2024-08-13T15:30:46-05:00 2023-09-30 381357951 PLANTE & MORAN PLLC 3000 TOWN CENTER SUITE 100 SOUTHFIELD MI 48075 990 2022-10-01 381420304 MCLAREN CENTRAL MICHIGAN MCLA 9897726720 1221 SOUTH DRIVE MT PLEASANT MI 48858 DAVID MAZURKIEWICZ SENIOR VICE PRESIDENT & CFO 9897726720 2024-08-07 1 1 AMY CIMINELLO P00796388 2483522500 2024-08-07 2022 2024-08-08 14:25:15Z ROBERT DAVID 1221 SOUTH DRIVE MT PLEASANT MI 48858 149479514 0 X WWW.MCLAREN.ORG/CENTRALMICHIGAN X 1940 MI TO IMPROVE THE HEALTH STATUS OF THE PEOPLE WE SERVE BY PROVIDING CARING, COMPASSIONATE, HIGH-QUALITY SERVICES. 12 8 895 28 149058 76155 9588527 5084014 132390392 140734581 942044 43561 -517483 604844 142403480 146467000 0 0 0 0 91836055 91482961 0 0 60424 72810480 74839500 164646535 166322461 -22243055 -19855461 71101093 66312167 17871126 10933647 53229967 55378520 MCLAREN HEALTH CARE, THROUGH ITS SUBSIDIARIES, WILL BE THE BEST VALUE IN HEALTHCARE AS DEFINED BY QUALITY OUTCOMES AND COST. 0 0 66029359 84119127 PROVIDED IMPATIENT, OUTPATIENT, AND HOME CARE MEDICAL SERVICES. (PATIENT ADMISSIONS - 1,869, PATIENT DAYS - 6,035, TOTAL OUTPATIENT VISITS - 109,150) 77513705 56615454 RURAL HEALTH CLINICS (RHC) BECAME PART OF MCLAREN CENTRAL DURING 2021 TO HELP BETTER SERVE THE RURAL COMMUNITIES WITHIN THE MCLAREN NETWORK. 143543064 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 100 0 1 895 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 8 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 1 0 X TARA SOULES 9897726720 1221 SOUTH DRIVE MT PLEASANT MI 48858 CHAD GRANT EVP & COO 0.13 49.87 X X 0 1580849 0 DANIEL BOGE VICE-CHAIR 0.20 1.00 X X 0 37250 0 ROBERT DAVID PRESIDENT/CEO 40.00 0.00 X X 430077 0 76036 ASHOK VASHISHTA MD CMO 0.08 0.00 X X 0 0 0 DOUG OUELLETTE DIRECTOR/CHAIR 0.20 0.00 X X 0 0 0 PERJOHAN PERSSON MS COS 0.05 0.00 X X 0 0 0 FRANK CLOUTIER DIRECTOR - PART YEAR 0.00 0.00 X 0 0 0 CINDY JACOBS DIRECTOR 0.06 0.00 X 0 0 0 LINDA KAUFMANN DIRECTOR - PART YEAR 0.05 0.00 X 0 0 0 PAMELA MYLER DIRECTOR 0.23 0.00 X 0 0 0 LORI ROGERS DIRECTOR 0.13 0.00 X 0 0 0 MATTHEW ROMASHKO DIRECTOR 0.19 0.00 X 0 0 0 MICHAEL SWIRTZ MD DIRECTOR 0.22 0.00 X 0 0 0 VICKIE TUMA DIRECTOR 0.22 0.00 X 0 0 0 TARA SOULES CHIEF FINANCIAL OFFICER 40.00 0.00 X 225081 0 11295 MICHAEL TERWILLINGER VP FACILITIES 40.00 0.00 X 165515 0 8332 JEANNIE SAGE CHIEF NURSING OFFICER 40.00 0.00 X 63881 0 2214 CAROLYN POTTER VP HR 20.00 20.00 X 0 290363 15102 DR MICHAEL GROSS ANESTHESIOLOGIST 40.00 0.00 X 619731 0 32364 DR KYLE GILDE ANESTHESIOLOGIST 40.00 0.00 X 530577 0 31851 DR ROBERT SEALS HOSPITALIST 40.00 0.00 X 343566 0 30594 DR IMAN ZEIDAN HOSPITALIST 40.00 0.00 X 343813 0 17060 DR KEVIN SURFACE HOSPITALIST 40.00 0.00 X 326946 0 31468 CLARENCE SEVILLIAN REGIONAL CEO 0.20 49.80 X 0 181046 0 DARRELL LENTZ PRESIDENT/CEO-PART YEAR 40.00 0.00 X 0 611528 126472 3049187 2701036 382788 41 1 1 0 AMERICAN HEALTHCARE STAFFING ASSOC LLC PO BOX 670529 DALLAS TX 752670529 CONTRACT LABOR 3724369 TH EIFERT INC 3302 W ST JOSEPH LANSING MI 48917 MECHANICAL CONTRACTOR 1591391 MORRISON MANAGEMENT SPECIALIST INC PO BOX 102289 ATLANTA GA 303682289 FOOD SERVICE 842795 DUFFEY PETROSKY 38505 COUNTRY CLUB DR SUITE 110 FARMINGTON HILLS MI 48331 MARKETING CAMPAIGNS 804919 CPS SOLUTIONS LLC 655 METRO PLACE SOUTH SUITE 450 DUBLIN OH 43017 CONTRACT LABOR 587891 19 5037157 46857 5084014 PATIENT SERVICE REVENUE 624100 121561495 121561495 340B RETAIL PHARMACY 456110 19173086 19173086 140734581 49002 49002 299881 2983172 -2683291 -2683291 -2683291 23901 29342 -5441 -5441 -5441 ACO SHARING 900099 550367 550367 FOOD/NUTRITIONAL SERVICES 900099 176714 176714 NON-PATIENT LAB TESTING 621500 149058 149058 2411996 2411996 3288135 146467000 140734581 149058 499347 X 755804 755804 76174273 67835049 8290607 48617 2258019 2061722 194595 1702 8345478 3356128 4983350 6000 3949387 3596229 349710 3448 3769 3769 64647 64647 1210 1210 27288966 26736490 552476 216517 11222 205295 2864143 2589622 274521 1256733 1163511 93222 6218733 3504807 2713926 