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MCLAREN NORTHERN MICHIGAN: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
MCLAREN NORTHERN MICHIGAN (EIN 38-2146751)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-08-11
IRS object ID
202222239349301312
Schema version
2020v4.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-08-11T08:30:13-05:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13000 TOWN CENTER SUITE 100AddressLine1Txt
CitySOUTHFIELDCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48075ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN382146751EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MCLAREN NORTHERN MICHIGANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMCLABusinessNameControlTxt
Phone2314874094PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1416 CONNABLE AVENUEAddressLine1Txt
CityPETOSKEYCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49770ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTODD C BURCHPersonNm
Person TitleCEOPersonTitleTxt
Phone2314874094PhoneNum
Signature2022-08-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTODDPersonFirstNm
Person LastBURCHPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY CIMINELLOPreparerPersonNm
PTINP00796388PTIN
Phone2483522500PhoneNum
Preparation2022-08-09PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTODD C BURCHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1416 CONNABLE AVENUEAddressLine1Txt
CityPETOSKEYCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49770ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$318,073,702GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MCLAREN.ORG/NORTHERNMICHIGAN/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1977FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionMCLAREN HEALTH CARE, THROUGH ITS SUBSIDIARIES, WILL BE THE BEST VALUE IN HEALTH CARE AS DEFINED BY QUALITY OUTCOMES AND COST.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee1639TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$21,817TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$20,375,843PYContributionsGrantsAmt
CY Contributions Grants$11,862,411CYContributionsGrantsAmt
PY Program Service Revenue$256,901,523PYProgramServiceRevenueAmt
CY Program Service Revenue$265,473,103CYProgramServiceRevenueAmt
PY Investment Income$3,409,340PYInvestmentIncomeAmt
CY Investment Income$12,683,926CYInvestmentIncomeAmt
PY Other Revenue$6,934,955PYOtherRevenueAmt
CY Other Revenue$3,491,470CYOtherRevenueAmt
PY Total Revenue$287,621,661PYTotalRevenueAmt
CY Total Revenue$293,510,910CYTotalRevenueAmt
PY Grants And Similar Paid$93,039PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$36,174CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$104,027,918PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$100,711,163CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$150,411,343PYOtherExpensesAmt
CY Other Expenses$140,836,034CYOtherExpensesAmt
PY Total Expenses$254,532,300PYTotalExpensesAmt
CY Total Expenses$241,583,371CYTotalExpensesAmt
PY Revenues Less Expenses$33,089,361PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$51,927,539CYRevenuesLessExpensesAmt
Total Assets BOY$455,983,689TotalAssetsBOYAmt
Total Assets EOY$447,275,098TotalAssetsEOYAmt
Total Liabilities BOY$306,372,470TotalLiabilitiesBOYAmt
Total Liabilities EOY$285,010,657TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$149,611,219NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$162,264,441NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMCLAREN HEALTH CARE, THROUGH ITS SUBSIDIARIES, WILL BE THE BEST VALUE IN HEALTH CARE AS DEFINED BY QUALITY OUTCOMES AND COST.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$27,334,868ExpenseAmt
Grant$0GrantAmt
Revenue$54,771,741RevenueAmt
DescTHE TREATMENT AND DIAGNOSIS OF CARDIAC DISEASE (13,987 CASES).Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$14,519,630ExpenseAmt
Grant$0GrantAmt
Revenue$31,929,000RevenueAmt
DescTHE TREATMENT AND DIAGNOSIS OF GENERAL MEDICINE (2,887 CASES).Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$11,450,151ExpenseAmt
Grant$0GrantAmt
Revenue$23,981,732RevenueAmt
DescTHE TREATMENT AND DIAGNOSIS OF GENERAL SURGERY (2,152 CASES).Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$116,874,286ExpenseAmt
Grant$36,174GrantAmt
Revenue$155,710,876RevenueAmt
DescALL OTHER PROGRAM SERVICES INCLUDING: ONCOLOGY, ORTHOPEDICS, RADIOLOGY, NEUROLOGY, GASTROENTEROLOGY, REHABILITATION, OBSTETRICS, AND NEUROSURGERY.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$116,874,286TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$36,174TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$155,710,876TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$170,178,935TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document99IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1639EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMICHAEL PRUSAITISPersonNm
Phone2314874011PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1416 CONNABLE AVENUEAddressLine1Txt
CityPETOSKEYCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49770ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CLARENCE SEVILLIAN
TRUSTEE1.0049.00Yes (X)$0$1,141,744$32,465
TODD BURCH
TRUSTEE & PRESIDENT/CEO35.0013.50Yes (X)$0$432,020$127,868Yes (X)
KATHY ERBER
VICE CHAIRPERSON1.000.50Yes (X)$0$0$0Yes (X)
ROBERT HOLBEN
CHAIRPERSON1.000.00Yes (X)$0$0$0Yes (X)
WALTER SHEAR
SECRETARY1.000.00Yes (X)$0$0$0Yes (X)
CHANDRA DELORENZO
TRUSTEE1.000.00Yes (X)$0$0$0
DENNIS HESSELINK
TRUSTEE1.000.00Yes (X)$0$0$0
ELISE HAYES
TRUSTEE1.000.00Yes (X)$0$0$0
JOHN STEVEN BROWN
TRUSTEE1.000.00Yes (X)$0$0$0
JULIE FASONE-HOLDER
TRUSTEE1.000.00Yes (X)$0$0$0
ROBERT WALKER
TRUSTEE1.000.00Yes (X)$0$0$0
THOMAS CATTEL
TRUSTEE1.000.00Yes (X)$0$0$0
MATTHEW FRENTZ
TRUSTEE1.000.00Yes (X)$0$0$0
PATRICIA HEMINGWAY HALL
TRUSTEE1.000.00Yes (X)$0$0$0
ANDREW M MCDONAGH
VP - CMO25.0015.50$346,616$0$30,967Yes (X)
JENNIFER I WOODS
VP - CNO35.0015.00$190,925$0$23,145Yes (X)
SHARI A SCHULT
VP OF OPERATIONS30.0010.00$179,824$0$10,195Yes (X)
DEREK M PETERS
VP OF HUMAN RESOURCES20.0020.00$162,510$0$21,405Yes (X)
STEVEN THOMPSON
VP OF FINANCE/CFO - PART YEAR5.0040.00$296,897$0$12,160Yes (X)
WAYNE KNIGHT
VP OF FINANCE/CFO - PART YEAR20.0025.60$57,692$0$2Yes (X)
KAREN E DENBESTEN
PHYSICIAN40.000.00$378,176$0$30,831Yes (X)
JON A SANGEORZAN MD
PHYSICIAN40.000.00$201,997$0$23,862Yes (X)
MARGARET A ORR
MEDICAL DIRECTOR40.000.00$213,151$0$15,459Yes (X)
ANAS ORFALI
MEDICAL PHYSICIST40.000.00$205,226$0$19,835Yes (X)
QUENTIN DOPERALSKI
PHYSICIAN40.000.00$282,257$0$15,130Yes (X)
DAVID BELLAMY
VP OF FINANCE/CFO - FORMER20.0025.60$97,697$0$2,689Yes (X)
PATRICK SCHULTE
CHIEF DEV OFF - FORMER22.0028.00$104,086$25,828$7,112Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,717,054TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,599,592TotReportableCompRltdOrgAmt
