO OUR YEARLY ENVIRONMENTAL ASSESSMENT. OFFICIAL UNEMPLOYMENT RATES BEGAN TO DECREASE IN OUT-WAYNE COUNTY, SOUTHEASTERN MICHIGAN AND THE STATE IN 2011, WITH WAYNE COUNTY EXHIBITING THE HIGHEST UNEMPLOYMENT RATE IN SOUTHEASTERN MICHIGAN. STATE MEDICAID CASELOADS ARE AT HISTORICALLY HIGH LEVELS, WITH THE NUMBER OF MICHIGAN CITIZENS RELYING ON MEDICAID FOR HEALTH CARE 61% HIGHER THAN IN 1999. THIS FIGURE CONTINUES TO GROW, WITH ONE OUT OF SEVEN MICHIGAN RESIDENTS NOW RELYING OF MEDICAID FOR HEALTH CARE COVERAGE. HOWEVER, STATE LEVEL FUNDING OF MEDICAID HAS BEEN SLASHED BY MORE THAN $850 MILLION SINCE 1996. THE RATES FOR "TOTALLY UNINSURED" AND THOSE CONSIDERED "UNDERINSURED" ALSO SHOW INCREASES. THIS DATA APPLIES DIRECTLY TO OUR UNCOMPENSATED CARE EXPENDITURES. A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE CAN BE TRACED DIRECTLY TO THE RECESSION AND TO A GROWING NUMBER OF PATIENTS WITH NO HEALTH INSURANCE WHO ARE SEEKING TREATMENT IN THE EMERGENCY DEPARTMENT.DATA USED IN THE OAKWOOD HEALTHCARE SYSTEM ENVIRONMENTAL ASSESSMENT IS COLLECTED FROM A VARIETY OF SOURCES INCLUDING THE WAYNE COUNTY HEALTH DEPARTMENT AND MICHIGAN DEPARTMENT OF COMMUNITY HEALTH; TRADE ORGANIZATIONS SUCH AS THE AMERICAN HOSPITAL ASSOCIATION AND MICHIGAN HEALTH & HOSPITAL ASSOCIATION; THE CENSUS BUREAU; AGENCIES SUCH AS CLARITAS AND THOMSON REUTERS; AND FROM OTHER STATE AND FEDERAL AGENCIES.
PART VI, LINE 3: OUR FINANCIAL ADVISORY TEAM, OAKASSIST, PROVIDES PRE-SERVICE AND POST-SERVICE SUPPORT TO OUR PATIENTS AND THEIR FAMILIES IN DETERMINING ELIGIBILITY OPTIONS FOR HEALTH CARE COVERAGE. PATIENTS IDENTIFIED WITHOUT INSURANCE COVERAGE ARE ASSESSED AT ALL ACCESS POINTS: THE EMERGENCY DEPARTMENT, OUTPATIENT DIAGNOSTIC SCHEDULING PRIOR TO ELECTIVE PROCEDURES, AND PHYSICIAN OFFICE REFERRALS. PATIENTS ARE PROVIDED INFORMATION OR ASSISTANCE IN REGARD TO ELIGIBILITY FOR THE ORGANIZATION'S CHARITY CARE POLICY OR OTHER FORMS OF FINANCIAL ASSISTANCE AVAILABLE (MEDICAID, ADULT BENEFIT WAIVER, COBRA COVERAGE, VICTIMS OF CRIME, ETC.). POSTERS IDENTIFYING THE FINANCIAL ADVISORY TEAM, OAKASSIST, AND THE AVAILABILITY OF CHARITY CARE ARE VISIBLE IN HIGH TRAFFIC AREAS, SUCH AS THE EMERGENCY DEPARTMENT, OUTPATIENT REGISTRATION AREAS, AND ON THE OAKWOOD.ORG WEBSITE. DOCUMENTATION IS ALSO PRINTED ON THE PATIENT BILLING STATEMENT INCLUDING CONTACT INFORMATION SHOULD A PATIENT REQUIRE ASSISTANCE POST SERVICE.
PART VI, LINE 4: LOCATED IN SOUTHEAST MICHIGAN, OAKWOOD HEALTHCARE SYSTEM (OHS) SERVES MORE THAN 900,000 RESIDENTS IN 35 COMMUNITIES STRETCHING ACROSS A 500 SQUARE MILE AREA OF WESTERN WAYNE COUNTY. 75% OF THE OHS SERVICE AREA IS UNDER THE AGE OF 55, WITH 51% BETWEEN THE AGES OF 18 AND 54. WHILE CENSUS NUMBERS TELL US THAT 73% OF OUR SERVICE POPULATION IS CAUCASIAN, THERE ARE SEVERAL CONCENTRATIONS OF AFRICAN AMERICAN, HISPANIC AND ASIAN POPULATIONS. ANCESTRAL BACKGROUND, HOWEVER, IS ONE OF OUR SERVICE AREA'S MOST REMARKABLE FEATURES, WITH SOUTHEAST MICHIGAN BEING HOME TO THE LARGEST ARAB POPULATION OUTSIDE OF THE MIDDLE EAST. WHILE THIS POPULATION IS ESTIMATED TO BE WELL IN EXCESS OF 300,000, CENSUS DATA DOES NOT CAPTURE THIS INFORMATION, AS "ARAB-AMERICAN" IS CONSIDERED AN ANCESTRY.DIVERSITY IN OUR COMMUNITIES IS NOT LIMITED TO CULTURAL/ETHNIC BACKGROUND, WITH POVERTY, UNEMPLOYMENT AND HEALTH-INSURED RATES VARYING WIDELY. OHS'S COMMUNITY POVERTY RATES RANGE FROM 5% TO 37%, WITH SOME INDIVIDUAL NEIGHBORHOODS OVER 70%. (THESE RATES COMPARE TO A 16.2% RATE FOR OUR STATE.) THE HEALTH UNINSURED RATE IS APPROXIMATELY 19.8% IN OUR GREATER DEARBORN REGION AND AVERAGES 16% ACROSS OUR SERVICE AREA. EMPLOYMENT IN OUR SERVICE AREA HAS BEEN DOMINATED BY THE AUTOMOTIVE INDUSTRY, WITH FORD MOTOR COMPANY OUR SERVICE AREA'S LARGEST EMPLOYER AND OAKWOOD HEALTHCARE SYSTEM RANKING SECOND. OUR SERVICE AREA AND STATE CONTINUE TO FEEL THE EFFECTS OF A SUFFERING ECONOMY. AS THE AUTOMOTIVE INDUSTRY, ITS RELATED SUPPLIERS AND OTHER INDUSTRIES CONTINUE TO MAKE ECONOMIC ADJUSTMENTS, FORECLOSURE RATES IN OUR STATE CONTINUE TO REMAIN AMONGST THE HIGHEST IN THE NATION. WHILE MICHIGAN UNEMPLOYMENT RATES ARE AT 10.4%, (COMPARED TO 8.9% NATIONALLY), SOUTHEAST MICHIGAN RATES ARE HIGHER THAN BOTH THE STATE AND NATION, WITH WAYNE COUNTY EXISTING AS ONE OF OUR STATE'S MOST UNEMPLOYED COUNTIES. WHILE THE LEADING CAUSES OF DEATH (I.E., HEART DISEASE, CANCER, STROKE) ARE THE SAME FOR OUR SERVICE AREA, STATE AND THE NATION, OUR SERVICE POPULATION EXHIBITS HIGHER LEVELS OF NEGATIVE RISK FACTORS AND BEHAVIORS (I.E. SMOKING, OBESITY) THAN THE STATE OR NATION. AND WHILE SOUTHEAST MICHIGAN IS BLESSED WITH NUMEROUS QUALITY HEALTHCARE PROVIDERS, MANY COMMUNITY MEMBERS FACE CHALLENGES (I.E. LACK OF EDUCATION, POOR BASIC HEALTH AWARENESS, LACK OF TRANSPORTATION, NO INSURANCE, LAYOFFS, WORKING POOR FAMILIES, AND HIGH RATES OF CRIME, VIOLENCE AND DRUG USE) THAT IMPACT ACCESS TO HEALTHCARE AND/OR AFFECT QUALITY OF LIFE. THE COMMUNITY INITIATIVES HIGHLIGHTED IN THIS NARRATIVE WERE DEVELOPED TO ADDRESS IDENTIFIED CHALLENGES FACED BY SPECIFIC COMMUNITIES AND POPULATIONS.