234093 199320 34773 49004 49004 247822 247822 4156381 1958352 2197529 500 1275726 636017 639709 MEDICAL SUPPLIES 22801908 22585749 216002 157 BAD DEBTS 4478730 4478730 QAAP 2533642 2533642 UBI TAXES 27979 27979 1119497 219491 900006 166322461 143543064 22718973 60424 2400 2399 -22710741 254868 40843 39540 26953135 4246360 2395363 4110818 2565522 2563909 796942 490500 114185423 82271124 30190084 31914299 19361953 11178912 7657097 7685097 3848495 3825465 71101093 66312167 11116578 9052309 1118714 887755 5635834 993583 17871126 10933647 X 52417522 54548492 812445 830028 53229967 55378520 71101093 66312167 X -19855461 1933205 20070809 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1210 1210 0 PART II-B, LINE 1: A PORTION OF OUR DUES TO MICHIGAN HEALTH AND HOSPITAL ASSOCIATION SUPPORT LOBBYING ACTIVITIES. 812445 11824 73672 67913 830028 804264 46592 -19908 18503 812445 804628 39972 13790 54126 804264 695724 102337 17400 10833 804628 912573 303688 26084 546621 695724 0.00000 0.16970 0.83030 1 0 421143 421143 61296894 43204576 18092318 3465551 3118161 347390 49001835 35948387 13053448 31914299 COST REPORT RECEIVABLE 3008737 RIGHT OF USE ASSET LESS ACCUMULATED AMORTIZATION 121166 INVESTMENT - OTHER UNCON AFFILIATE 24500 INVESTMENT - 457B PLAN 671062 3825465 OPERATING LEASES 322522 PENSION - 457B PLAN 671061 993583 PART V, LINE 4: TO ASSIST IN FUTURE CAPITAL NEEDS TO SERVICE OUR COMMUNITY. 1 1 X 1 X 400.000000000000 1 X 1 1 0 1 1 1114333 1114333 0.00690 22918961 12568127 10350834 0.06400 24033294 12568127 11465167 0.07090 24472 24472 0.00020 24277 24277 0.00020 98875 98875 0.00060 147624 147624 0.00100 24180918 12568127 11612791 0.07190 15520 15520 0.00010 421707 421707 0.00260 437227 437227 0.00270 1 4478730 28687284 27801914 885370 X 1 1 1 1 MCLAREN CENTRAL MICHIGAN 1221 SOUTH DR MT PLEASANT MI 48858 HTTPS://TINYURL.COM/BDZFB2AS 1060000040 X X X MCLAREN CENTRAL MICHIGAN 1 0 0 1 X X X X X X X X X 22 1 0 1 1 X HTTPS://TINYURL.COM/YAWXCYL4 X X 1 23 1 HTTPS://TINYURL.COM/YAWXCYL4 0 1 X 400.000000000000 400.000000000000 X X X 1 1 X X X 1 X HTTPS://TINYURL.COM/YYA9C5OC X HTTPS://TINYURL.COM/YYA9C5OC X HTTPS://TINYURL.COM/YYA9C5OC X X X X X X 1 X 0 X X X X 1 X 0 0 MCLAREN CENTRAL MICHIGAN PART V, SECTION B, LINE 5: THERE WERE SEVEN PHASES TO MITHRIVE. THE FIRST FOUR INCLUDED, COMMUNITY THEMES & STRENGTHS ASSESSMENT, COMMUNITY HEALTH STATUS ASSESSMENT, LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT, AND FORCES OF CHANGE ASSESSMENT. THE COMMUNITY WAS EVALUATED BY COLLECTING DATA VIA MINI CLIENT INTERVIEWS, COMMUNITY INPUT BOARDS, GATHERING SECONDARY DATA FROM RELIABLE AND REPUTABLE SOURCES, COMMUNITY DISCUSSIONS, REGIONAL MEETINGS, COMMUNITY SURVEY AND A HEALTHCARE PROVIDER SURVEY. PHASE 5 PRIORITIZED THE ISSUES IDENTIFIED IN THE FIRST FOUR PHASES. PHASE SIX FORMED GOALS AND STRATEGIES FOR THE PRIORITIZED ISSUES, AND PHASE SEVEN WAS BUILDING THE ACTION PLAN FOR CARRYING OUT THE VISION.-3465 INDIVIDUALS PARTICIPATED IN A COMMUNITY SURVEY-354 PHYSICIANS AND HEALTHCARE PROVIDERS PARTICIPATED IN THE HEALTHCARE SURVEY-REGIONAL MEETINGS WERE CONDUCTED ALONG WITH STRATEGIC COMMUNITY-FOCUSEDCONVERSATIONS-100 HEALTH INDICATORS SUCH AS LEADING CAUSES OF DEATH, DISEASE RATES, HEALTH RISK BEHAVIORS AND ACCESS TO HEALTH CARE WERE COLLECTED AND ANALYZEDCHNA AND IMPLEMENTATION POLICY CAN BE ACCESSED AT: HTTPS://WWW.MCLAREN.ORG/MAIN/COMMUNITY-HEALTH-NEEDS-ASSESSMENT MCLAREN CENTRAL MICHIGAN PART V, SECTION B, LINE 6B: MITHRIVE MCLAREN CENTRAL MICHIGAN PART V, SECTION B, LINE 7D: ANNOUNCEMENTS WERE MADE AT HOSPITAL EXECUTIVE TEAM MEETINGS, SHARED WITH COMMUNITY SERVICE GROUPS, AND MENTIONED AT COMMUNITY EVENTS WHICH IMPACTED IDENTIFIED NEEDS. MCLAREN CENTRAL MICHIGAN PART V, SECTION B, LINE 11: THE HOSPITAL HAS A WRITTEN IMPROVEMENT PLAN THAT WAS ADOPTED BY THE MCLAREN CENTRAL MICHIGAN BOARD OF DIRECTORS ON JANUARY 25, 2023. THE PLAN INCLUDES STRATEGIES AND IMPLEMENTATIONS FOR THE HOSPITAL TO ADDRESS ACCESS TO HEALTHCARE/CHRONIC DISEASE