2022-08-11T16:22:46-05:00 2021-09-30 381357951 PLANTE & MORAN PLLC 3000 TOWN CENTER SUITE 100 SOUTHFIELD MI 48075 990 2020-10-01 344428232 ST LUKE'S HOSPITAL STLU 4198878791 5901 MONCLOVA ROAD MAUMEE OH 43537 STEVEN THOMPSON CFO 4198878791 2022-08-09 1 STEVEN THOMPSON 999009999 AMY CIMINELLO P00796388 2483522500 2022-08-05 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z MCLAREN ST LUKE'S JENNIFER MONTGOMERY 5901 MONCLOVA ROAD MAUMEE OH 43537 231884287 0 X WWW.MCLAREN.ORG/ST-LUKES/MCLAREN-ST-LUKES-HOME X 1906 OH ST. LUKE'S HOSPITAL IS COMMITTED TO PROVIDING QUALITY, COST-EFFECTIVE HEALTHCARE SERVICES THROUGH THE USE OF ADVANCED SERVICES WHILE FOSTERING WELLNESS. 15 12 1909 175 0 0 6134954 24390131 120940423 200025906 2371717 5806725 760263 1297736 130207357 231520498 8875010 336946 0 0 60690370 104652969 0 0 0 80950153 114259752 150515533 219249667 -20308176 12270831 236678300 213857056 231538154 164961487 5140146 48895569 X ST. LUKE'S HOSPITAL PROVIDES EXCEPTIONAL CARE FOR OUR COMMUNITY, INSPIRING HOPE AND PROMOTING WELLNESS. OUR VALUES OF EXCELLENCE, COMPASSION, INTEGRITY, DEDICATION, RESPECT AND TEAMWORK ALLOW US TO FULFILL OUR MISSION EVERY DAY IN OUR WORK WITH PATIENTS, FAMILIES, PHYSICIANS AND ONE ANOTHER. WE ENHANCE INDIVIDUAL AND COMMUNITY HEALTH BY DELIVERING THE BEST QUALITY, SERVICE, SAFETY AND VALUE IN HEALTHCARE. BY DISTINGUISHING OURSELVES BY THE QUALITY OF OURPEOPLE AND VALUING OUR PHYSICIAN PARTNERS WE ARE ABLE TO BUILD A SEAMLESS CONTINUUM OF CARE AROUND OUR CORE SERVICES FOR THE COMMUNITY WE SERVE. 0 0 165391643 336946 199146977 ST. LUKE'S HOSPITAL IS AN ACUTE CARE FACILITY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE GENERAL PUBLIC. A 300 BED FACILITY IN MAUMEE, OHIO, ST LUKE'S PROVIDES EXTENSIVE HEALTHCARE SERVICES SUCH AS EMERGENCY MEDICINE; SURGICAL SERVICES; OUTPATIENT PHYSICAL, OCCUPATIONAL, PULMONARY AND CARDIAC REHABILITATION; CRITICAL CARE; CARDIOLOGY; RESPIRATORY; LABOR AND DELIVERY; AND A FULL RANGE OF LABORATORY AND RADIOLOGY SERVICES. ST. LUKE'S CAMPUS IS HOME TO THE PROMEDICA MAUMEE CANCER CENTER FOR OUTPATIENT CANCER CARE, AS WELL AS A SLEEP DISORDERS CLINIC, A PAIN CLINIC, AND A FAMILY BIRTHING CENTER. IN 2021, ST. LUKE'S ALSO HAD CHEST PAIN ACCREDITATION FROM THE SOCIETY OF CARDIOVASCULAR. PATIENT CARE, PRIMARY STROKE CENTER CERTIFICATION, AND THE LABORATORY WAS CERTIFIED BY THE COLLEGE OF AMERICAN PATHOLOGISTS. IN 2021, ST. LUKE'S BECAME A PRIMARY PLUS STROKE CENTER THROUGH DNV HEALTHCARE.ST. LUKE'S SERVED 7,751 INPATIENTS AND 171,636 OUTPATIENTS IN 2021. FURTHER, 27,427 INDIVIDUALS SOUGHT EMERGENCY CARE AT ST. LUKE'S. THE HOSPITAL CONTRIBUTED $14,591,446 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT SPONSORED, MEANS-TESTED HEALTHCARE. 