Total Other Compensation$373,125TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K58IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ACUTE CARE SURGERY MEDICAL GROUP INC
2450 DEL PASO RD STE 250SACRAMENTOCA95834PHYSICIAN SERVICES$2,708,826
REHABCARE
PO BOX 502096ST LOUISMO631502096MANAGEMENT & THERAPY SERVICES$2,216,704
NORTHERN ANESTHESIA PROVIDERS
602 JACKSONPETOSKEYMI49770PHYSICIAN SERVICES$1,641,700
MORRISON HEALTHCARE
PO BOX 102289ATLANTAGA303682289MANAGEMENT & DIETARY SERVICES$1,357,922
WEATHERBY LOCUMS INC
PO BOX 972633DALLASTX753972633PHYSICIAN SERVICES$770,625
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K22CntrctRcvdGreaterThan100KCnt
Related Organizations$8,865,938RelatedOrganizationsAmt
Government Grants$2,996,473GovernmentGrantsAmt
Total Contributions$11,862,411TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REV621500$265,124,629$265,124,629
RELATED-PARTY RENT531390$256,420$256,420
MEDICAL SERVICE REIMBURSEMENTS621500$92,054$92,054
FieldValueIRS element (for citing)
Total Program Service Revenue$265,473,103TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,293,986TotalRevenueColumnAmt
Exclusion$1,293,986ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$534,374RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$483,648RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$50,726RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$50,726TotalRevenueColumnAmt
Exclusion$50,726ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$26,754,671SecuritiesAmt
Other$8,714,413OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$24,079,144SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,675,527SecuritiesAmt
Other$8,714,413OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,389,940TotalRevenueColumnAmt
Exclusion$11,389,940ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
APM PAYMENTS900099$920,246$920,246
CAFETERIA SALES722210$524,593$524,593
LAUNDRY900099$21,817$21,817

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,974,088TotalRevenueColumnAmt
Exclusion$1,974,088ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,440,744OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$293,510,910TotalRevenueColumnAmt
Related Or Exempt Func Income$266,393,349RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$21,817UnrelatedBusinessRevenueAmt
Exclusion$15,233,333ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$36,174TotalAmt
Program Services$36,174ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$83,890,619TotalAmt
Program Services$55,925,218ProgramServicesAmt
Management And General$27,965,401ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,945,732TotalAmt
Management And General$3,945,732ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,874,812TotalAmt
Program Services$11,255,017ProgramServicesAmt
Management And General$1,619,795ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$166,318TotalAmt
Management And General$166,318ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$55,022,337TotalAmt
Program Services$21,146,278ProgramServicesAmt
Management And General$33,876,059ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,416,209TotalAmt
Program Services$914,942ProgramServicesAmt
Management And General$501,267ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,207,127TotalAmt
Program Services$7,052,719ProgramServicesAmt
Management And General$2,154,408ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$65,114,798$63,939,342$1,175,456
PROVISION FOR BAD DEBT$9,646,275$9,646,275
RELATED PARTY RENT EXPE$262,970$262,970

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$241,583,371TotalAmt
Program Services$170,178,935ProgramServicesAmt
Management And General$71,404,436ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,451BOYAmt
EOY$5,548EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$104,228,740BOYAmt
EOY$80,435,380EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$20,429,314BOYAmt
EOY$27,710,340EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,752,407BOYAmt
EOY$8,011,870EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,187,123BOYAmt
EOY$1,074,948EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$272,821,474LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$60,142,402LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$164,431,046BOYAmt
EOY$212,679,072EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$50,161,497BOYAmt
EOY$53,689,364EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$58,054,782BOYAmt
EOY$13,318,607EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,477,876BOYAmt
EOY$181,974EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$18,576,849BOYAmt
EOY$20,878,420EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$29,677,604BOYAmt
EOY$29,289,575EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$455,983,689BOYAmt
EOY$447,275,098EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$82,943,755BOYAmt
EOY$79,992,846EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,757,918BOYAmt
EOY$2,047,451EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$154,422,822BOYAmt
EOY$151,339,078EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$66,247,975BOYAmt
EOY$51,631,282EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$306,372,470BOYAmt
EOY$285,010,657EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$134,149,254BOYAmt
EOY$162,264,441EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,461,965BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$149,611,219BOYAmt
EOY$162,264,441EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$455,983,689BOYAmt
EOY$447,275,098EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$51,927,539ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,763,298NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$41,037,615OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$8,042OtherActivitiesAmt
Total Lobbying Expenditures$8,042TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA PORTION OF OUR DUES TO MICHIGAN HEALTH AND HOSPITAL ASSOCIATION SUPPORT LOBBYING ACTIVITIES ON BEHALF OF MCLAREN NORTHERN MICHIGAN'S COMMON INTERESTS.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,767BeginningYearBalanceAmt
Investment Earnings Or Losses$1,097InvestmentEarningsOrLossesAmt
End Year Balance$6,864EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,454BeginningYearBalanceAmt
Investment Earnings Or Losses-$157InvestmentEarningsOrLossesAmt
Grants Or Scholarships$530GrantsOrScholarshipsAmt
End Year Balance$5,767EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,731BeginningYearBalanceAmt
Investment Earnings Or Losses-$277InvestmentEarningsOrLossesAmt
Grants Or Scholarships$8,000GrantsOrScholarshipsAmt
End Year Balance$6,454EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,444BeginningYearBalanceAmt
Investment Earnings Or Losses$287InvestmentEarningsOrLossesAmt
End Year Balance$14,731EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,979BeginningYearBalanceAmt