PREVENTION, HEALTH EQUITY, MENTAL HEALTH, SAFETY AND WELL-BEING, SUBSTANCE USE, AND TRANSPORTATION. MCLAREN CENTRAL MICHIGAN ACKNOWLEDGES THE WIDE RANGE OF ISSUES THAT EMERGED FROM THE CHNA PROCESS, AND DETERMINED THAT WITH THE BROAD NATURE OF THE STRATEGIC ISSUES WE COULD EFFECTIVELY FOCUS ON ONLY THOSE ISSUES THAT WERE HEALTH RELATED. DUE TO THE LOWER PRIORITIZATION, MCM WILL NOT TARGET THE FOLLOWING IDENTIFIED STRATEGIC ISSUES:-AFFORDABLE HOUSING-ECONOMIC SECURITY-BROADBAND ACCESSTHE HOSPITAL FELT THESE WOULD HAVE LESS OF A VIABLE IMPACT WITH CHANGING. MCLAREN CENTRAL MICHIGAN PART V, SECTION B, LINE 13B: PRESUMPTIVE FINANCIAL ASSISTANCE MAY BE APPLIED BASED ON THIRD PARTY INFORMATION OR A PRIOR FINANCIAL ASSISTANCE DETERMINATION. DESIGNATED PERSONNEL WILL MAKE REASONABLE EFFORT TO NOTIFY THE INDIVIDUAL OF ASSISTANCE. PART V, LINE 13A: FINANCIAL ASSISTANCE GUIDELINES ARE BASED ON 400% OF THE FEDERAL POVERTY GUIDELINES (FPG) PUBLISHED ANNUALLY IN THE FEDERAL REGISTER. CARE IS DISCOUNTED 100% UP TO 400% OF THE FPG. DESIGNATED PERSONNEL WILL ACCESS THE FEDERAL REGISTER AND UPDATE THE FINANCIAL ASSISTANCE GUIDELINES ANNUALLY. THE DISCOUNT IS BASED ON FAMILY SIZE AND ANNUAL INCOME. 43 1 - MCLAREN CENTRAL - RHC HEALTH PARK 7 - PR 2940 HEALTH PARKWAY MT PLEASANT MI 48858 PROVIDER OFFICE 2 - MCLAREN CENTRAL - RHC HEALTH PARK 7 - UR 2940 HEALTH PARKWAY MT PLEASANT MI 48858 UROLOGY 3 - MCLAREN CENTRAL - RHC PICKARD STREET 5115 E PICKARD ST MT PLEASANT MI 48858 PRIMARY CARE 4 - MCLAREN CENTRAL - RHC HEALTH PARK 4 2853 HEALTH PARKWAY MT PLEASANT MI 48858 PROVIDER OFFICE 5 - MCLAREN CENTRAL - RHC READYCARE 1523 S MISSION ST MT PLEASANT MI 48858 WALK-IN CLINIC 6 - MCLAREN HEART CENTER - RHC MT PLEASANT 5115 E PICKARD ST MT PLEASANT MI 48858 CARDIOLOGY 7 - MCLAREN CENTRAL - RHC CLARE CLINIC 1509 N MCEWANN ST CLARE MI 48617 PROVIDER OFFICE 8 - MCLAREN CENTRAL - RHC WEIDMAN CLINIC 3520 N WOODRUFF RD WEIDMAN MI 48893 PROVIDER OFFICE 9 - MCLAREN BAY - RHC HEART AND VASCULAR - W 2110 M-76 SUITE 8 WEST BRANCH MI 48661 CARDIOLOGY 10 - MCLAREN BAY - RHC HEART AND VASCULAR - S 4489 W M-61 STANDISH MI 48658 CARDIOLOGY 11 - MCLAREN BAY REGION - RHC STANDISH FAMILY 4489 W M-61 SUITE 1 STANDISH MI 48658 FAMILY MEDICINE 12 - MCLAREN BAY REGION - RHC TAWAS INTERNAL 312 W M-55 TAWAS MI 48763 FAMILY MEDICINE 13 - MCLAREN PRIMARY CARE - RHC ROSE CITY 2990 CAMPBELL ROAD ROSE CITY MI 48654 FAMILY MEDICINE 14 - MCLAREN PRIMARY CARE - RHC ST HELEN 1360 N ST HELEN ROAD ST HELEN MI 48656 FAMILY MEDICINE 15 - MCLAREN PRIMARY CARE - WEST BRANCH 2110 M-76 SUITE 6 WEST BRANCH MI 48661 FAMILY MEDICINE 16 - MCLAREN PRIMARY CARE - RHC MIO 558 LOCKWOOD LANE MIO MI 48647 FAMILY MEDICINE 17 - MCLAREN BAY REGION - PHYSICAL MEDICINE & 565 PROGRESS AVE SUITE D WEST BRANCH MI 48661 PHYSICAL MEDICINE & REHAB 18 - MCLAREN CENTRAL - RHC INTERNAL MEDICINE 1201 SOUTH DRSUITE 131 MT PLEASANT MI 48858 INTERNAL MEDICINE 19 - MCLAREN CENTRAL - RHC PULMONOLOGY 1201 SOUTH DRSUITE 341 MT PLEASANT MI 48858 PULMONOLOGY 20 - MCLAREN CENTRAL - RHC MEDICAL ARTS GENER 1201 SOUTH DR SUITE 352 MT PLEASANT MI 48858 GENERAL SURGERY 21 - MCLAREN CENTRAL - RHC MEDICAL ARTS VASCU 1201 SOUTH DR SUITE 352 MT PLEASANT MI 48858 INTERVENTIONAL RADIOLOGY 22 - MCLAREN CENTRAL - RHC PEDIATRICS 1201 SOUTH DRSUITE 341 MT PLEASANT MI 48858 PEDIATRICS 23 - MCLAREN LAPEER - RHC BROWN CITY HEALTH C 7115 CADE ROAD BROWN CITY MI 48416 FAMILY MEDICINE 24 - MCLAREN THUMB REGION - RHC WOMEN'S HEALT 1005 S VAN DYKE RD BAD AXE MI 48413 OBSTETRICS/GYNECOLOGY 25 - MCLAREN NORTHERN MICHIGAN - RHC FAMILY 820 ARLINGTON AVE SUITE 258 PETOSKEY MI 49770 FAMILY MEDICINE/PRIMARY CARE 26 - MCLAREN NORTHERN MICHIGAN - RHC GAYLORD 1320 E M-32 GAYLORD MI 49735 FAMILY MEDICINE 27 - MCLAREN NORTHERN MICHIGAN - RHC CHEBOYGA 740 S MAIN STREET SUITE 3B CHEBOYGAN MI 49721 GENERAL SURGERY 28 - MCLAREN NORTHERN MICHIGAN - RHC ROGERS C 573 NORTH BRADLEY HIGHWAY ROSE CITY MI 49779 FAMILY MEDICINE 29 - MCLAREN NORTHERN MICHIGAN - RHC INFECTIO 560 WEST