PART VI, LINE 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 BOARDS ARE COMPRISED OF BUSINESS, CIVIC AND COMMUNITY LEADERS WHO WORK AND/OR LIVE IN THE AREA, AND HAVE A STAKE IN COMMUNITY HEALTH IMPROVEMENT. BOARD MEMBERS ARE ACTIVELY ENGAGED IN OAKWOOD'S MISSION TO PROVIDE EXCELLENCE IN CARE, HEALING AND HEALTH TO THE INDIVIDUALS AND COMMUNITIES WE SERVE. A GOVERNING BOARD STRATEGIC PLANNING COMMITTEE AND MEDICAL STAFF STRATEGIC PLANNING COMMITTEE INTEGRATE THEIR PERSPECTIVES INTO BOTH SHORT AND LONG TERM VISIONING AND PLANNING GEARED TOWARD TO FULFILLING OUR MISSION.EACH OF OUR FOUR ACUTE CARE SITES FEATURES AN OPEN MEDICAL STAFF, WITH ELECTED LEADERSHIP AND ACTIVE COMMITTEE STRUCTURE. IN 2009, THE MEDICAL STAFF AT ONE OAKWOOD SITE EXEMPLIFIED ITS COMMITMENT TO COMMUNITY HEALTH IMPROVEMENT BY OPENING A FREE CLINIC TO SERVE THE PRIMARY CARE MEDICAL NEEDS OF ADULTS WHO WERE LAID OFF FROM FORD MOTOR COMPANY AND VISTEON AND, AS A RESULT, LOST THEIR HEALTH CARE COVERAGE. A SIGNIFICANT PORTION OF THE OAKWOOD HEALTHCARE SYSTEM SERVICE AREA CONSISTS OF FEDERALLY MEDICALLY UNDERSERVED AREAS AS DESIGNATED BY HRSA (HEALTH RESOURCES AND SERVICES ADMINISTRATION). MULTI-LEVEL PARTNERSHIPS AND COLLABORATIONS WITH FEDERALLY QUALIFIED HEALTH CENTERS AND OTHER COMMUNITY BASED CLINICS ARE IN PLACE. DURING THE MID 2000'S, OAKWOOD WAS THE DRIVING FORCE BEHIND THE FIRST SUCCESSFUL FQHC (FEDERALLY QUALIFIED HEALTH CENTER) APPLICATION IN OUT-WAYNE COUNTY. OAKWOOD HAS MAINTAINED A STRONG COLLABORATIVE RELATIONSHIP WITH THAT AGENCY, WHICH NOW HAS TWO LOCATIONS TO BETTER MEET THE PRIMARY CARE NEEDS OF OUR UNINSURED AND UNDERINSURED COMMUNITY MEMBERS. WE ALSO ACTIVELY PARTICIPATE IN WORKGROUPS, COMMITTEES AND BOARDS ASSOCIATED WITH COMMUNITY PROGRAMS SUCH AS THE DETROIT WAYNE COUNTY HEALTH AUTHORITY AND THE VOICES OF DETROIT INITIATIVE - BOTH DEDICATED TO COLLABORATIVE, COMMUNITY BASED SOLUTIONS TO THE CHALLENGES OF THE UNINSURED. INITIATIVES ADDRESS THE NEED FOR ACCESS TO PRIMARY HEALTH CARE AS WELL AS DEVELOPMENT OF A BROAD BASED RESPONSE TO THE NEED FOR EMERGENCY DEPARTMENT DIVERSION FOR PATIENTS IDEALLY SERVED IN A PRIMARY CARE SETTING.IN ADDITION TO THE MANY COMMUNITY HEALTH IMPROVEMENT ACTIVITIES PRESENTED BY ITS COMMUNITY HEALTH, MEDICAL EDUCATION, SCHOOL BASED/SCHOOL LINKED HEALTH CENTERS AND OTHER DEPARTMENTS, OAKWOOD PRESENTS A RADIO PROGRAM FEATURING INFORMATION ABOUT PERSONAL AND FAMILY HEALTH PROMOTION. "CHAMPIONS OF CARE" IS BROADCAST EACH WEEK TO ALL COMMUNITIES WE SERVE ON WJR, AN AM RADIO STATION WITH A STRONG GEOGRAPHIC SIGNAL THAT COVERS NOT ONLY OUR IMMEDIATE AREA, BUT ALSO A LARGE PORTION OF THE STATE AND EVEN PARTS OF THE MIDWESTERN REGION.MANY OF OUR EXECUTIVES, MANAGERS AND OTHER EMPLOYEES SERVE AS LEAD VOLUNTEERS OR BOARD DIRECTORS AND OFFICERS FOR KEY NON PROFIT AGENCIES AND GOVERNMENT COMMISSIONS IN THE REGION. THESE INCLUDE ORGANIZATIONS AND AUTHORITIES ASSOCIATED WITH HEALTH CARE, SOCIAL SERVICES, EDUCATION, MUNICIPAL GOVERNANCE, INDUSTRY AND TRADE GROUPS AS WELL AS SERVICE ORGANIZATIONS AND CHAMBERS OF COMMERCE. MANY OAKWOOD EMPLOYEES ALSO OFFER AD-HOC CONSULTING ADVICE.OAKWOOD HAS ALSO MAINTAINED LONG STANDING, DEMONSTRATED PARTNERSHIPS WITH VITAL COMMUNITY AGENCIES SUCH AS ACCESS (SERVING THE ARAB AMERICAN COMMUNITY AND OTHERS WITH HEALTH AND SOCIAL SERVICES AS WELL AS EMPLOYMENT PROGRAMS); SOUTHWEST SOLUTIONS (SOCIAL SERVICES AND HOUSING AGENCY); 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 CENTER (FQHC). WE OFFER THESE AGENCIES PROGRAMS AND SERVICES, IN KIND OR DISCOUNTED FEES FOR LAB SERVICES, AND COLLABORATE IN VARIOUS GRANT APPLICATIONS AND COLLABORATIVE PROGRAMS. PARTNERSHIPS ARE ALSO IN PLACE FOR REGIONAL WORKFORCE DEVELOPMENT. OAKWOOD STAFF ASSISTS IN COMMUNITY JOB FAIRS, GIVING JOB ADVICE, REVIEWING RESUMES AND CONDUCTING MOCK INTERVIEWS.OTHER EXAMPLES INCLUDE OUR FOCUSED WORK AND COOPERATION WITH GIFT OF LIFE-MICHIGAN TO SUPPORT ORGAN DONATION AND A WELL DEVELOPED AND EXTENSIVE SPEAKERS BUREAU THAT OFFERS VOLUNTEER OAKWOOD SPEAKERS TO TALK TO COMMUNITY AND OTHER GROUPS ABOUT A BROAD RANGE OF TOPICS. OUR ARTS FOR THE SPIRIT PROGRAM OFFERS ART GALLERY SPACES AVAILABLE TO ALL, 24 HOURS A DAY, IN OUR ACUTE CARE SITES AS WELL AS ART ACTIVITY SUCH AS COMMUNITY CREATIVE WRITING WORKSHOPS (WITH PUBLICATION OF A YEARLY JOURNAL) AS WELL AS HANDS-ON ART ACTIVITY CLASSES FOR ALL. WE HAVE A STRONG TRADITION OF BEING A PART OF OUR COMMUNITY, WITH SHARED VISION OF CREATING HEALTH AND WELLNESS FOR ALL AND CONTINUE TO EXPAND THAT OUTREACH WITH EVERY PASSING YEAR.