Investment Earnings Or Losses$1,465InvestmentEarningsOrLossesAmt
End Year Balance$14,444EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,957,348OtherCostOrOtherBasisAmt
Book Value$6,957,348BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$62,370,870OtherCostOrOtherBasisAmt
Depreciation$15,471,548DepreciationAmt
Book Value$46,899,322BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,419,090OtherCostOrOtherBasisAmt
Depreciation$1,421,276DepreciationAmt
Book Value$3,997,814BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$54,182,935OtherCostOrOtherBasisAmt
Depreciation$38,670,284DepreciationAmt
Book Value$15,512,651BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$143,891,231OtherCostOrOtherBasisAmt
Depreciation$4,579,294DepreciationAmt
Book Value$139,311,937BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$212,679,072TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATE$14,278,324
DEFERRED EQUIPMENT FEES$10,637,068
DP PENSION ASSET$4,374,183
FieldValueIRS element (for citing)
Total Book Value Other Assets$29,289,575TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
DUE TO AFFILIATE$18,506,373
COST REPORT SETTLEMENT PAYABLE$11,000,196
LTD OPERATING LEASES$21,315,706
PENSION 457B$158,974
OTHER NONCURRENT LIABILITIES$650,033
FieldValueIRS element (for citing)
Total Liability$51,631,282TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationMCLAREN NORTHERN MICHIGAN FOUNDATION HOLDS ENDOWMENTS ON BEHALF OF THE HOSPITAL. THE INTENDED PURPOSE OF THE ABOVE ENDOWMENT IS TO ASSIST PEDIATRIC PATIENTS.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$949,475TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$949,475NetCommunityBenefitExpnsAmt
Total Expense0.00410TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,735,679TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,131,454DirectOffsettingRevenueAmt
Net Community Benefit Expns$604,225NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,685,154TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,131,454DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,553,700NetCommunityBenefitExpnsAmt
Total Expense0.00670TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$239,042TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$239,042NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$620,886TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$620,886NetCommunityBenefitExpnsAmt
Total Expense0.00270TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,979,543TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,475,290DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,504,253NetCommunityBenefitExpnsAmt
Total Expense0.03240TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,058TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$34,058NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,873,529TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,475,290DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,398,239NetCommunityBenefitExpnsAmt
Total Expense0.03620TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$49,558,683TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$39,606,744DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,951,939NetCommunityBenefitExpnsAmt
Total Expense0.04290TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs30ActivitiesOrProgramsCnt
Total Community Benefit Expns$3,580TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,580NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs53ActivitiesOrProgramsCnt
Total Community Benefit Expns$6,216TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,216NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs83ActivitiesOrProgramsCnt
Total Community Benefit Expns$9,796TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,796NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$9,646,275BadDebtExpenseAmt
Bad Debt Expense Attributable$3,326,036BadDebtExpenseAttributableAmt
Reimbursed By Medicare$81,236,354ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$71,004,055CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$10,232,299MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MCLAREN NORTHERN MICHIGANBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1416 CONNABLE AVENUEAddressLine1Txt
CityPETOSKEYCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49770ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.MCLAREN.ORG/NORTHERNMICHIGAN/NORTHWebsiteAddressTxt
State License1060000053StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MCLAREN NORTHERN MICHIGANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://TINYURL.COM/YAWXCYL4OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://TINYURL.COM/YAWXCYL4StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://TINYURL.COM/YYA9C5OCFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://TINYURL.COM/YYA9C5OCFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://TINYURL.COM/YYA9C5OCFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
MCLAREN NORTHERN MICHIGANPART V, SECTION B, LINE 5: A COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON THE HOSPITAL'S WEBSITE LOCATED AT HTTPS://WWW.MCLAREN.ORG/MAIN/COMMUNITY-HEALTH-NEEDS-ASSESSMENTMCLAREN NORTHERN MICHIGAN IN CONJUNCTION WITH 12 OTHER HOSPITALS AND 7 DISTRICT HEALTH DEPARTMENTS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT. MORE THAN 150 ORGANIZATIONS IN THE 31 COUNTY REGION PARTICIPATED IN COLLECTING DATA BY CONDUCTING 4 ASSESSMENTS: COMMUNITY STATUS, LOCAL COMMUNITY SERVICES, COMMUNITY THEMES AND STRENGTHS, AND FORCES OF CHANGE. CONDUCTED COMMUNITY INPUT BOARDS, MINI CLIENT INTERVIEWS, (INCLUDING SPECIAL POPULATIONS, SENIORS, PERSONS/FAMILIES WITH PHYSICAL AND MENTAL DEVELOPMENTAL DISABILITIES, AND YOUNG CHILDREN 0 - 5 YRS, AND OTHERS), AND SURVEYED COMMUNITY AND HEALTH CARE PROVIDERS.
MCLAREN NORTHERN MICHIGANPART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN CONJUNCTION WITH 12 OTHER HOSPITALS INCLUDING KALKASKA MEMORIAL HEALTH CENTER, MCLAREN CENTRAL MICHIGAN, MID-MICHIGAN- ALPENA, MID-MICHIGAN HEALTH- CLARE/GLADWIN, MUNSON MEDICAL CENTER, MUNSON HEALTHCARE CADILLAC HOSPITAL, MUNSON HEALTHCARE CHARLEVOIX HOSPITAL, MUNSON HEALTHCARE GRAYLING HOPSITAL, MUNSON HEALTHCARE MANISTEE HOSPITAL, MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL, MUNSON HEALTHCARE PAUL OLIVER MEMORIAL HOSPITAL, AND SPECTRUM HEALTH AND 7 DISTRICT HEALTH DEPARTMENTS: BENZIE-LEELANAU, CENTRAL MICHIGAN, HEALTH DEPARTMENT #10, HEALTH DEPARTMENT #2, HEALTH DEPARTMENT #4, GRAND TRAVERSE COUNTY, HEALTH DEPARTMENT OF NORTHWEST MICHIGAN. OTHER COLLABORATORS INCLUDED NORTH COUNTRY COMMUNITY MENTAL HEALTH, NORTHERN MICHIGAN COMMUNITY HEALTH INNOVATION REGION, AND GRAND TRAVERSE HEALTH.
MCLAREN NORTHERN MICHIGANPART V, SECTION B, LINE 7D: HOSPITAL REPRESENTATIVES PRESENTED THE COMMUNITY HEALTH NEEDS ASSESSMENT RESULTS AND IMPLEMENTATION STRATEGY TO COMMUNITY ADVISORY COUNCILS, BUSINESS LEADERS, AND VARIOUS COMMUNITY GROUPS.