MITCHELL ST SUITE 170 PETOSKEY MI 49770 INFECTIOUS DISEASE 30 - MCLAREN NORTHERN MICHIGAN - RHC HEMATOLO 560 W MITCHELL ST SUITE 185 PETOSKEY MI 49770 HEMATOLOGY/ONCOLOGY 31 - MCLAREN NORTHERN MICHIGAN - RHC DIGESTIV 560 WEST MITCHELL ST SUITE M-40 PETOSKEY MI 49770 GASTROENTEROLOGY & INTERNAL MED. 32 - MCLAREN NORTHERN MICHIGAN - RHC CHEBOYGA 740 S MAIN STREET SUITE 3A CHEBOYGAN MI 49721 FAMILY MEDICINE 33 - MCLAREN NORTHERN MICHIGAN - RHC NEUROSCI 560 WEST MITCHELL ST SUITE 340 PETOSKEY MI 49770 NEUROLOGY 34 - MCLAREN NORTHERN MICHIGAN - RHC UROLOGY 560 WEST MITCHELL SUITE 125 PETOSKEY MI 49770 UROLOGY 35 - MCLAREN NORTHERN MICHIGAN - RHC MITCHELL 560 W MITCHELL ST SUITE C70 PETOSKEY MI 49770 FAMILY MEDICINE 36 - MCLAREN NORTHERN MICHIGAN - RHC HEART & 560 WEST MITCHELL ST SUITE 400 PETOSKEY MI 49770 CARDIOLOGY 37 - MCLAREN NORTHERN MICHIGAN - RHC HEART & 740 SOUTH MAIN ST SUITE 1D CHEBOYGAN MI 49721 VACANT 38 - MCLAREN NORTHERN - RHC ORTHOPEDIC SURGER 560 WEST MITCHELL ST SUITE 560 PETOSKEY MI 49770 ORTHOPEDICS/PODIATRY 39 - MCLAREN NORTHERN MICHIGAN - RHC INTERNAL 560 W MITCHELL STREET SUITE 300 PETOSKEY MI 49770 INTERNAL MEDICINE/ENDOCRINOLOGY 40 - MCLAREN NORTHERN MICHIGAN RHC MEDCENTER 1890 US-131 4 PETOSKEY MI 49770 VACANT 41 - MCLAREN NORTHERN MEDCENTER - RHC BOYNE 1249 M-75 BOYNE CITY MI 49712 PRIMARY CARE 42 - MCLAREN BAY REGION - GLADWIN FAMILY MEDICI 2137 W M-61 GLADWIN MI 48624 FAMILY MEDICINE 43 - MCLAREN BAY - HEART AND VASCULAR - GLADWIN 2137 W-M61 GLADWIN MI 48624 CARDIOLOGY PART I, LINE 6A: OUR PARENT, MCLAREN HEALTH CARE CORPORATION, PREPARES AN ANNUAL REPORT OF ITS MEMBER HOSPITALS. THIS ANNUAL REPORT IS AVAILABLE ON OUR WEBSITE. PART I, LINE 7: A COST TO CHARGE RATIO WAS USED TO COMPLETE THE CHARITY CARE (LINE 7A) AND MEANS-TESTED GOVERNMENT PROGRAMS (LINE 7B AND 7C). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 THAT ACCOMPANIES THE INSTRUCTIONS TO THIS SCHEDULE.THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO COMPLETE THE COMMUNITY BENEFIT IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS (LINE 7E) AND HEALTH PROFESSIONS EDUCATION (LINE 7F). PART I, LN 7 COL(F): THE PERCENTAGE IS CALCULATED BASED ON TOTAL FUNCTIONAL EXPENSES SHOWN ON PART X, LINE 25, LESS BAD DEBT OF $4,478,730. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY-BUILDING ACTIVITIES ARE DESIGNED AND IMPLEMENTED BASED ON COMMUNITY NEEDS ASSESSMENTS AND INPUT FROM COMMUNITY-BASED ORGANIZATIONS AND OTHER COMMUNITY STAKEHOLDERS, INCLUDING BUSINESS VENDORS, RELIGIOUS ORGANIZATIONS AND POLITICAL LEADERS. EACH ORGANIZATION DEFINES ANNUAL COMMUNITY-BUILDING AND OUTREACH ACTIVITY PLANS. THESE PLANS ARE DESIGNED TO ADDRESS THE SPECIFIC HEALTH PREVENTION, EDUCATION, DIAGNOSIS, TREATMENT AND FOLLOW-UP CARE REQUIREMENTS OF UNIQUE DISEASE, DEMOGRAPHIC AND GEOGRAPHIC COMMUNITIES IDENTIFIED BY ONGOING NEEDS ASSESSMENTS DESCRIBED ABOVE. PART III, LINE 2: THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2, IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX. PART III, LINE 4: ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF THE CORPORATION'S FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE CORPORATION'S ABILITY TO COLLECT OUTSTANDING AMOUNTS.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (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 CORPORATION RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS 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. PART III, LINE 8: THE AMOUNTS REPORTED FOR MEDICARE ARE FROM THE MEDICARE COST REPORT. THIS IS BASED ON THE METHODOLOGY REQUIRED FOR COMPLETING THE MEDICARE COST REPORT. ANY SHORTFALLS REPORTED ARE CONSIDERED COMMUNITY BENEFIT. PART III, LINE 9B: A FORMAL WRITTEN DEBT COLLECTION POLICY IS IN PLACE. THE COLLECTION POLICY WILL ASSESS A PATIENT'S ABILITY TO PAY FOR SERVICES INCLUDING METHODS OF PAYMENTS, ENTITLEMENT PROGRAMS, CHARITY CARE POLICIES, DISCOUNT POLICIES, INQUIRIES OF CREDIT REPORT AND OTHER AVAILABLE INFORMATION RELATIVE TO THE PATIENT'S