PART VI, LINE 6: OAKWOOD HEALTHCARE SYSTEM ACTIVELY SUPPORTS THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH THE OAKWOOD FOUNDATION. EXAMPLES INCLUDE CHILD AND ADOLESCENT HEALTH CENTERS IN TAYLOR, ROMULUS, INKSTER AND WESTLAND; AN INFECTIOUS DISEASE CLINIC OFFERING CARE FOR BOTH HIV AND TB; THE CENTER FOR EXCEPTIONAL FAMILIES; AND, THE HEALTHY HEARTS FOR WOMEN PROGRAM. THESE AREAS OF FOCUS ARE BASED ON COMMUNITY INTEREST, AS IDENTIFIED THROUGH DESIGNATION OF DONATIONS, AND BASED ON COMMUNITY NEEDS IDENTIFIED IN THE ENVIRONMENTAL ASSESSMENT.OAKWOOD HEALTHCARE SYSTEM HAS A PROACTIVE APPROACH AND PLAN TO ASSIST WITH COMMUNITY CONCERNS RELATED TO COMPREHENSIVE DISASTER PLANNING AND PROTOCOLS FOR SUPPORTING THE COMMUNITY IN A TIME OF NEED. IN ADDITION, TRAUMA PROGRAMS AT EACH HOSPITAL REACH OUT TO THEIR SURROUNDING COMMUNITIES TO REDUCE INJURIES AND POSITIVELY IMPACT THE HEALTH OF THE COMMUNITY.OAKWOOD HEALTHCARE SYSTEM COLLABORATED WITH THE WAYNE COUNTY HEALTH AUTHORITY TO SUPPORT DEVELOPMENT OF A FEDERALLY QUALIFIED HEALTH CENTER (FQHC). THE FQHC OPENED IN 2006 IN THE CITY OF INKSTER TO SERVE THE UNINSURED AND UNDERINSURED POPULATION. THE WESTERN WAYNE FAMILY HEALTH CENTER IS THE RESULT OF A PARTNERSHIP BETWEEN OAKWOOD HEALTHCARE SYSTEM, STARFISH FAMILY SERVICES AND COMMUNITY LEADERS. THE FQHC PROVIDES PRIMARY CARE, MENTAL HEALTH SERVICES, AND DENTAL CARE. THIS PROVED TO BE SO BENEFICIAL TO THE COMMUNITY THAT A SECOND FQHC OPENED IN 2009 IN THE CITY OF TAYLOR THROUGH A PARTNERSHIP WITH THE WAYNE COUNTY HEALTH DEPARTMENT, COMMUNITY CARE SERVICES, AND THE CITY OF TAYLOR. RELATIONSHIPS WITH OTHER AREA FQHCS AND FREE CLINICS ARE ALSO IN PLACE TO SUPPORT SAFETY NET SERVICES TO THE COMMUNITY. OAKWOOD HEALTHCARE SYSTEM PARTICIPATES IN NUMEROUS CIVIC ORGANIZATIONS. SENIOR LEADERS PROMOTE EMPLOYEE PARTICIPATION IN COMMUNITY-BASED ORGANIZATIONS THROUGH STRATEGIES SUCH AS THE CLINICAL ADVANCEMENT PROGRAM, PARISH NURSING, AND THE BRAVO! RECOGNITION PROGRAM. CURRENT COMMUNITY SUPPORT ACTIVITIES INCLUDE: A FINANCIAL COMMITMENT TO CHARITY CARE, COMMUNITY HEALTH, THE OAKWOOD FOUNDATION, PROGRAMS CONDUCTED BY OAKWOOD HEALTHCARE SYSTEM, AND LEADERSHIP AND STAFF PARTICIPATION ON OVER 100 LOCAL, REGIONAL, AND NATIONAL BOARDS AND COMMITTEES.TO TRACK COMMUNITY SUPPORT ACTIVITIES, OAKWOOD HEALTHCARE SYSTEM MAINTAINS A COMMUNITY BENEFIT REPORTING SYSTEM THAT DELINEATES THE PROJECTS IT SUPPORTS, BOTH FROM A VOLUNTEER AND FINANCIAL STANDPOINT. CONTRIBUTIONS TO COMMUNITY HEALTH PROVIDED BY OAKWOOD HEALTHCARE SYSTEM'S COMMUNITY HEALTH DEPARTMENT ARE TRACKED THROUGH A COMPREHENSIVE DATABASE WHICH RECORDS HOW MANY UNITS OF SERVICE ARE DELIVERED TO THE COMMUNITY THROUGH VARIOUS OAKWOOD HEALTHCARE SYSTEM PROGRAMS. A UNIT OF SERVICE IS DEFINED AS: RECEIPT OF A SCREENING TEST (SUCH AS A CHOLESTEROL OR BLOOD PRESSURE MEASUREMENT); PARTICIPATION IN A SINGLE SESSION OF A LECTURE OR CLASS; HAVING A ONE TIME FACE-TO-FACE ENCOUNTER WITH A HEALTH EDUCATOR ABOUT USE OF CAR SEATS; OR A CAR SEAT INSTALLATION INSPECTION. ON SOME OCCASIONS A USER MAY RECEIVE MORE THAN ONE SERVICE AT THE SAME ENCOUNTER. NEARLY 47,000 UNITS OF SERVICE WERE DELIVERED IN 2011. OAKWOOD'S SCHOOL BASED/SCHOOL LINKED HEALTH CENTERS SERVED OVER 1,800 YOUTH IN 2011, WITH HUNDREDS OF FAMILIES RECEIVING OUTREACH INFORMATION ABOUT MEDICAID AND HEALTHY KIDS INSURANCE COVERAGE AS WELL AS ENROLLMENT ASSISTANCE. OVER 12,000 CONTACTS WERE MADE WITH YOUTH FOR SUBSTANCE ABUSE AND VIOLENCE PREVENTION INFORMATION.