11486782 0 0 CONSISTENT WITH OUR MISSION, ST. LUKE'S HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO PATIENTS WITH LIMITED OR NO ABILITY TO PAY.ST. LUKE'S PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO THE COMMUNITY DURING 2021 OF WHICH $1,372,186 REPRESENTED UNCOMPENSATED AMOUNTS FOR TREATMENT TO THOSE PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. FINANCIAL ASSISTANCE REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DID NOT PAY THEIR BILLS. ST. LUKE'S COST OF BAD DEBT FOR 2021 WAS $873,702. THIS AMOUNT IS NOT INCLUDED IN THE $14,591,446 NOTED ABOVE.FURTHER, ST. LUKE'S PROVIDED $11,486782 OF COMMUNITY BENEFIT THROUGH COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID AND OTHER MEANS TESTED PATIENTS. ALSO, IN 2021, THE TOTAL COSTS - NOT REIMBURSED BY THE GOVERNMENT 4720567 0 1615903 CONSISTENT WITH OUR MISSION, ST. LUKE'S HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF COMMUNITY BENEFIT INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES, SUBSIDIZED HEALTH SERVICES, HEALTH PROFESSIONS EDUCATION, AND CASH AND IN-KIND CONTRIBUTIONS. THROUGH COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONALS' EDUCATION, SUBSIDIZED HEALTH SERVICES, CASH AND IN-KIND CONTRIBUTIONS, AND OTHER COMMUNITY BENEFIT OPERATIONS, ST. LUKE'S CONTRIBUTED $3,104,664 TO THE COMMUNITY DURING 2021. INCLUDED IN THIS FIGURE ARE PROGRAMS AND EVENTS SUCH AS:- PARTICIPATION IN AMERICAN MEDICINE CHEST CHALLENGES, A MEDICATION DROP OFF EVENT, WHERE COMMUNITY MEMBERS DROP OFF EXPIRED AND UNUSED MEDICATIONS TO SAFELY DISPOSE OF DRUGS THAT POTENTIALLY MAY BE ABUSED- SPONSORSHIP OF THE AMERICAN HEART ASSOCIATION'S GO RED FOR WOMEN EVENT IN SUPPORT OF WOMEN'S HEART HEALTH. - SENIOR SERVICE EDUCATION PROGRAMS COVERING TOPICS SUCH AS STROKE EDUCATION, PHARMACY TALKS, AND HEALTHY AGING SEMINARS. 181598992 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 214 0 1 1909 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 12 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 X LAURA MURPHY 4198978408 5901 MONCLOVA ROAD MAUMEE OH 43537 PHILIP INCARNATI MCLAREN PRESIDENT & CEO 1.00 49.00 X X 0 8616308 139893 GREGORY LANE MCLAREN EXEC VP & CAO 1.00 49.00 X 0 2165981 58574 LAWRENCE SPETKA PHYSICIAN 40.00 0.00 X 1361677 0 61261 AHMAD ZAKERI PHYSICIAN 40.00 0.00 X 1353030 0 88638 BRIAN HOEFLINGER PHYSICIAN 40.00 0.00 X 1103367 0 91395 JENNIFER MONTGOMERY PRESIDENT/CEO 41.00 3.00 X X 0 749644 202145 PETER KOLTZ PHYSICIAN 40.00 0.00 X 829517 0 71260 BENJAMIN J SALPIETRO PHYSICIAN 40.00 0.00 X 804799 0 33399 DANIEL L WAKEMAN FORMER PRESIDENT/CEO 41.00 2.00 X 433788 0 35045 JEFF KIM VP INFORMATION TECHNOLOGY 41.00 0.00 X 324824 0 88079 MOHAMMAD EL SAYYAD MD TRUSTEE 41.00 0.00 X 346600 0 48978 KEVIN RILEY CHIEF FINANCIAL OFFICER - PART YEAR 41.00 2.00 X 346550 0 26436 MARTIN MORRISSEY VP GENERAL COUNSEL - PART YEAR 41.00 0.00 X 305960 0 65845 LALAINE MATTISON MD