FINANCIAL SITUATION. THE COLLECTION PROCESS BEGINS AT THE POINT OF SERVICE AND IS COMPLETED WHEN THE BALANCE IS RECONCILED AND MAY INCLUDE USE OF EXTERNAL COLLECTION AGENCIES AND OR ATTORNEY'S. PART VI, LINE 2: MCLAREN CENTRAL MICHIGAN PARTICIPATED IN A REGION WIDE COMMUNITY HEALTH ASSESSMENT CALLED MITHRIVE. MITHRIVE IS A COLLABORATION OF LOCAL HEALTH DEPARTMENTS, HOSPITALS, AND COMMUNITY ORGANIZATIONS WORKING WITH LOCAL RESIDENTS TO IMPROVE HEALTH AND WELLBEING IN THE 31 COUNTIES OF NORTHERN-LOWER MICHIGAN. OVER 150 COMMUNITY PARTNERS PARTICIPATED AND INPUT WAS RECEIVED FROM OVER 3,000 RESIDENTS. THERE WERE SEVEN PHASES TO MITHRIVE. THE FIRST FOUR INCLUDED, COMMUNITY THEMES & STRENGTHS ASSESSMENT, COMMUNITY HEALTH STATUS ASSESSMENT, LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT, AND FORCES OF CHANGE ASSESSMENT. THE COMMUNITY WAS EVALUATED BY COLLECTING DATA VIA MINI CLIENT INTERVIEWS, COMMUNITY INPUT BOARDS, GATHERING SECONDARY DATA FROM RELIABLE AND REPUTABLE SOURCES, COMMUNITY DISCUSSIONS, REGIONAL MEETINGS, COMMUNITY SURVEY AND A HEALTHCARE PROVIDER SURVEY. PHASE 5 PRIORITIZED THE ISSUES IDENTIFIED IN THE FIRST FOUR PHASES. PHASE SIX FORMED GOALS AND STRATEGIES FOR THE PRIORITIZED ISSUES, AND PHASE SEVEN WAS BUILDING THE ACTION PLAN FOR CARRYING OUT THE VISION.-MORE THAN 3465 INDIVIDUALS PARTICIPATED IN A COMMUNITY SURVEY-354 PHYSICIANS AND HEALTHCARE PROVIDERS PARTICIPATED IN THE HEALTHCARE SURVEY-REGIONAL MEETINGS WERE CONDUCTED ALONG WITH STRATEGIC COMMUNITY-FOCUSED CONVERSATIONS-100 HEALTH INDICATORS SUCH AS LEADING CAUSES OF DEATH, DISEASE RATES, HEALTH RISK BEHAVIORS AND ACCESS TO HEALTH CARE WERE COLLECTED AND ANALYZED PART VI, LINE 3: AVAILABILITY OF FINANCIAL ASSISTANCE INFORMATION AND EDUCATION IS PROVIDED AT ALL INPATIENT AND OUTPATIENT REGISTRATION POINTS-OF-SERVICE. INFORMATION AND EDUCATION IS ALSO AVAILABLE THROUGH THE ORGANIZATION'S WEBSITE. FINANCIAL AND APPLICATION FORMS ARE AVAILABLE AT ALL INPATIENT AND OUTPATIENT REGISTRATION POINTS-OF-SERVICE, INCLUDING PROVIDING ASSISTANCE IN COMPLETING THE APPLICATION. ORGANIZATION AND IT'S SUBSIDIARIES/AFFILIATES ALSO PROVIDE SPECIFICALLY-TRAINED COUNSELORS TO ASSIST PATIENTS AND REVIEW ELIGIBILITY FOR FEDERAL, STATE AND OTHER GOVERNMENT PROGRAMS, INCLUDING, BUT NOT LIMITED TO, MEDICAID, DISABILITY, SOCIAL SECURITY, AND ANY OTHER FORMS OF THIRD PARTY PAYMENT. PART VI, LINE 4: THE SERVICE AREA FOR MCLAREN CENTRAL MICHIGAN IS CLARE AND ISABELLA COUNTIES. COVERING 1,137 SQUARE MILES, BOTH COUNTIES ARE DESIGNATED AS "RURAL" BY THE U.S. CENSUS BUREAU, WITH THE EXCEPTION OF MOUNT PLEASANT IN ISABELLA COUNTY. THIS IS ONE OF ITS MOST IMPORTANT GEOGRAPHIC CHARACTERISTICS AS RURALITY INFLUENCES HEALTH AND WELL-BEING. THE COMPOSITION OF THE POPULATION IS ALSO IMPORTANT, AS HEALTH AND SOCIAL ISSUES CAN IMPACT GROUPS IN DIFFERENT WAYS, AND DIFFERENT STRATEGIES MAY BE MORE APPROPRIATE TO SUPPORT THESE DIVERSE GROUPS. OF THE 101,018 PEOPLE WHO LIVE IN CLARE AND ISABELLA COUNTIES, 89.58% ARE WHITE. THE LARGEST RACIAL OR ETHNIC MINORITY GROUPS ARE MULTIPLE RACES (3.98%), AMERICAN INDIAN AND ALASKA NATIVE (2.38%), BLACK (1.89%) AND ASIAN (1.19%), ACCORDING TO THE US CENSUS BUREAU AMERICAN COMMUNITY SURVEY 2016-20 5-YEAR ESTIMATES. IN ADDITION, A GREATER PROPORTION OF PEOPLE16.78% OF RESIDENTS IN CLARE AND ISABELLA COUNTIES HAVE A DISABILITY, COMPARED TO THE STATE (14.2%). PART VI, LINE 5: THE PARENT ORGANIZATION AND EACH OF ITS SUBSIDIARY/AFFILIATE MEMBERS MAINTAIN A LOCAL COMMUNITY-BASED BOARD WITH POWERS, RESPONSIBILITIES AND ACCOUNTABILITIES FOR THE OVERSIGHT OF THE OPERATION OF THEIR RESPECTIVE ORGANIZATIONS. EACH SUBSIDIARY/AFFILIATE ORGANIZATION MAINTAINS AN OPEN MEDICAL STAFF ALLOWING ANY PHYSICIAN OR OTHER CARE PROVIDER WITH PROPER CREDENTIALS TO JOIN THE STAFF AND PROVIDE APPROVED CARE. THE ORGANIZATION FUNDS AND MAINTAINS OVER 500 MEDICAL RESIDENCY AND FELLOWSHIP PROGRAMS TO TRAIN FUTURE GENERATIONS OF PHYSICIANS; ORGANIZATION FUNDS, OPERATES AND MAINTAINS NUMEROUS