MCLAREN NORTHERN MICHIGANPART V, SECTION B, LINE 11: TWO MAJOR FOCUS AREAS WERE IDENTIFIED THROUGH THE ASSESSMENT PROCESS: MENTAL HEALTH & SUBSTANCE USE AND BASIC NEEDS OF LIVING. ANOTHER ISSUE OF IMPORTANCE WAS RISKS FOR LEADING CAUSES OF DEATH (CHRONIC DISEASE). AN IMPLEMENTATION STRATEGY WAS DEVELOPED TO ADDRESS THESE ISSUES. THE HOSPITAL AND OTHER COMMUNITY PARTNERS REVIEWED SEVEN COMMUNITY THEMES THAT RESULTED FROM THE ASSESSMENT: BASIC NEEDS, MENTAL HEALTH/SUBSTANCE USE, ACCESS TO HEALTHCARE, SENSE OF COMMUNITY, CHRONIC DISEASE, CROSS-SECTOR COLLABORATION, AND COMMUNITY VOICE. TWO PRIORITIES WERE IDENTIFIED: MENTAL HEALTH & SUBSTANCE USE AND BASIC NEEDS OF LIVING INCLUDING TRANSPORTATION & PHYSICAL ACTIVITY, HOUSING, FOOD, AND POVERTY/ECONOMIC SECURITY. THE HOSPITAL DID NOT ADDRESS SENSE OF COMMUNITY, CROSS-SECTOR COLLABORATION OR COMMUNITY VOICE IN THIS PLAN DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES ON THE THREE NEEDS IDENTIFIED ABOVE.A COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON THE HOSPITAL'S WEBSITE LOCATED AT HTTPS://WWW.MCLAREN.ORG/MAIN/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
MCLAREN NORTHERN MICHIGANPART 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.
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - MCLAREN NORTHERN MICHIGAN-CHEBOYGAN CAMP
748 MAIN STCHEBOYGANMI49721OUTPATIENT SERVICES - RADIOLOGY, LAB, EMERGENT, SURGERY
2 - WELLNESS PAVILLION AND DIALYSIS CENTER
820 ARLINGTON AVENUEPETOSKEYMI49770OUTPATIENT SERVICES - DIALYSIS, PT, OT, CARDIAC REHAB, PHYSICIAN PRACTICE
3 - GREAT LAKES MOBILE PET
416 CONNABLE AVENUEPETOSKEYMI49770MOBILE UNIT - PET SERVICES

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:INCOME CRITERIA IS BASED ON A 200% FEDERAL POVERTY GUIDELINES PER THE FEDERAL REGISTER. COLLECTIONS MAY BE CONSIDERED IF THE PATIENT HAS SUFFICIENT LIQUID ASSETS.
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). 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 HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, AND CASH CONTRIBUTIONS (LINES 7E, 7F, 7G, AND 7I).
PART I, LINE 7G:SUBSIDIZED HEALTH SERVICES INCLUDE: ACUTE REHAB, PSYCHIATRY, NEWBORNS, OB, WOMEN'S SERVICES, ACUTE INPATIENT, OUTPATIENT FIXED AND HEMODIALYSIS.
PART I, LN 7 COL(F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24E - BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE SCHEDULE H, PART I, COLUMN F PERCENTAGE EQUALS $9,646,275
PART II, COMMUNITY BUILDING ACTIVITIES:COMMUNITY BUILDING ACTIVITIES SUPPORT IDENTIFIED COMMUNITY NEEDS AND COMMUNITY COLLABORATIVES SUCH AS TRANSPORTATION, WORKFORCE DEVELOPMENT AND COMMUNITY HEALTH, BY PROVIDING IN-KIND SERVICES, FINANCIAL RESOURCES AND STAFF EXPERTISE FROM THE HOSPITAL.
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 3:TO DETERMINE THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY, ADMINISTRATION ESTIMATED A PERCENTAGE OF INDIVIDUALS WHO DID NOT COMPLETE THE CHARITY CARE APPLICATION PROCESS, OR DID NOT TAKE THE TIME TO APPLY - WHICH AMOUNTS TO $3,326,036.
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, WHICH DO NOT SHOW A SHORTFALL. THIS IS BASED ON THE METHODOLOGY REQUIRED FOR COMPLETING THE MEDICARE COST REPORT.
PART III, LINE 9B:THE ORGANIZATION'S WRITTEN DEBT COLLECTION POLICY DOES NOT CONTAIN PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE BECAUSE IF POSSIBLE WE TRY TO IDENTIFY AND DETERMINE ELIGIBILITY FOR CHARITY CARE BEFORE SERVICES ARE PROVIDED. ALSO, IT IS STATED IN OUR CHARITY CARE POLICY THAT ONCE ELIGIBLE, NO COLLECTION AGENCIES OR OTHER COLLECTION PROCESSES WILL BE FOLLOWED UNLESS THE PATIENT'S FINANCIAL CIRCUMSTANCES MATERIALLY CHANGE.
PART VI, LINE 2:MCLAREN NORTHERN MICHIGAN ASSESSES THE NEEDS AND ASSETS OF THE COMMUNITY BY COLLABORATING WITH COMMUNITY AND STRATEGIC PARTNERS TO REVIEW DEMOGRAPHICS, HEALTH INDICATORS, MORBIDITY AND MORTALITY DATA, ANALYZING COST DRIVERS, AND CONDUCTING FOCUS GROUPS, SURVEYS, AND COMMUNITY FORUMS.
PART VI, LINE 3:AS PATIENTS ARE REGISTERED EITHER IN PERSON OR OVER THE PHONE THEY ARE GIVEN CONTACT INFORMATION FOR PATIENT FINANCIAL SERVICES REPRESENTATIVES IF THEY HAVE NO INSURANCE, ARE UNDER INSURED OR HAVE HIGH CO-PAY'S. THERE ARE PATIENT FINANCIAL SERVICES BROCHURES DISPLAYED AT ALL REGISTRATION AREAS THAT DESCRIBE THE VARIOUS FINANCIAL ASSISTANCE PROGRAMS AVAILABLE. THROUGH OUR CARE COORDINATION PROGRAM ALL PATIENTS WITH NO INSURANCE ARE SEEN TO ASSIST WITH FINANCIAL ASSISTANCE PROGRAMS.