TRUSTEE 41.00 0.00 X 262192 0 71261 JILL TROSIN VP CHIEF NURSING OFFICER - PART YEAR 41.00 0.00 X 274824 0 37934 STEVE THOMPSON VP CHIEF FINANCIAL OFFICER 41.00 2.00 X 296897 0 12160 KEITH BURMEISTER VP CHIEF RELATIONS OFFICER 41.00 1.00 X 239262 0 42884 CONNIE SESSLER VP HUMAN RESOURCES 41.00 0.00 X 241582 0 39489 ALISON AVENDT CHIEF OPERATING OFFICER 41.00 1.00 X 58464 0 0 WILLIAM CARROLL CHAIRPERSON 1.00 2.00 X X 0 0 0 TIMOTHY GOLIGOSKI VICE-CHAIRPERSON 1.00 1.00 X X 0 0 0 BARBARA MACHIN SECRETARY 1.00 1.00 X X 0 0 0 DALE SEYMOUR TREASURER 1.00 0.00 X X 0 0 0 MARY ARQUETTE TRUSTEE 1.00 0.00 X 0 0 0 JOHN BACHEY TRUSTEE 1.00 0.00 X 0 0 0 STEPHEN BAUERLE TRUSTEE 1.00 1.00 X 0 0 0 NIZAR DABOUL MD TRUSTEE 1.00 1.00 X 0 0 0 CINDY SMITH TRUSTEE 1.00 1.00 X 0 0 0 DIANA WAUGH TRUSTEE 1.00 0.00 X 0 0 0 8583333 11531933 1214676 114 1 1 0 TOLEDO CLINIC INC ATTN COMMERCIAL BUILDING 4235 SECO TOLEDO OH 43623 SURGERY ON CALL & BILLING SVCS 4203178 TRIMEDX INC 5451 LAKEVIEW PARKWAY S DRIVE INDIANAPOLIS IN 46268 BIOMED SERVICES 3497159 GUIDEHOUSE MANAGED SERVICES INC 150 N RIVERSIDE PLZ SUITE 2100 CHICAGO IL 60606 BILLING SERVICES 3269016 LABORATORY CORPORATION OF AMERICA PO BOX 12140 BURLINGTON NC 27216 REFERRED LAB TESTING 3160984 SOUTHWEST ANESTHESIA SERVICES 1715 INDIAN WOOD CIRCLE SUITE 100 MAUMEE OH 43537 ANESTHESIA SERVICES 3138530 56 17775238 6614893 24390131 NET PATIENT SERVICES 621110 200025906 200025906 200025906 1802397 1802397 31657 0 31657 31657 31657 4276814 91303 0 363789 4276814 -272486 4004328 4004328 CAFETERIA 722514 529105 529105 MED STAFF/AUXILIARY/GIFT SHOP 453220 228296 228296 MASSAGE REVENUE 900099 13358 13358 495320 495320 1266079 231520498 200762880 0 6367487 X 316714 316714 20232 20232 3152773 703166 2449607 88123742 71963941 16159801 1660929 1245697 415232 5571914 4263173 1308741 6143611 4607708 1535903 1469313 1469313 1287768 1287768 131665 131665 3520 3520 48381 48381 29897785 23769248 6128537 677259 429718 247541 1973504 458695 1514809 13649245 12284320 1364925 3969164 3774282 194882 172043 123163 48880 1488990 1340091 148899 7471133 5191412 2279721 1881271 1881271 MEDICAL SUPPLIES 27694233 27694233 DRUGS 8862630 8862630 LICENSES & FEES 5162020 5126187 35833 BAD DEBT EXPENSE 3545771 3545771 4874057 3997340 876717 219249667 181598992 37650675 0 5348889 3000499 23532436 22047472 1384642 3692441 2872436 3115278 61900728 7487856 108085832 54412872 24425373 30807183 22299215 1089423 1163010 74276298 47566467 21415590 236678300 213857056 41546296 31201556 6550000 28295623 64165707 119276151 105464308 231538154 164961487 X -16014643 28305513 21154789 20590056 5140146 48895569 236678300 213857056 X 12270831 1230497 30254095 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 3520 3520 0 PART II-B, LINE 1: ST. LUKE'S HOSPITAL PAYS DUES TO THE OHIO HOSPITAL ASSOCIATION - A PORTION OF WHICH IS ALLOCABLE TO LOBBYING BY THE ASSOCIATION. 