HEALTH CARE EDUCATION PROGRAMS AT THE HIGH SCHOOL, COMMUNITY COLLEGE, UNIVERSITY AND POST-GRADUATE LEVELS OF EDUCATION. ORGANIZATION PROVIDES SPONSORSHIP (FINANCIAL AND IN-KIND RESOURCES) SUPPORT TO COMMUNITY-LEVEL ACTIVITIES (HEALTH WALKS AND RACES, FITNESS TRAINING, DISEASE AWARENESS EVENTS, CULTURAL EVENTS AND OTHER HEALTH-RELATED NON-PROFIT ACTIVITIES, EVENTS AND ORGANIZATIONS). ORGANIZATION ALSO DIRECTS, FUNDS, SUPPORTS AND PARTICIPATES IN FUNDRAISING ACTIVITIES THAT SUPPORT HEALTH PREVENTION/EDUCATION, DIAGNOSIS AND TREATMENT PROVIDED BY OTHER NON-PROFIT COMMUNITY ORGANIZATIONS. PART VI, LINE 6: THE ROLE OF THE PARENT ORGANIZATION IS TO SET THE VISION AND STRATEGIC DIRECTION FOR THE ORGANIZATION AS A WHOLE. THIS INCLUDES THE DEVELOPMENT OF THE ANNUAL STRATEGIC PLAN WHICH DEFINES THE STRATEGIC PRIORITIES FOR THE ORGANIZATION AND ITS MEMBERS, THE METRICS TO BE MEASURED FOR EACH STRATEGIC PROGRAMS AND THE BENCHMARK OR TARGET/GOALS FOR EACH METRIC. STRATEGIC PRIORITIES DIRECTLY ADDRESS AND MEASURE (AT A SUBSIDIARY LEVEL) CLINICAL QUALITY AND CLINICAL OUTCOMES; PATIENT, PHYSICIAN, EMPLOYEE AND COMMUNITY SATISFACTION WITH THE ORGANIZATION AND ITS SUBSIDIARY/AFFILIATE MEMBERS; AND DEVELOPMENT OF NEW SERVICES TO IMPROVE ACCESS TO, QUALITY OF, AND COST OF HEALTH SERVICES.THE ROLE OF THE ORGANIZATION'S SUBSIDIARIES/AFFILIATES IS THE DEVELOPMENT AND IMPLEMENTATION OF ANNUAL STRATEGIC AND OPERATIONAL PLANS THAT SUPPORT AND ADVANCE THE STRATEGIC PLAN OF THE PARENT ORGANIZATION. ALL LOCAL PLANS ARE DEVELOPED AND DESIGNED TO REFLECT THE UNIQUE POPULATION-BASED HEALTH CARE NEEDS AND REQUIREMENTS OF THE COMMUNITIES SERVED BY THE SUBSIDIARY/AFFILIATE ORGANIZATION.ALL LOCAL SUBSIDIARIES/AFFILIATES HAVE FULL AUTHORITY AND DECISION-MAKING POWERS TO DEFINE AND EXECUTE THE STRATEGIC AND OPERATIONAL PLANS INTENDED TO IMPROVE THE HEALTH AND WELFARE OF THE COMMUNITIES THEY SERVE. PART VI, LINE 7, REPORTS FILED WITH STATES MI 0 1 0 0 0 0 0 1 0 CHAD GRANT EVP & COO 0 851712 0 407835 0 321302 0 0 0 36868 0 1617717 0 0 DARRELL LENTZ PRESIDENT/CEO-PART YEAR 0 540000 0 0 0 71528 0 86063 0 40409 0 738000 0 0 DR MICHAEL GROSS ANESTHESIOLOGIST 619731 0 0 0 0 0 15250 0 17114 0 652095 0 0 0 DR KYLE GILDE ANESTHESIOLOGIST 530577 0 0 0 0 0 15250 0 16601 0 562428 0 0 0 ROBERT DAVID PRESIDENT/CEO 383077 0 0 0 47000 0 57462 0 18574 0 506113 0 0 0 DR ROBERT SEALS HOSPITALIST 343566 0 0 0 0 0 15250 0 15344 0 374160 0 0 0 DR IMAN ZEIDAN HOSPITALIST 343813 0 0 0 0 0 15250 0 1810 0 360873 0 0 0 DR KEVIN SURFACE HOSPITALIST 326946 0 0 0 0 0 15250 0 16218 0 358414 0 0 0 CAROLYN POTTER VP HR 0 260362 0 27794 0 2207 0 13910 0 1192 0 305465 0 0 TARA SOULES CHIEF FINANCIAL OFFICER 225081 0 0 0 0 0 11295 0 0 0 236376 0 0 0 CLARENCE SEVILLIAN REGIONAL CEO 0 0 0 181046 0 0 0 0 0 0 0 181046 0 0 MICHAEL TERWILLINGER VP FACILITIES 165515 0 0 0 0 0 8332 0 0 0 173847 0 0 0 PART I, LINE 1A THE CEO/EXECUTIVE DIRECTOR WAS COMPENSATED BY A RELATED ORGANIZATION, AND THEREFORE NONE OF THE LINE 1 BOXES HAVE BEEN CHECKED. THE CORPORATE CEO, SUBSIDIARY CEOS AND CORPORATE EXECUTIVE & SENIOR VICE-PRESIDENTS IN SOME INSTANCES HAVE RECEIVED TAX INDEMNIFICATION FOR THE FOLLOWING BENEFITS: VEHICLE COSTS, GROUP TERM LIFE INSURANCE, SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS, AND HEALTH CLUB OR SOCIAL DUES. THESE BENEFITS HAVE BEEN INCLUDED IN TAXABLE COMPENSATION. PART I, LINE 3 THE CEO/EXECUTIVE DIRECTOR WAS COMPENSATED BY A RELATED ORGANIZATION, AND THEREFORE NONE OF THE LINE 3 BOXES HAVE BEEN CHECKED. THE RELATED ORGANIZATION USED THE FOLLOWING METHODOLOGIES TO ESTABLISH THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B MCLAREN MAINTAINS TWO SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES (THE "SERPS"). THE OLD SERP WAS CLOSED TO NEW PARTICIPANTS ON OCTOBER 1, 2006, AND THE NEW SERP BECAME EFFECTIVE AS OF JANUARY 1, 2007. NO EMPLOYEE MAY PARTICIPATE IN BOTH OF THE SERPS. THE OLD SERP IS STRUCTURED AS A DEFINED BENEFIT PLAN THAT ESSENTIALLY REPLACES THE BENEFITS