MI	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (10 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance	Purpose Of GrantPurposeOfGrant
100 BLACK MEN OF GREATER DETROIT INC
ONE FORD PLACE	DETROIT	MI	48202	383124115	501(C)(3)	5000	0	FMV	N/A	COMMUNITY SUPPORT
AMERICAN HEART ASSOCIATION INC
PO BOX 4002902	DES MOINES	IL	503402902	135613797	501(C)(3)	12000	0	FMV	N/A	COMMUNITY SUPPORT
DEARBORN COMMUNITY FUND
15801 MICHIGAN AVE	DEARBORN	MI	48126	383507205	501(C)(3)	18000	0	FMV	N/A	COMMUNITY SUPPORT
GREATER DETROIT AREA HEALTH COUNCIL
333 W FORT STREET	DETROIT	MI	48226	381360904	501(C)(3)	6000	0	FMV	N/A	COMMUNITY SUPPORT
HELPS INTERNATIONAL
15301 DALLAS PARKWAY SUITE 200	ADDISON	TX	75001	751966419	501(C)(3)	5000	0	FMV	N/A	COMMUNITY SUPPORT
MIU RUN FOR THE RIBBON
20952 E 12 MILE SUITE 200	ST CLAIR SHORES	MI	48081	264340897	501(C)(3)	5000	0	FMV	N/A	COMMUNITY SUPPORT
NAMI MICHIGAN
921 N WASHINGTON	LANSING	MI	48906	382643038	501(C)(3)	5000	0	FMV	N/A	COMMUNITY SUPPORT
NATIONAL ARAB AMERICAN MEDICAL ASSOC
801 SOUTH ADAMS RD SUITE 208	BIRMINGHAM	MI	480097018	953055855	501(C)(3)	15000	0	FMV	N/A	COMMUNITY SUPPORT
OAKLAND UNIVERSITY SCHOOL OF NURSING
2200 N SQUIRREL ROAD	ROCHESTER	MI	483094497	382434916	501(C)(3)	6650	0	FMV	N/A	COMMUNITY SUPPORT
WAYNE STATE UNIVERSITY FUND OFFICE
5745 WOODWARD	DETROIT	MI	48202	382642704	501(C)(3)	10000	0	FMV	N/A	COMMUNITY SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	10	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
HELPING HANDS - NEEDY EMPLOYEE ASSISTANCE	21	25771
EMPLOYEE SCHOLARSHIPS	87	98165
MEDICAL RESIDENTS STIPENDS	247	11021168

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: THE OAKWOOD HEALTHCARE SYSTEM MAKES CONTRIBUTIONS PRIMARILY TO ORGANIZATIONS THAT HAVE BEEN RECOGNIZED BY THE IRS AS TAX-EXEMPT CHARITABLE ORGANIZATIONS UNDER IRC SECTION 501(C)(3). GOVERNMENT GRANTS RECEIVED BY THE OAKWOOD HEALTHCARE SYSTEM ARE MONITORED BY THE RESPECTIVE DEPARTMENTS. OAKWOOD HEALTHCARE INC. FOLLOWS THE GUIDELINES AND IS SUBJECT TO AN A133 AUDIT ANNUALLY UPON MEETING THE EXPENDITURE THRESHOLD. THE OAKWOOD HEALTHCARE SYSTEM AWARDS SCHOLARSHIPS ANNUALLY TO EMPLOYEES, 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. THE OAKWOOD HEALTHCARE SYSTEM ALSO PROVIDES GRANTS TO EMPLOYEES IN THEIR GREATEST TIME OF NEED AS A RESULT OF PERSONAL CRISIS OR CATASTROPHIC EVENT THROUGH THE HELPING HANDS FUND. THE HELPING HANDS FUND IS ADMINISTERED THROUGH HUMAN RESOURCES AND A COMMITTEE HAS BEEN ESTABLISHED TO REVIEW REQUESTS AND MAKE RECOMMENDATIONS. ELIGIBILITY CRITERIA HAS BEEN ESTABLISHED WITH A MAXIMUM PAYMENT. IN CONJUNCTION WITH THE ORGANIZATION'S GRADUATE MEDICAL EDUCATION PROGRAM SUMMARIZED IN PROGRAM SERVICE ACCOMPLISHMENTS, OAKWOOD HEALTHCARE, INC. PAID MEDICAL RESIDENT STIPENDS IN THE AMOUNT OF $11,021,168 DURING 2011. OAKWOOD HEALTHCARE SYSTEM MONITORS USE OF GRANT FUNDS THROUGH ITS PAYROLL AND HUMAN RESOURCES DEPARTMENTS.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	X	TravelForCompanions
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Discretionary Spending Account	X	DiscretionarySpendingAccount
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	1	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	1	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (26 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BRIAN CONNOLLY
707236	0	427222	0	363445	0	461946	0	10290	0	1970139	0	177379	0
JOHN KEUTEN
243615	0	60359	0	60665	0	106226	0	18639	0	489504	0	0	0
MALCOLM HENOCH MD
354363	0	155061	0	28389	0	123568	0	18406	0	679787	0	76842	0
SAMIR DABBOUS MD
239097	0	0	0	423	0	0	0	0	0	239520	0	0	0
SETH LLOYD
254708	0	56381	0	11303	0	6475	0	4296	0	333163	0	0	0
MARK ANTHONY BUSTAMANTE
261631	0	56821	0	23421	0	27216	0	24737	0	393826	0	0	0
DAVID CAMPBELL
130259	0	0	0	39022	0	4056	0	10891	0	184228	0	0	0
PAUL CONWAY
192784	0	101737	0	52048	0	79282	0	21292	0	447143	0	50180	0
MAUREEN D'AGOSTINO
170743	0	39467	0	20465	0	40002	0	25515	0	296192	0	0	0
MICHAEL GEHEB
394563	0	223069	0	53862	0	166214	0	17649	0	855357	0	93856	0
EDITH HUGHES
234162	0	55914	0	35668	0	23042	0	18237	0	367023	0	0	0
BILL ISENSTEIN
278794	0	106431	0	42034	0	16643	0	19493	0	463395	0	0	0
BARBARA MEDVEC
211113	0	95612	0	38567	0	83643	0	4169	0	433104	0	47159	0
CARLA O'MALLEY
187409	0	89412	0	60859	0	102588	0	18893	0	459161	0	39143	0
BRYCE ROSCHE
193897	0	48421	0	32844	0	52958	0	18692	0	346812	0	0	0
KELLY SMITH
177659	0	40987	0	45118	0	28166	0	3738	0	295668	0	47582	0
PAULA SMITH