PART VI, LINE 4:MCLAREN NORTHERN MICHIGAN, A SUBSIDIARY OF MCLAREN HEALTH CARE, IS A 202-BED REGIONAL REFERRAL CENTER LOCATED IN PETOSKEY, SERVING RESIDENTS IN 22 COUNTIES ACROSS NORTHERN LOWER MICHIGAN AND THE EASTERN PART OF THE UPPER PENINSULA. A MEDICAL STAFF OF MORE THAN 230 PHYSICIANS REPRESENTS NEARLY ALL MEDICAL AND SURGICAL SPECIALTIES, ENABLING FULL-SERVICE CARE WITH AN EMPHASIS ON HEART, CANCER, ORTHOPEDICS, AND NEUROSCIENCE SERVICES. PREDICATED ON A VISION TO PROVIDE PATIENT-CENTERED CARE, EXTENSIVE EFFORTS IN TARGETING REGIONAL HEALTH CONCERNS HAS LED TO COLLABORATIVE PROGRAMS AND SERVICES IN PRIMARY CARE, HEART, CANCER AND DIAGNOSTICS. THIS APPROACH TO HIGH QUALITY, COST EFFECTIVE HEALTHCARE DELIVERY IN THIS RURAL AND REMOTE AREA HAS BEEN STRENGTHENED BY A LONG STANDING PRACTICE OF SPECIALTY PHYSICIANS HOSTING ON-SITE CLINIC VISITS TO OUTLYING COMMUNITIES. MCLAREN NORTHERN MICHIGAN IS WORKING TO INFLUENCE BEHAVIOR THROUGH EDUCATION, PREVENTION THROUGH SCREENING, AND PROVIDING ACCESSIBLE TREATMENT THROUGH PHYSICIAN CLINICS AND HEALTH CENTERS THROUGHOUT THE REGION.
PART VI, LINE 5:THE HOSPITAL HAS AN ESTABLISHED REGIONAL COMMUNITY ADVISORY BOARD WHICH MEETS TO ACTIVELY ADDRESS HEALTHCARE ISSUES IN THE REGION. THE HOSPITAL PROVIDES COMMUNITY BENEFIT ACTIVITIES INCLUDING COMMUNITY HEALTH IMPROVEMENT AND HEALTH EDUCATION PROGRAMS AND SERVICES TO IMPROVE ACCESS TO HEALTHCARE, PROMOTE HEALTH AND WELLNESS, AND MANAGE CHRONIC DISEASE.
PART VI, LINE 6:AFFILIATES OF MCLAREN NORTHERN MICHIGAN INCLUDE THE FOLLOWING ORGANIZATIONS, EACH OF WHICH CONTRIBUTE TO HEALTH PROMOTION IN THE MANNER INDICATED: * MCLAREN NORTHERN MICHIGAN FOUNDATION - RAISES, MANAGES, AND DISPENSES FUNDS TO SUPPORT THE MISSION OF MCLAREN NORTHERN MICHIGAN AND PROVIDE PROGRAMS THAT ENHANCE THE WELL-BEING OF THE COMMUNITY. * BOULDER PARK TERRACE - PROVIDES SKILLED NURSING AND SUB-ACUTE REHABILITATION SERVICES. * VITALCARE - PROVIDES HOME HEALTH SERVICES, HOME MEDICAL EQUIPMENT AND SUPPLIES, HOSPICE SERVICES, PRIVATE DUTY SERVICES, AND ADULT DAY SERVICES.* PHYSICIAN PRACTICES - OFFER THE OPPORTUNITY FOR SEAMLESS PATIENT CARE WITHIN THE REGION THROUGH A SYSTEM OF WHOLLY-OWNED SPECIALTY MEDICINE PRACTICES: MICHIGAN HEART & VASCULAR SPECIALISTS, NORTHERN MICHIGAN INFECTIOUS DISEASES, NORTHERN MICHIGAN HEMATOLOGY/ONCOLOGY, MCLAREN NORTHERN MICHIGAN NEUROSCIENCES, MCLAREN NORTHERN MICHIGAN NEPHROLOGY, MCLAREN NORTHERN MICHIGAN DIGESTIVE HEALTH AND PRIMARY CARE PRACTICES IN PETOSKEY, CHEBOYGAN, CHARLEVOIX, GAYLORD, INDIAN RIVER AND ROGERS CITY.
PART VI, LINE 7, REPORTS FILED WITH STATESMI

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1MCLAREN NORTHERN MICHIGAN FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1360 CONNABLE AVENUEAddressLine1Txt
CityPETOSKEYCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49770ZIPCd
FieldValueIRS element (for citing)
Recipient EIN382445611RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$36,174CashGrantAmt
Valuation Method UsedN/AValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc
Purpose Of GrantRENT/GENERAL OPERATIONSPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationGRANTS MADE TO RELATED ORGANIZATIONS ARE MONITORED THROUGH THE MONTHLY ACCOUNTING PROCESSES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CLARENCE SEVILLIAN
TRUSTEE$0$606,687$0$245,850$0$289,207$0$14,250$0$18,215$0$1,174,209$0$0
TODD BURCH
TRUSTEE & PRESIDENT/CEO$0$401,231$0$0$0$30,789$0$110,292$0$17,576$0$559,888$0$0
KAREN E DENBESTEN
PHYSICIAN$333,254$0$24,132$0$20,790$0$14,250$0$16,581$0$409,007$0$0$0
ANDREW M MCDONAGH
VP - CMO$343,052$0$0$0$3,564$0$14,250$0$16,717$0$377,583$0$0$0
STEVEN THOMPSON
VP OF FINANCE/CFO - PART YEAR$296,154$0$0$0$743$0$5,206$0$6,954$0$309,057$0$0$0
QUENTIN DOPERALSKI
PHYSICIAN$282,017$0$0$0$240$0$3,826$0$11,304$0$297,387$0$0$0
MARGARET A ORR
MEDICAL DIRECTOR$209,146$0$0$0$4,005$0$9,695$0$5,764$0$228,610$0$0$0
JON A SANGEORZAN MD
PHYSICIAN$185,236$0$14,781$0$1,980$0$10,407$0$13,455$0$225,859$0$0$0