THE PARTICIPANT IS NOT PERMITTED TO RECEIVE UNDER MCLAREN'S QUALIFIED RETIREMENT PLAN DUE TO IRS LIMITATIONS APPLICABLE TO QUALIFIED PLANS. THE BENEFIT UNDER THE OLD SERP IS PAYABLE IN EITHER THE FORM OF A LUMP SUM DISTRIBUTION OR IN MONTHLY PAYMENTS EQUAL TO THE ACTUARIAL EQUIVALENT OF THE PARTICIPANT'S ACCRUED BENEFIT. THE BENEFIT IS PAID AT AGE 55, AND IF THE PARTICIPANT REMAINS EMPLOYED, THE BENEFIT IS PAID UPON TERMINATION OF EMPLOYMENT, REDUCED TO TAKE INTO ACCOUNT THE BENEFIT PREVIOUSLY PAID. THE NEW SERP IS STRUCTURED AS A DEFINED CONTRIBUTION PLAN, AND MCLAREN CONTRIBUTES 15 PERCENT OF EACH PARTICIPANT'S COMPENSATION TO THE PLAN EACH YEAR FOR ALLOCATION TO THE PARTICIPANT'S ACCOUNT. PARTICIPANTS IN THE NEW SERP BECOME VESTED IN THEIR ACCOUNTS UPON THE EARLIER OF FIVE YEARS OF PARTICIPATION IN THE PLAN OR ATTAINMENT OF AGE 60. PARTICIPANTS IN THE NEW SERP SELF-DIRECT THE INVESTMENT OF THEIR ACCOUNTS AND HAVE THE ACTUAL INVESTMENT RETURN CREDITED OR DEBITED TO THEIR ACCOUNTS. THE BENEFIT UNDER THE NEW SERP IS EQUAL TO THE PARTICIPANT'S ACCOUNT BALANCE, AND THE BENEFIT IS PAID IN A SINGLE SUM WITHIN 60 DAYS OF THE PARTICIPANT'S TERMINATION DATE. BENEFITS UNDER BOTH SERPS ARE PROVIDED ON A TAX-NEUTRAL BASIS. BOTH SERPS ARE DESIGNED TO COMPLY WITH INTERNAL REVENUE CODE SECTIONS 457(F) AND 409A. PART I, LINE 7 MCLAREN HEALTH CARE (MHC) HAS A LEADERSHIP INCENTIVE PROGRAM FOR LEADERS OF THE CORPORATION, SUBSIDIARY EXECUTIVES AND DIRECTORS, MANAGERS AND SUPERVISORS. THE PURPOSE OF THE PLAN IS TO ENHANCE THE ORGANIZATION'S ABILITY TO ACHIEVE ITS GOALS BY PROVIDING TOP OFFICIALS AND THE BOARD OF DIRECTORS WITH A TOOL FOR (A) CLEARLY COMMUNICATING PERFORMANCE ON THE PART OF KEY LEADERS, (B) STIMULATING AND REWARDING SUPERIOR LEVELS OF PERFORMANCE ON THE PART OF KEY LEADERS WHICH WILL ULTIMATELY BENEFIT THE COMMUNITIES MHC SERVES, AND (C) PROTECTING MHC'S ABILITY TO COMPETE WITH OTHER EMPLOYERS FOR HIGH-TALENT LEADERS. FORM 990, PART VI, SECTION A, LINE 2 DANIEL BOGE HAS BUSINESS RELATIONSHIPS WITH PAM MYLER. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THIS ORGANIZATION IS MCLAREN HEALTH CARE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER SHALL HAVE THE EXCLUSIVE RIGHT TO ELECT OR APPOINT THE DIRECTORS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS BY THE GOVERNING BODY ARE SUBJECT TO THE POWERS OF THE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 DATA IS PREPARED INTERNALLY AND SUBMITTED TO OUR AUDITING FIRM FOR RETURN PREPARATION. ONCE THE RETURNS HAVE BEEN COMPLETED, THE FORMS ARE REVIEWED BY ENTITY CFO AND THE FINANCE LEADERSHIP OF MCLAREN HEALTH CARE (MHC). COPIES OF DRAFT RETURNS ARE MADE AVAILABLE TO THE MHC BOARD MEMBERS, WHO SERVE AS THE OVERALL GOVERNING BOARD. RETURNS ARE AVAILABLE FOR ALL CORPORATIONS OF WHICH MHC IS THE SOLE MEMBER AS WELL AS OTHER RELATED ENTITIES OF THOSE CORPORATIONS FOR REVIEW RATHER THAN HAVING THE LOCAL BOARDS REVIEW THE RETURNS. THE BOARD OF MHC IS THE ULTIMATE ACCOUNTABLE ORGANIZATION FOR THE SYSTEM; AS SUCH IT IS THE OVERALL GOVERNING BOARD OF THE SYSTEM, WHOSE RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: APPROVING ALL SUBSIDIARY BOARD MEMBERS, FINANCIAL BUDGETS, AND ISSUANCE OF DEBT. FORM 990, PART VI, SECTION B, LINE 12C THE CORPORATE COMPLIANCE DEPARTMENT, IN ACCORDANCE WITH THE MCLAREN HEALTH CARE (MHC) BOARD CONFLICT OF INTEREST POLICY, ANNUALLY DISTRIBUTES THE CONFLICT OF INTEREST DISCLOSURE SURVEY TO ALL MHC CORPORATE AND SUBSIDIARY ORGANIZATION BOARD MEMBERS, EXECUTIVES AND OTHER LEADERSHIP EMPLOYEES. THE CORPORATE COMPLIANCE DEPARTMENT THROUGH THE GOVERNANCE COMMITTEE, COMPILES AND ANALYZES SURVEY DATA BY ORGANIZATION, INVESTIGATES AND REVIEWS POTENTIAL CONFLICTS WITH THE ORGANIZATION'S CEO AND BOARD CHAIR, AND WHEN NECESSARY, RECOMMENDS ACTIONS TO BE TAKEN TO RESOLVE IDENTIFIED CONFLICTS. A COMPLETE REPORT OF ALL CORPORATE AND SUBSIDIARY BOARD MEMBER AND EXECUTIVE DISCLOSURES, CONFLICTS IDENTIFIED AND ACTIONS TAKEN IS REVIEWED BY THE MHC GOVERNANCE