219975	0	97217	0	39328	0	111129	0	15859	0	483508	0	0	0
DOUGLAS WELDAY
382052	0	201337	0	102448	0	208042	0	24750	0	918629	0	84957	0
ERIC WIDNER
232629	0	60364	0	30165	0	20714	0	18146	0	362018	0	0	0
MARY ZATINA
195058	0	93339	0	41536	0	72475	0	20250	0	422658	0	45374	0
KASSEM CHARARA
536206	0	29737	0	38855	0	9465	0	17836	0	632099	0	0	0
JOHN JOSEPH FATH
596156	0	82500	0	20527	0	12111	0	15999	0	727293	0	0	0
FREDRICK SONG CHUN JUNN
810114	0	0	0	66660	0	17829	0	18419	0	913022	0	0	0
TEJPAUL SINGH PANNU
532698	0	2400	0	20256	0	12831	0	21153	0	589338	0	0	0
KEVIN JOSEPH SPRAGUE
198560	0	698817	0	38848	0	16933	0	917	0	954075	0	0	0
GERALD FITZGERALD
54	0	19328	0	0	0	0	0	0	0	19382	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReference	ExplanationExplanation
PART I, LINE 1A	OAKWOOD HEALTHCARE, INC. HAS A FORMAL EXPENSE REIMBURSMENT POLICY, WHICH APPLIES TO ALL TYPES OF REIMBURSEMENT. OAKWOOD HEALTHCARE, INC. DOES NOT HAVE A SPECIFIC POLICY REGARDING THE PROVISION OF TAX GROSS-UP PAYMENTS. HOWEVER, CERTAIN CORPORATE POLICIES (I.E. "EMPLOYEE RECOGNITION AWARDS") PROVIDE FOR TAX GROSS-UP PAYMENTS. ALSO, EXECUTIVE EMPLOYMENT AGREEMENTS PROVIDE FOR TAX GROSS-UP PAYMENTS AND DISCRETIONARY CHARITABLE SPENDING ACCOUNTS IN LIMITED INSTANCES. THE ORGANIZATION'S PAYROLL DEPARTMENT DETERMINED TAX GROSS-UP PAYMENTS WERE APPROPRIATE IN LIMITED INSTANCES WHERE AN INDIVIDUAL DID NOT HAVE A NET PAYMENT DUE TO THEM (I.E. TAXABLE VALUE OF GUEST TRAVEL) IN THE TAX YEAR AND THE FINANCIAL IMPACT WAS MINOR.
PART I, LINE 4B	OAKWOOD HEALTHCARE, INC. HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) THAT IS LIMITED TO THE FOLLOWING PARTICIPANTS: BRIAN CONNOLLY, PRESIDENT AND CEO; DOUGLAS WELDAY, EVP OPERATIONS & DIVISION PRESIDENT; AND MICHAEL GEHEB, EVP PHYSICIAN PLAN & OPERATIONS. DURING 2011, MR. CONNOLLY RECEIVED A PAYMENT OF $274,120 AND MR. WELDAY RECEIVED A PAYMENT OF $39,431 PURSUANT TO THE PLAN PROVISIONS.
PART I, LINE 5	OAKWOOD HEALTHCARE, INC. HAS SHORT-TERM AND LONG-TERM INCENTIVE PLANS FOR EXECUTIVES. INCENTIVE AWARDS ARE CALCULATED BASED ON THE ACHIEVEMENT OF MULTIPLE TARGETS, INCLUDING THE ATTAINMENT OF GROSS REVENUE TARGETS.
PART I, LINE 5	OAKWOOD HEALTHCARE, INC'S GROSS REVENUE TARGETS, USED FOR PURPOSES OF DETERMINING SHORT-TERM AND LONG-TERM INCENTIVE AWARDS FOR EXECUTIVES, INCLUDE THE REVENUES OF OAKWOOD HEALTHCARE, INC. AND ITS AFFILIATE ORGANIZATIONS.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
MICHIGAN STATE HOSPITAL FINANCE AUTHORITY
382889417	59465E5E9	2003-11-13	147450247	REFUNDING 06/03/93	0	0	0
MICHIGAN STATE HOSPITAL FINANCE AUTHORITY
382889417	59465HGA8	2007-04-24	110209925	FIN. HOSPITAL/PARTIAL REFUNDING 1/27/1994 AND 6/6/1995 BOND ISSUE	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Other Spent ProceedsOtherSpentProceeds	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion
66085000	147450247	28102713	1172186	132431561	1	0	1	1
13240000	110640578	15590778	903872	76601313	0	0	1	1	25436310	2008

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	1	1	0	0.00000	0.00000	0.00000	1
0	0	1	1	0	0.00000	0.00000	0.00000	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
NA
0	0	0	0	0	1	CITIGROUP GBL MKTS	10.000000000000	1	0	1
NA
0	0	0	0	0	0	NA		0	0	1

Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)

IdentifierIdentifier	ExplanationExplanation
FORM 990, SCHEDULE K, PART III	DIFFERENCES BETWEEN THE ISSUE PRICE (PART I, COLUMN (E)) AND TOTAL PROCEEDS OF ISSUE (PART II, LINE 3 (B)) ARE DUE TO INVESTMENT EARNINGS. OAKWOOD HEALTHCARE SYSTEM ROUTINELY ENGAGES OUTSIDE-HOUSE COUNSEL TO REVIEW MANAGEMENT AND SERVICE CONTRACTS.
FORM 990, SCHEDULE K, PART V	OAKWOOD DID NOT HAVE A FORMAL WRITTEN PROCEDURE IN 2011 BUT IS MOVING TOWARDS HAVING A WRITTEN PROCEDURE IN 2012.
FORM 990, SCHEDULE K, PART II, LINE 4	THE AMOUNT SHOWN IN COLUMN A CONSISTS OF A DEBT SERVICE RESERVE FUND OF $13,846,500, PLUS A DEBT SERVICE FUND DEPOSIT OF $14,256,213. THE AMOUNT SHOWN IN COLUMN B CONSISTS OF A DEBT SERVICE RESERVE FUND OF $7,701,679, PLUS A DEBT SERVICE FUND DEPOSIT OF $7,889,099.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3	OAKWOOD HEALTHCARE, INC. HAS OUTSOURCED THE MANAGEMENT DUTIES OF DIETARY SERVICES, CLINICAL ENGINEERING, FACILITY SERVICES, ENVIRONMENTAL SERVICES, LAUNDRY SERVICES AND NON-CLINICAL SERVICES WITHIN THE COMPANY'S PHYSICIAN PRACTICE DIVISION. ALL COMPANIES ENGAGED TO PROVIDE MANAGERIAL SERVICES FOR THE ORGANIZATION REPORT DIRECTLY TO SITE ADMINISTRATORS AND/OR CORPORATE DIRECTORS EMPLOYED BY OAKWOOD HEALTHCARE, INC.