ANAS ORFALI
MEDICAL PHYSICIST$185,546$0$0$0$19,680$0$10,551$0$9,284$0$225,061$0$0$0
JENNIFER I WOODS
VP - CNO$189,683$0$0$0$1,242$0$9,725$0$13,420$0$214,070$0$0$0
SHARI A SCHULT
VP OF OPERATIONS$177,502$0$0$0$2,322$0$9,028$0$1,167$0$190,019$0$0$0
DEREK M PETERS
VP OF HUMAN RESOURCES$161,977$0$0$0$533$0$8,069$0$13,336$0$183,915$0$0$0
PATRICK SCHULTE
CHIEF DEV OFF - FORMER$54,454$25,828$0$0$49,632$0$1,669$0$5,443$0$111,198$25,828$0$0
DAVID BELLAMY
VP OF FINANCE/CFO - FORMER$0$0$0$0$97,697$0$0$0$2,689$0$100,386$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHE 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 3THE 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, LINES 4A-BDAVID BELLAMY RECEIVED SEVERANCE PAYMENTS UNTIL FEBRUARY 1, 2020 TOTALING $46,540. PATRICK SCHULTE RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION UNTIL AUGUST 1, 2020 TOTALING $48,858. 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 7MCLAREN 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6MCLAREN HEALTH CARE CORPORATION IS THE SOLE MEMBER OF MCLAREN NORTHERN MICHIGAN.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBER SHALL HAVE THE EXCLUSIVE RIGHT TO ELECT OR APPOINT THE DIRECTORS OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7BTHE MEMBER MUST APPROVE THE FOLLOWING ACTIONS AUTHORIZED BY THE BOARD BEFORE THE ACTIONS CAN BECOME EFFECTIVE: (1) ANY AMENDMENT, MODIFICATION OR REPEAL OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; (2) THE ACQUISITION OR CREATION OF ALL WHOLLY-OWNED OR CONTROLLED CORPORATIONS AND ANY MERGER, CONSOLIDATION OR AFFILIATION OF THE CORPORATION WITH ANOTHER ENTITY; (3) ANY VOLUNTARY DISSOLUTION OF THE CORPORATION; (4) ANY NEW OR ADDITIONAL MEMBERS OF THE CORPORATION; (5) ANY CHANGE IN THE VOTING POWERS OF MCLAREN AS THE SOLE MEMBER; (6) ANY SALE, LEASE, OR OTHER TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; (7) THE DISCONTINUANCE OR MATERIAL MODIFICATION OF A MAJOR ACTIVITY, PROGRAM, OR SERVICE OF THE CORPORATION; (8) THE STRATEGIC AND LONG-RANGE PLANS AND THE ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS OF THE CORPORATION, AS DEVELOPED BY THE MANAGEMENT OF THE CORPORATION, WHICH APPROVAL THE MEMBER WILL NOT UNREASONABLY DENY; (9) THE CREATION OF ANY LONG-TERM OBLIGATION OF THE CORPORATION (OTHER THAN INDEBTEDNESS AS DESCRIBED BELOW), IF THE PRINCIPAL AMOUNT EXCEEDS 25% OF THE VALUE OF THE CORPORATION'S NET ASSETS (TOTAL ASSETS MINUS TOTAL LIABILITIES), EXCEPT THAT APPROVAL OF THE MEMBER IS NOT REQUIRED FOR ANY OBLIGATION INCURRED IN THE ORDINARY COURSE OF BUSINESS THAT IS PAYABLE ON DEMAND OR MATURES WITHIN 12 MONTHS FROM THE DATE OF ITS CREATION; (10) THE CORPORATION'S ISSUANCE OF NOTES, BONDS, OR OTHER EVIDENCE OF INDEBTEDNESS; (11) THE SALE, CONVEYANCE, ASSIGNMENT, TRANSFER, ALIENATION, PLEDGE, OR ENCUMBRANCE OF THE CORPORATION'S REAL PROPERTY WITH AN ANNUAL AGGREGATE VALUE IN EXCESS OF $250,000; (12) THE CORPORATION'S PURCHASE OR ACQUISITION OF ADDITIONAL REAL PROPERTY WITH AN ANNUAL AGGREGATE VALUE IN EXCESS OF $250,000; AND (13) APPROVE UNBUDGETED CAPITAL EXPENDITURES IN EXCESS OF $250,000 IN THE ANNUAL AGGREGATE.
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 THE CORPORATE DIRECTOR OF BUDGET, THE CORPORATE SENIOR VICE PRESIDENT AND CFO OF MCLAREN HEALTH CARE CORPORATION (MHCC). COPIES OF 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 12CTHE 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 15BTHE 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 2021.
FORM 990, PART VI, SECTION C, LINE 19ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GOTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 21,146,278. MANAGEMENT AND GENERAL EXPENSES 33,876,059. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,022,337.
FORM 990, PART XI, LINE 9:CHANGE IN FOUNDATION HELD ASSETS -15,461,965. PENSION RELATED CHANGES 16,638,887. EQUITY TRANSFER TO AFFILIATES -42,369,241. OTHER CHANGES IN PROVIDER-BASED NET ASSET 154,704.