COMMITTEE AND EACH SUBSIDIARY CEO AND BOARD CHAIR RECEIVES A REPORT SPECIFIC TO THEIR ORGANIZATION'S BOARD MEMBERS AND EXECUTIVES. CONFLICTS ARE DISCLOSED TO THE FULL BOARD AND BOARD COMMITTEES SO APPROPRIATE ACTIONS CAN BE TAKEN. ACTIONS MAY INCLUDE PROHIBITING A BOARD MEMBER FROM PARTICIPATING IN DELIBERATIONS INVOLVING TRANSACTIONS WITH A COMPANY WITH WHICH THEY CONDUCT FINANCIAL TRANSACTIONS; BOARD MEMBERS FAILING TO COMPLETE A DISCLOSURE SURVEY OR INTENTIONALLY FAILING TO REPORT A KNOWN CONFLICT OF INTEREST ARE RELIEVED OF THEIR SERVICE TO MHC. FORM 990, PART VI, SECTION B, LINE 15B THE COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS TO REVIEW THE PERFORMANCE AND RECOMMEND THE TOTAL COMPENSATION PACKAGE OF THE MCLAREN HEALTHCARE CORPORATION'S CEO TO THE BOARD. FURTHER THE COMMITTEE ESTABLISHES THE SALARY RANGES AND PERQUISITES OF THE OTHER MOST HIGHLY COMPENSATED OFFICERS (MHC EXECUTIVE & SENIOR VICE-PRESIDENTS AND CEOS OF MHC SUBSIDIARY ORGANIZATIONS) TO THE BOARD. THE MEMBERS OF THE COMMITTEE MUST MEET THE INDEPENDENCE REQUIREMENTS OF THE APPLICABLE PROVISIONS OF SECTION 4958 OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED AND FINAL TREASURY REGULATIONS SECTION 53.4958-6(C)(1)(III). THE COMMITTEE RETAINS THE SERVICES ANNUALLY OF AN INDEPENDENT FIRM WITH SIGNIFICANT QUALIFICATIONS AND EXPERIENCE TO CONDUCT A REVIEW OF THE CORPORATION'S EXECUTIVE COMPENSATION PROGRAM. THE RETAINED FIRM UTILIZES APPROPRIATE COMPENSATION COMPARABILITY DATA. THE RETAINED FIRM CONDUCTS ANALYSIS OF THE COMPETITIVENESS OF THESE PROGRAMS AND EXPRESSES AN OPINION TO THE REASONABLENESS OF THESE COMPENSATION PROGRAMS. ALL DATA UTILIZED BY THE COMMITTEE, DELIBERATIONS OF THE COMMITTEE, AND FINAL COMPENSATION DECISIONS BY THE COMMITTEE ARE DOCUMENTED IN FORMAL REPORTS AND MINUTES. THE CORPORATE COMPENSATION COMMITTEE WORKS UNDER AND PERIODICALLY RENEWS THE MCLAREN HEALTH CARE CORPORATION COMPENSATION COMMITTEE CHARTER. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS FISCAL YEAR 2023. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT THERAPIES: PROGRAM SERVICE EXPENSES 4,808,390. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,808,390. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 4,136,807. MANAGEMENT AND GENERAL EXPENSES 92,488. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,229,295. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,020,770. MANAGEMENT AND GENERAL EXPENSES 493,657. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,514,427. AUXILIARY DEPARTMENTAL FEES: PROGRAM SERVICE EXPENSES 16,770,523. MANAGEMENT AND GENERAL EXPENSES -33,669. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,736,854. FORM 990, PART XI, LINE 9: RELATED PARTY TRANSFERS 20,113,702. RESTRICTED CHANGE IN FAIR VALUE OF PERPETUAL TRUST 24,697. RESTRICTED NET ASSETS RELEASED FROM RESTRICTIONS -67,590. FORM 990, PART XI, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MERIDIAN VENTURE DBA CENTRAL MICHIGAN VENTURES 1221 SOUTH DRIVE MOUNT PLEASANT MI 48858 383226022 HEALTH CARE SERVICES MI 0 0 MCLAREN CENTRAL MCLAREN BAY MEDICAL FOUNDATION 1900 COLUMBUS AVE BAY CITY MI 48708 382156534 FOUNDATION MI 501(C)(3) LINE 12A, I MCLAREN BAY REGION 1 MCLAREN BAY REGION 1900 COLUMBUS AVE BAY CITY MI 48708 381976271 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 BAY REGIONAL MEDICAL CENTER AUXILIARY 1908 COLUMBUS AVENUE BAY CITY MI 48708 386081235 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12A, I MCLAREN BAY REGION 1 MCLAREN BAY SPECIAL CARE 3250 E MIDLAND ROAD STE 1 BAY CITY MI 48706 383161753 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN BAY REGION 1 MCLAREN CENTRAL MICHIGAN 1221 SOUTH DRIVE MT PLEASANT MI 48858 381420304 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 CHARLEVOIX NURSING HOME CORPORATION DBA BOULDER PARK TERRACE 14676 WEST UPRIGHT CHARLEVOIX MI 49720 383038683 SKILLED NURSING FACILITY MI 501(C)(3) LINE 10 MCLAREN NORTHERN 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