FORM 990, PART VI, SECTION B, LINE 11	THE ORGANIZATION'S PROCESS FOR PREPARATION AND REVIEW OF FORM 990 INCLUDES PREPARATION BY AN OUTSIDE ACCOUNTING FIRM AND REVIEW BY LEADERSHIP WITHIN THE FINANCE DEPARTMENT. THE FORM 990 WAS THEN PRESENTED TO THE ORGANIZATION'S AUDIT AND COMPLIANCE COMMITTEE. FINALLY, THE FORM 990 WAS REVIEWED AT A REGULARLY SCHEDULED MEETING OF THE ORGANIZATION'S BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	OAKWOOD HEALTHCARE, INC. ANNUALLY REQUIRES ITS BOARD MEMBERS, EXECUTIVE LEADERSHIP (INCLUDING OFFICERS AND KEY EMPLOYEES) AND CERTAIN INDEPENDENT CONTRACTORS TO REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. CONFLICTS EDUCATION IS PROVIDED ANNUALLY TO BOARD MEMBERS AND OTHER PERSONS WHO ATTEND THE BOARD MEETING WHERE SUCH EDUCATION IS PROVIDED. BOARD MEMBERS, EXECUTIVE LEADERS AND KEY INDEPENDENT CONTRACTORS ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST ON AN ANNUAL BASIS BY COMPLETING A WRITTEN QUESTIONNAIRE. OAKWOOD HEALTHCARE, INC.'S DIRECTOR OF BOARD RELATIONS IS RESPONSIBLE FOR ENSURING 100% COMPLIANCE WITH THE DISCLOSURE PROCESS AND ANY POTENTIAL CONFLICT IS CLEARED BY THE DIRECTOR OF BOARD RELATIONS PURSUANT TO THE CONFLICT OF INTEREST POLICY. FAILURE TO COMPLY WITH THE REQUEST FOR DISCLOSURE COULD RESULT IN REMOVAL FROM THE BOARD. ANNUAL CONFLICT DISCLOSURE STATEMENTS, INCLUDING RESPONSES REQUIRED FOR FORM 990 DISCLOSURE PURPOSES, ARE REVIEWED BY THE OAKWOOD HEALTHCARE, INC. BUSINESS PRACTICES OFFICER (COMPLIANCE OFFICER), THE DIRECTOR OF BOARD RELATIONS, THE SR VP OF ORGANIZATIONAL EXCELLENCE, ACCREDITATION & COMPLIANCE, THE PRESIDENT & CEO, THE BOARD CHAIRPERSONS AND GENERAL COUNSEL. PERSONS REVIEWING THE DISCLOSURES ADDRESS ANY QUESTIONS TO THE RESPONDENT TO ENSURE COMPLETENESS OF RESPONSE. BOARD MEMBERS, EXECUTIVES, OTHER EMPLOYEES AND PARTIES INVOLVED IN TRANSACTIONS WITH THE REPORTING ORGANIZATION ARE REQUIRED TO DECLARE POTENTIAL CONFLICTS VIA THE WRITTEN RESPONSE. IF A POTENTIAL CONFLICT ARISES AFTER SUBMISSION OF THE WRITTEN RESPONSE, THE PARTY MUST AFFIRMATIVELY DISCLOSE SUCH POTENTIAL AS OUTLINED IN THE CONFLICTS STATEMENT. THIS POLICY IS OUTLINED IN THE COVER LETTER THAT IS SENT WITH THE REQUEST FOR WRITTEN RESPONSE TO THE CONFLICT OF INTEREST POLICY. THE RECIPIENT IS DIRECTED TO REPORT A CONFLICT THAT ARISES AT ANY TIME IMMEDIATELY TO THE PRESIDENT AND CEO OR DIRECTOR OF BOARD RELATIONS. IN THE EVENT A POTENTIAL CONFLICT IS RAISED IN THE WRITTEN RESPONSE AND THE INDIVIDUAL HAS NOT PREVIOUSLY RAISED THE POTENTIAL CONFLICT WITH APPROPRIATE PERSONS, THE POTENTIAL CONFLICT WILL BE RAISED EITHER BY THE BOARD CHAIR, OUTSIDE GENERAL COUNSEL, THE DIRECTOR OF BOARD RELATIONS OR ANY OTHER MEMBER OR MEETING PARTICIPANT BASED ON THEIR REVIEW OF THE ANNUAL DISCLOSURE STATEMENTS. IN THE EVENT IT IS DETERMINED THAT A CONFLICT IN FACT EXISTS, THE CONFLICTED PARTY IS RESTRICTED TO COMMUNICATING FACTUAL INFORMATION REGARDING THE TRANSACTION OR DECISION AND IS NOT PERMITTED TO PARTICIPATE IN BOARD DELIBERATIONS OR VOTING ON THAT MATTER. POTENTIAL AND ACTUAL CONFLICTS THAT ARE REPORTED AS PART OF THE ANNUAL WRITTEN STATEMENT OR OTHERWISE BROUGHT TO THE BOARD'S ATTENTION ARE RECORDED IN THE BOARD MINUTES, ALONG WITH THE BOARD'S ACTION TAKEN IN RESPONSE TO THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15	OAKWOOD HEALTHCARE, INC., AS THE EMPLOYER, DETERMINES OR APPROVES THE COMPENSATION OF ALL OFFICERS, TRUSTEES, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES. ON AN ANNUAL BASIS, AN INDEPENDENT COMPENSATION CONSULTANT IS ENGAGED BY THE EXECUTIVE COMMITTEE OF THE BOARD AND EVALUATES THE COMPENSATION PACKAGES OF THE PRESIDENT, CEO AND OTHER SENIOR EXECUTIVES. THE CONSULTANT REVIEWS THE COMPETITIVENESS OF THESE EXECUTIVES' COMPENSATION RELATIVE TO MARKET COMPENSATION LEVELS AND ENSURES THAT SHORT- AND LONG-TERM INCENTIVE PLAN PAYMENTS ARE COMMENSURATE WITH ACTUAL BUSINESS PERFORMANCE. IN ITS ANNUAL REVIEWS, THE CONSULTANT UTILIZES MULTIPLE PUBLISHED COMPENSATION SURVEYS TO COMPARE THE BASE SALARY LEVELS AND SHORT- AND LONG-TERM INCENTIVE AWARD OPPORTUNITIES OF THE PRESIDENT AND CEO AND OTHER SENIOR EXECUTIVES RELATIVE TO COMPARABLE EXECUTIVE POSITIONS AT OTHER HEALTHCARE ORGANIZATIONS ACROSS THE COUNTRY WITH APPROXIMATELY $1.0B IN ANNUAL NET REVENUE. THE ANNUAL REVIEW MEETS THE REQUIREMENTS FOR OBTAINING AN INDEPENDENT COMPENSATION STUDY FOR PURPOSES OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR EXECUTIVE COMPENSATION. IN GATHERING RELEVANT MARKET COMPENSATION DATA FOR ITS EVALUATION, THE CONSULTANT FOLLOWS ITS STANDARD AND GENERALLY ACCEPTED METHODOLOGY FOR STUDIES OF EXECUTIVE COMPENSATION IN TAX-EXEMPT ORGANIZATIONS, INCLUDING THE FOLLOWING STEPS: A)RESEARCHING THE FACTS AND CIRCUMSTANCES SPECIFIC TO OAKWOOD HEALTHCARE, INC. AND SUBSIDIARIES (I.E., ORGANIZATIONAL STRUCTURE, BUSINESS GOALS, FINANCIAL PERFORMANCE, AND