FORM 990, PART XII, LINE 2C:THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (47 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
MCLAREN BAY MEDICAL FOUNDATION
1900 COLUMBUS AVEBAY CITYMI48708382156534FOUNDATIONMI501(C)(3)LINE 12A, IMCLAREN BAY REGIONYes (1)
MCLAREN BAY REGION
1900 COLUMBUS AVEBAY CITYMI48708381976271HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATIONYes (1)
BAY REGIONAL MEDICAL CENTER AUXILIARY
1908 COLUMBUS AVENUEBAY CITYMI48708386081235SUPPORTING ORGANIZATIONMI501(C)(3)LINE 12A, IMCLAREN BAY REGIONYes (1)
MCLAREN BAY SPECIAL CARE
3250 E MIDLAND ROAD STE 1BAY CITYMI48706383161753HOSPITALMI501(C)(3)LINE 3MCLAREN BAY REGIONYes (1)
MCLAREN CENTRAL MICHIGAN
1221 SOUTH DRIVEMT PLEASANTMI48858381420304HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATIONYes (1)
CHARLEVOIX NURSING HOME CORPORATION DBA BOULDER PARK TERRACE
14676 WEST UPRIGHTCHARLEVOIXMI49720383038683SKILLED NURSING FACILITYMI501(C)(3)LINE 10MCLAREN NORTHERN MICHIGANYes (1)
KARMANOS CANCER FOUNDATION
4100 JOHN R STDETROITMI48201383584572FOUNDATIONMI501(C)(3)LINE 7BARBARA ANN KARMANOS CANCER INSTITUTEYes (1)
MCLAREN GREATER LANSING FOUNDATION
401 W GREENLAWN AVELANSINGMI48910382463637FOUNDATIONMI501(C)(3)LINE 7MCLAREN GREATER LANSINGYes (1)
MCLAREN GREATER LANSING
401 W GREENLAWN AVELANSINGMI48910381434090HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATIONYes (1)
BARBARA ANN KARMANOS CANCER HOSPITAL
4100 JOHN R STDETROITMI48201201649466HOSPITALMI501(C)(3)LINE 3BARBARA ANN KARMANOS CANCER INSTITUTEYes (1)
BARBARA ANN KARMANOS CANCER INSTITUTE
4100 JOHN R STDETROITMI48201381613280CANCER RESEARCH & CARE CENTERMI501(C)(3)LINE 7MCLAREN HEALTH CARE CORPORATIONYes (1)
MCLAREN LAPEER REGION
1375 N MAIN STLAPEERMI48446382689033HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATIONYes (1)
MCLAREN LAPEER REGION FOUNDATION
1375 N MAIN STLAPEERMI48446382689603FOUNDATIONMI501(C)(3)LINE 12A, IMCLAREN LAPEER REGIONYes (1)
MARWOOD MANOR NURSING HOME
PO BOX 5011PORT HURONMI48060382683251NURSING HOMEMI501(C)(3)LINE 10PORT HURON HOSPITALYes (1)
MCLAREN HEALTH CARE CORPORATION
ONE MCLAREN PARKWAYGRAND BLANCMI48439382397643SUPPORTING ORGMI501(C)(3)LINE 12A, I0N/A
MCLAREN HEALTH CARE VILLAGE FOUNDATION
401 S BALLENGER HIGHWAYFLINTMI48532262693350SUPPORTING ORGMI501(C)(3)LINE 12A, IMCLAREN HEALTH CARE CORPORATIONYes (1)
MCLAREN HEALTH PLAN COMMUNITY
G-3245 BEECHER ROADFLINTMI48532272204037INSURANCEMI501(C)(4)MCLAREN HEALTH PLANYes (1)
MCLAREN HEALTH PLAN INC
G-3245 BEECHER ROADFLINTMI48532383252216HEALTH CARE SERVICESMI501(C)(4)MCLAREN INTEGRTAED HMO GROUPYes (1)
MCLAREN HOSPICE AND HOME CARE FOUNDATION
1515 CAL DRDAVISONMI48423463643089FOUNDATIONMI501(C)(3)LINE 12A, IMCLAREN HEALTH MANAGEMENT GROUPYes (1)
MCLAREN MEDICAL GROUP
401 S BALLENGER HWYFLINTMI48532382988086MANAGEMENT COMPANYMI501(C)(3)LINE 12A, IMCLAREN HEALTH CARE CORPORATIONYes (1)
MCLAREN NORTHERN MICHIGAN FOUNDATION
360 CONNABLE AVENUEPETOSKEYMI49770382445611FOUNDATIONMI501(C)(3)LINE 7MCLAREN NORTHERN MICHIGANYes (1)
MCLAREN PORT HURON
1221 PINE GROVE AVENUEPORT HURONMI48060381369611HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATIONYes (1)
MCLAREN FLINT
401 S BALLENGER HWYFLINTMI48532382383119HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATIONYes (1)
MICHIGAN CANCER SOCIETY
4100 JOHN R STDETROITMI48201382823451CANCER RESEARCHMI501(C)(3)LINE 7BARBARA ANN KARMANOS CANCER INSTITUTEYes (1)
MOUNT CLEMENS REGIONAL HEALTHCARE FOUNDATION
PO BOX 326MOUNT CLEMENSMI48046382578873FOUNDATIONMI501(C)(3)LINE 10MCLAREN MACOMBYes (1)
MCLAREN MACOMB
1000 HARRINGTONMOUNT CLEMENSMI48043381218516HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATIONYes (1)
NORTH OAKLAND NORTH MACOMB IMAGING INC
50 NORTH PERRY STREETPONTIACMI48342382807040MRI IMAGINGMI501(C)(3)LINE 3MCLAREN OAKLANDYes (1)
NORTHERN MICHIGAN HEMATOLOGY AND ONCOLOGY
416 CONNABLE AVENUEPETOSKEYMI49770320020293PHYSICIAN PRACTICEMI501(C)(3)LINE 3MCLAREN NORTHERN MICHIGANYes (1)
NORTHERN MICHIGAN MEDICAL MANAGEMENT
416 CONNABLE AVENUEPETOSKEYMI49770208458840PHYSICIAN PRACTICEMI501(C)(3)LINE 3MCLAREN NORTHERN MICHIGANYes (1)
MCLAREN OAKLAND FOUNDATION
50 NORTH PERRY STREETPONTIACMI48342200442217FOUNDATIONMI501(C)(3)LINE 12C, III-FIMCLAREN OAKLANDYes (1)
MCLAREN OAKLAND
50 NORTH PERRY STREETPONTIACMI48342381428164HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATIONYes (1)
PORT HURON HOSPITAL FOUNDATION
PO BOX 5011PORT HURONMI48060382777750FOUNDATIONMI501(C)(3)LINE 12A, IPORT HURON HOSPITALYes (1)
THE CARDIAC INSTITUTE DBA MICHIGAN HEART & VASCULAR SPECIALISTS