OTHER RELEVANT FACTORS ABOUT THE ORGANIZATION); B)UNDERSTANDING THE DUTIES AND SCOPE OF RESPONSIBILITIES OF THE EXECUTIVE POSITIONS IN ORDER TO MATCH THE POSITIONS TO SIMILAR POSITIONS USING RELEVANT SURVEY SOURCES; AND C)ANALYZING MARKET DATA TO DERIVE AN ASSESSMENT OF THE COMPETITIVE RANGE OF MARKET PRACTICE FOR TOTAL COMPENSATION FOR EACH EXECUTIVE POSITION. FOLLOWING THE COMPLETION OF ITS ANNUAL COMPENSATION EVALUATIONS, THE CONSULTANT CONSULTS WITH THE PRESIDENT AND CEO REGARDING THE COMPENSATION OF OTHER SENIOR EXECUTIVES. SIMILARLY, THE CONSULTANT CONSULTS DIRECTLY WITH OAKWOOD HEALTHCARE, INC.'S EXECUTIVE COMMITTEE OF THE BOARD TO DEVELOP RECOMMENDATIONS REGARDING THE COMPENSATION OF THE PRESIDENT AND CEO, ABSENT THE PRESENCE OF THE PRESIDENT AND CEO FOR THESE DISCUSSIONS. IN SUMMARY, OAKWOOD HEALTHCARE, INC. AND THE CONSULTANT FOLLOW THESE GUIDELINES IN REVIEWING AND FINALIZING THE PAY OF SENIOR EXECUTIVES: A)THE COMPENSATION ARRANGEMENTS ARE APPROVED BY THE INDEPENDENT MEMBERS OF THE BOARD EXECUTIVE COMMITTEE; B)THE EXECUTIVE COMMITTEE OBTAINS AND RELIES UPON APPROPRIATE DATA AS TO COMPARABILITY (I.E., COMPENSATION PAID BY SIMILARLY-SITUATED ORGANIZATIONS FOR POSITIONS WITH SIMILAR SCOPES OF RESPONSIBILITY); AND C)THE COMMITTEE DOCUMENTS THE BASIS FOR ITS DETERMINATIONS (I.E., THE RECORDS INCLUDE THE ELEMENTS OF COMPENSATION CONSIDERED, THE DECISIONS MADE, AND THE RATIONALE FOR THE DECISIONS).
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII:	IN ADDITION TO THE HOURS DEVOTED TO OAKWOOD HEALTHCARE, INC., LIZABETH ARDISANA, BRIAN CONNOLLOY, SAMIR DABBOUS, JOSEPH DIEDERICH, MICHEL GEHEB, MALCOM HENOCH, LEON JUDD, JOHN KEUTEN, ROBERT KRAMER, RICHARD KUGHN, JOHN LEWIS, SETH LLOYD, BARBARA MEDVEC, MARTIN MULLOY, JERRY NORCIA, TIMOTHY O'BRIEN, CARLA O'MALLEY, LESTER ROBINSON, ROBERT ROSOWSKI, THOMAS SAELI, EDGAR SCRIBNER, BALA SETTY & DOUGLAS WELDAY; DEVOTE TIME WEEKLY TO SEVERAL RELATED ORGANIZATIONS. THEIR TIME IS SPLIT AS FOLLOWS: LIZABETH ARDISANA DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. BRIAN CONNOLLY DEVOTES APPROXIMATELY 5 HOUR TO OAKWOOD HOME CARE SERVICES; 1 HOUR TO OAKWOOD UNITED HOSPITALS, INC.; 4 HOURS TO OAKWOOD HEALTHCARE FOUNDATION; AND 5 HOURS TO OAKWOOD ENTERPRISES, INC. SAMIR DABBOUS DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. JOSEPH DIEDERICH (RETIRED 9/30/2011) DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES; 1 HOUR TO OAKWOOD UNITED HOSPITALS, INC.; 1 HOUR TO OAKWOOD HEALTHCARE FOUNDATION, AND 1 HOUR TO OAKWOOD HEALTH PROMOTIONS, INC. MICHAEL GEHEB DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD UNITED HOSPITAL, INC. MALCOM HENOCH DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. EDITH HUGHES DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. LEON JUDD DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES; AND 1 HOUR TO OAKWOOD UNITED HOSPITALS, INC. JOHN KEUTEN DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES, 1 HOUR TO OAKWOOD UNITED HOSPITALS, INC.; 20 HOURS TO OAKWOOD ENTERPRISES, INC.; AND 3 HOURS TO MIDWEST MEDICAL CENTER. ROBERT KRAMER DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES;AND 1 HOUR TO OAKWOOD HEALTHCARE FOUNDATION. RICHARD KUGHN DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES; AND 1 HOUR TO OAKWOOD HEALTHCARE FOUNDATION. JOHN LEWIS DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. SETH LLOYD DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES; 1 HOUR TO OAKWOOD UNITED HOSPITALS, INC.; 1 HOUR TO OAKWOOD ENTERPRISES, INC.; AND 1 HOUR TO MIDWEST MEDICAL CENTER. BARBARA MEDVEC DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. MARTIN MULLOY DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. JERRY NORCIA DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. TIMOTHY O'BRIEN DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. CARLA O'MALLEY DEVOTES APPROXIMATELY 40 HOURS TO OAKWOOD HEALTHCARE FOUNDATION. LESTER ROBINSON DEVOTES APPROXIMAATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. ROBERT ROSOWSKI DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES; AND 1 HOUR TO OAKWOOD HEALTHCARE FOUNDATION. THOMAS SAELI DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. EDGAR SCRIBNER DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. BALA SETTY DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. PAULA SMITH DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. DOUGLAS WELDAY DEVOTES APPROXIMATELY 12 HOURS TO OAKWOOD HOME CARE SERVICES; 1 HOUR TO OAKWOOD UNITED HOSPITALS, INC.; 2 HOURS TO OAKWOOD HEALTHCARE FOUNDATION; AND 1 HOUR TO OAKWOOD HEALTH PROMOTIONS, INC.	HOURS DEVOTED TO RELATED ORGANIZATIONS:
FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -6,270,339. WRITE DOWN OF SOFTWARE IMPLEMENTATION -656,175. INTERUNIT TRANSFERS -654,326. PENSION & POSTRETIREMENT LIAB ADJ -25,353,186. CHANGE IN INVESTMENTS WITH OTHER ORGANIZATIONS -2,847,431. TOTAL TO FORM 990, PART XI, LINE 5: -35,781,457.	CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (15 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Direct Controlling Entity NADirectControllingEntityNA
OAKWOOD MEDICAL PRACTICES PLLC
15500 LUNDY PARKWAY	DEARBORN	MI	48126	320072212	AMBULATORY MEDICAL SERVICES	MI	0	0	N/A
OAKWOOD GROUP VIII LLC
15500 LUNDY PARKWAY	DEARBORN	MI	48126	300326803	AMBULATORY MEDICAL SERVICES	MI	0	0	N/A
OAKWOOD GROUP VII LLC
15500 LUNDY PARKWAY	DEARBORN	MI	48126	300326800	AMBULATORY MEDICAL SERVICES	MI	0	0	N/A
MICHIGAN BONE & JOINT-OAKWOOD SOUTHSHORE MEDICAL CENTER PLLC
15500 LUNDY PARKWAY	DEARBORN	MI	48126	383582590	AMBULATORY MEDICAL SERVICES	MI	0	0	N/A
OAKWOOD HEALTHCARE GROUP III LLC
15500 LUNDY PARKWAY	DEARBORN	MI	48126	383513234	AMBULATORY MEDICAL SERVICES	MI	0	0	N/A
OAKWOOD YOUTH PROGRAMS LLC
15500 LUNDY PARKWAY	DEARBORN	MI	48126	383532225	AMBULATORY MEDICAL SERVICES	MI	0	0	N/A
NEUROSOURCE LLC
15500 LUNDY PARKWAY	DEARBORN	MI	48126	383532220	AMBULATORY MEDICAL SERVICES	MI	0	0	N/A
OAKWOOD GROUP IX LLC
15500 LUNDY PARKWAY	DEARBORN	MI	48126	383593302	AMBULATORY MEDICAL SERVICES	MI	0	0	N/A
OAKWOOD AMBULATORY LLC
15500 LUNDY PARKWAY	DEARBORN	MI	48126	383593303	AMBULATORY MEDICAL SERVICES	MI	0	0	N/A
OAKWOOD TEEN CENTERS LLC
15500 LUNDY PARKWAY	DEARBORN	MI	48126	383513233	AMBULATORY MEDICAL SERVICES	MI	0	0	N/A
OAKWOOD PROFESSIONAL BILLING LLC
15500 LUNDY PARKWAY	DEARBORN	MI	48126	383532227	AMBULATORY MEDICAL SERVICES	MI	0	0	N/A
OAKWOOD HEALTHCARE GROUP I LLC
15500 LUNDY PARKWAY	DEARBORN	MI	48126	383513232	AMBULATORY MEDICAL SERVICES	MI	0	0	N/A
MIDWEST SURGERY CENTER
1 PARKLANE BLVD SUITE 1000E	DEARBORN	MI	48126	453771730	AMBULATORY MEDICAL SERVICES	MI	0	0	N/A
OAKWOOD INFUSION SERVICES LLC
15500 LUNDY PARKWAY	DEARBORN	MI	48126	311552387	HOME INFUSION SERVICES	MI	532006	1914074	N/A
OAKWOOD DIALYSIS CENTER LLC
18100 OAKWOOD BLVD SUITE 206	DEARBORN	MI	48124	270435100	OUTPATIENT DIALYSIS SERVICES	MI	0	0	N/A

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg
OAKWOOD UNITED HOSPITALS INC
15500 LUNDY PARKWAY	DEARBORN	MI	48126	382837961	PROVIDE FACILITIES FOR OAKWOOD HEALTHCARE INC.	MI	501(C)(3)	LINE 11A, I	N/A	1
OAKWOOD HOME CARE SERVICES
1633 FAIRLANE CIRCLE NO 100	ALLEN PARK	MI	48101	382877338	HOME HEALTH SERVICES	MI	501(C)(3)	LINE 9: 509(A)(2)	N/A	1
OAKWOOD HEALTH PROMOTIONS INC
16351 ROTUNDA DRIVE	DEARBORN	MI	48120	382601965	ASSISTED AND RESIDENT CARE FACILITIES	MI	501(C)(3)	LINE 9: 509(A)(2)	N/A	1
OAKWOOD HEALTHCARE FOUNDATION
15500 LUNDY PARKWAY	DEARBORN	MI	48126	383432073	SUPPORT OAKWOOD HEALTHCARE INC'S HEALTH CARE SYSTEM	MI	501(C)(3)	LINE 11A, I	N/A	1
MICHIGAN MOBILE PET IMAGING
15500 LUNDY PARKWAY	DEARBORN	MI	48126	331086165	MOBILE PET SCANNING	MI	501(C)(3)	LINE 11C, III-FI	N/A	1

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
DEARBORN SCHAEFFER OFFICE COMPANY LLC
ONE TOWNE SQUARE SUITE 1600	SOUTHFIELD	MI	48076	262448025	REAL ESTATE	MI	N/A	RELATED	831570	50836675	0	0	0.99000
SLEEP APNEA SPECIALTY CENTER LLC
15500 LUNDY PARKWAY	DEARBORN	MI	48126	020779595	HEALTH CARE	MI	N/A	RELATED	12522	88948	0	1	0.30580
MAPLE MILLENNIUM MEDICAL CENTER LLC
5456 MAPLE ROAD	STERLING HEIGHTS	MI	48310	900069841	AMBULATORY SURGICAL CENTER	MI	N/A	RELATED	-356423	11140366	0	0	0.75000

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry
OAKWOOD ENTERPRISES INC
15500 LUNDY PARKWAY	DEARBORN	MI	48126	382601930	NON-RESIDENTIAL LEASING	MI	N/A	C	8168414	32391300	1.00000
OAKWOOD ASSURANCE COMPANY LTD
				980128325	INSURANCE		N/A	C	11920507	50879779	1.00000	BARCLAYS HOUSE 3RD FLR SHEDDEN R	GEORGETOWN	CJ	CJ
MIDWEST MEDICAL CENTER
15500 LUNDY PARKWAY	DEARBORN	MI	48126	263683446	HEALTH CARE SERVICES	MI	N/A	C	21022428	6599838	1.00000
OAKLANE MEDICAL SUITES INC
17000 HUBBARD DRIVE SUITE 800	DEARBORN	MI	48126	382995065	REAL ESTATE-MEDICAL FACILITY	MI	N/A	S	45852	1115090	0.76100

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
OAKWOOD HEALTHCARE FOUNDATION
C	5096573	CAPITAL CONTRIBUTIONS FROM OTHERS
OAKWOOD HEALTHCARE FOUNDATION
B	3087743	CAPITAL CONTRIBUTIONS TO OTHERS
OAKWOOD HEALTHCARE FOUNDATION
O	3253073	COST
OAKWOOD HEALTH PROMOTIONS INC
P	8931045	COST
OAKWODO HEALTH PROMOTIONS INC
O	94131	COST
OAKWOOD HOME CARE SERVICES
P	2473394	COST
OAKWOOD HOME CARE SERVICES
J	64234	COST
OAKWOOD ENTERPRISES INC
J	3427525	COST
OAKWOOD ENTERPRISES INC
P	4857337	COST
OAKWOOD ASSURANCE COMPANY LTD
Q	5769138	COST
OAKWOOD ASSURANCE COMPANY LTD
R	3927349	COST
OAKWOOD UNITED HOSPITALS INC
Q	12633631	COST

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Return Reference	SCHEDULE R, PART V	ReturnReference
Explanation	TRANSACTIONS WITH RELATED ORGANIZATIONS - AMOUNTS INVOLVED: AMOUNTS REPORTED ON SCHEDULE R, PART V, LINE 2, COLUMN (C) ARE PER THE ORGANIZATION'S BOOKS AND RECORDS WHICH ARE KEPT IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES.	Explanation