416 CONNABLE AVENUEPETOSKEYMI49770262774689PHYSICIAN PRACTICEMI501(C)(3)LINE 3MCLAREN NORTHERN MICHIGANYes (1)
MCLAREN HEALTH MANAGEMENT GROUP
1515 CAL DRIVEDAVISONMI48423383491714HEALTH CARE SERVICESMI501(C)(3)LINE 10MCLAREN HEALTH CARE CORPORATIONYes (1)
VITALCARE INC
761 LAFAYETTE AVENUECHEBOYGANMI49721382527255HOSPICE CARE/HOME HEALTH SERVICESMI501(C)(3)LINE 10MCLAREN NORTHERN MICHIGANYes (1)
MCLAREN FLINT FOUNDATION
401 S BALLENGER HIGHWAYFLINTMI48532381358053SUPPORTING ORGANIZATIONMI501(C)(3)LINE 12A, IMCLAREN FLINTYes (1)
CARO COMMUNITY HOSPITAL
401 N HOOPER STCAROMI48723383426063HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATIONYes (1)
CARO COMMUNITY HOSPITAL ENDOWMENT FOUNDATION
401 N HOOPER STCAROMI48724382422995FOUNDATIONMI501(C)(3)LINE 12C, III-FICARO COMMUNITY HOSPITALYes (1)
MDWISE INC
2955 N MERIDIAN STREET SUITE 201INDIANAPOLISIN46208351931354HEALTH MAINTENANCE ORGANIZATIONIN501(C)(4)MCLAREN INTEGRTAED HMO GROUPYes (1)
MDWISE MEDICAID NETWORK INC
2955 N MERIDIAN STREET SUITE 201INDIANAPOLISIN46208473192307INSURANCEIN501(C)(4)MCLAREN INTEGRTAED HMO GROUPYes (1)
HURON MEMORIAL HOSPITAL
1100 S VAN DYKE ROADBAD AXEMI48413381474929HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATIONYes (1)
HURON MEMORIAL FOUNDATION
1100 S VAN DYKE ROADBAD AXEMI48413382717147FOUNDATIONMI501(C)(3)LINE 7HURON MEMORIAL HOSPITALYes (1)
MCLAREN INTEGRATED HMO GROUP
G-3245 BEECHER ROADFLINTMI48532824449304HEALTH CARE SERVICESMI501(C)(4)MCLAREN HEALTH CARE CORPORATIONYes (1)
ST LUKE'S HOSPITAL
5901 MONCLOVA ROADMAUMEEOH43537344428232HOSPITALOH501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATIONYes (1)
ST LUKE'S HOSPITAL FOUNDATION
5901 MONCLOVA ROADMAUMEEOH43537341292849FOUNDATIONOH501(C)(3)LINE 12A, IST LUKE'S HOSPITALYes (1)
CARE ENTERPRISES INC
5901 MONCLOVA ROADMAUMEEOH43537341366709RENTAL REAL ESTATEOH501(C)(3)LINE 12A, IST LUKE'S HOSPITALYes (1)
LAKE ORION NURSING CENTER CORPORATION
50 NORTH PERRY STREETPONTIACMI48342382895426NURSING HOMEMI501(C)(3)LINE 10MCLAREN OAKLANDYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
MCLAREN - NORTHERN EQUITIES CANCER CENTER PROJECT LLC
39000 COUNTRY CLUB DRIVEFARMINGTON HILLSMI48331263112935RENTAL REAL ESTATEMIN/A0Yes (1)
MOUNT CLEMENS REGIONAL HEALTH BUILDING HEALTH PARTNERS
1000 HARRINGTON STMOUNT CLEMENSMI48043262524717BUILDING MANAGEMENTMIN/A0Yes (1)
SOUTH VAN DYKE MEDICAL COMPLEX-A
125 N HANSELMAN STBAD AXEMI48413383372174VARIOUS HEALTHCARE ACTIVITIESMIN/A0Yes (1)
WATERVILLE MEDICAL CENTER LLC
5901 MONCLOVA ROADMAUMEEOH43537320160784RENTAL REAL ESTATEOHN/A0Yes (1)
ST LUKES HOSPITAL PAIN MANAGEMENT LLC
5901 MONCLOVA ROADMAUMEEOH43537833639701PAIN MANAGEMENTOHN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
CLARKSTON PROPERTY ASSOCIATES
50 NORTH PERRY STREETPONTIACMI48342432006072REAL ESTATEMIN/AC0
DELPHINUS INVESTMENT INC
4100 JOHN R STDETROITMI48075454758176HOLD PASSIVE INVESTMENTMIN/ACYes (1)
HEALTH ADVANTAGE INC
G3245 BEECHER ROADFLINTMI48532912141720INSURANCEMIN/ACYes (1)
MCLAREN INSURANCE COMPANY LTD
INSURANCEN/ACYes (1)10 MAIN STGRAND CAYMANCJCJ
MID-MICHIGAN PHYSICIANS PC
2510 KERRY STREET SUITE 200LANSINGMI48912383267121PHYSICIAN PRACTICEMIN/ACYes (1)
MCLAREN PHYSICIAN PARTNERS
ONE MCLAREN PARKWAYGRAND BLANCMI48439383136458MANAGED CAREMIN/AC0
VITALCARE HOME MEDICAL EQUIPMENT INC
761 LAFAYETTE AVENUECHEBOYGANMI49721382662954SALE AND RENTAL OF DURABLE MEDICAL EQUIPMENTMIN/ACYes (1)
HURON CLINIC CONDOMINIUMS OWNERS
125 N HANSELMAN STBAD AXEMI48413412144341VARIOUS HEALTHCARE ACTIVITIESMIN/ACYes (1)
CARE HOLDINGS INC
5901 MONCLOVA ROADMAUMEEOH43537341796790HOLDING COOHN/AC0
PHYSICIANS ADVANTAGE MSO INC
5901 MONCLOVA ROADMAUMEEOH43537061811760PHYS MGMT SERVICEOHN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
NORTHERN MICHIGAN MEDICAL MANAGEMENT
A$112,509ALLOCATION OF ACTUAL COST
NORTHERN MICHIGAN MEDICAL MANAGEMENT
P$1,279,951ALLOCATION OF ACTUAL COST
NORTHERN MICHIGAN MEDICAL MANAGEMENT
Q$9,552,817ALLOCATION OF ACTUAL COST
NORTHERN MICHIGAN MEDICAL MANAGEMENT
S$417,040CASH
NORTHERN MICHIGAN HEMATOLOGY AND ONCOLOGY
P$61,983ALLOCATION OF ACTUAL COST
NORTHERN MICHIGAN HEMATOLOGY AND ONCOLOGY
S$209,931CASH
THE CARDIAC INSTITUTE
A$4,631ALLOCATION OF ACTUAL COST
THE CARDIAC INSTITUTE
Q$346,398ALLOCATION OF ACTUAL COST
THE CARDIAC INSTITUTE
R$173,783CASH
CHARLEVOIX NURSING HOME
Q$4,650,548ALLOCATION OF ACTUAL COST
MCLAREN NORTHERN MICHIGAN FOUNDATION
C$8,883,368CASH
MCLAREN NORTHERN MICHIGAN FOUNDATION
Q$1,406,751ALLOCATION OF ACTUAL COST
MCLAREN NORTHERN MICHIGAN FOUNDATION
R$1,905,783CASH