1220000 6953188 8173188 23643829 676198 22967631 1862904 235519 1627385 20185297 4901910 15283387 8035510 1674229 6361281 54412872 INTEREST IN FOUNDATION 20590056 DUE FROM AFFILIATES 524560 EST THIRD PARTY SETTLEMENT REC 2942 OTHER RECEIVABLES 298032 21415590 PENSION LIABILITY 30919403 DUE TO AFFILIATES 65472170 EST THIRD PARTY SETTLEMENT PAY 1778248 MALPRACTICE TAIL LIABILITY 2501081 ASBESTOS REMEDIATION 120393 OTHER LIABILITIES 4673013 105464308 1 1 X 1 X 1 X 1 1 1 0 1 1 3284957 1912771 1372186 0.00640 17555277 8311177 9244100 0.04290 4174540 3304044 870496 0.00400 25014774 13527992 11486782 0.05330 5646 5646 0.00000 2373245 705693 1667552 0.00770 2310712 910210 1400502 0.00650 30964 30964 0.00010 4720567 1615903 3104664 0.01430 29735341 15143895 14591446 0.06760 39900 39900 0.00020 39900 39900 0.00020 1 3545771 591813 32505074 30887387 1617687 X 1 1 1 ST LUKE'S HOSPITAL PAIN MANAGEMENT LLC PAIN MANAGEMENT SERVICES 0.51000 0.00000 0.49000 3 ST LUKE'S PHYSICIAN HOSPITAL ORG INC PHYSICIAN HOSPITAL ORG 0.50000 0.01330 0.48670 1 1 ST LUKE'S HOSPITAL 5901 MONCLOVA ROAD MAUMEE OH 43537 WWW.MCLAREN.ORG/ST-LUKES/MCLAREN-ST-LU 1224 X X X X ST LUKE'S HOSPITAL 1 0 0 1 X X X X X X X X X 19 1 0 0 1 X HTTPS://TINYURL.COM/YAWXCYL4 X 1 20 1 HTTPS://TINYURL.COM/YAWXCYL4 0 1 X 200.000000000000 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 ST. LUKE'S HOSPITAL PART V, SECTION B, LINE 5: ST. LUKE'S HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, THROUGH THE HOSPITAL COUNCIL OF NORTHWEST OHIO, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH. THESE PERSONS INCLUDED STAFF OF THE TOLEDO-LUCAS COUNTY HEALTH DEPARTMENT, MENTAL HEALTH RECOVERY AND SERVICES BOARD OF LUCAS COUNTY, AND LOCAL HOSPITAL STAFF INVOLVED IN COMMUNITY HEALTH PROGRAMMING. THE HOSPITAL FACILITY CONSULTED WITH THESE PERSONS THROUGH MEETINGS AND ALSO VIA EMAIL CORRESPONDENCE.ADDITIONALLY, THE HOSPITAL CONSULTED WITH OTHER ORGANIZATIONS AND OTHER GROUPS IN CONDUCTING ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THESE CONSULTING INDIVIDUALS REPRESENTED THE FOLLOWING ORGANIZATIONS:- UNIVERSITY OF TOLEDO- YMCA LIVE WELL TOLEDO- TOLEDO PUBLIC SCHOOL NURSES- MERCY HEALTH PARTNERS- LUCAS COUNTY EDUCATIONAL SERVICE CENTER- TOLEDO - LUCAS COUNTY FAMILY COUNCIL- HELP ME GROW, LUCAS COUNTY FAMILY COUNCIL- NORTHWEST OHIO CONGREGATIONAL NURSE ASSOCIATION- FAMILY & CHILDREN FIRST COUNCIL- MENTAL HEALTH RECOVERY AND SERVICES BOARD OF LUCAS COUNTY- LUCAS COUNTY TOBACCO COALITION- TOLEDO COMMUNITY FOUNDATION- AMERICAN CANCER SOCIETY- PROMEDICA HEALTH SYSTEM- YWCA- OHIO DEPARTMENT OF HEALTH- HOME VISITING & TRAINING COORDINATOR, LUCAS COUNTY- GRACE COMMUNITY CENTER- JUVENILE COURT, LUCAS COUNTY- JOB & FAMILY SERVICES, LUCAS COUNTY- HOSPITAL COUNCIL OF NORTHWEST OHIO- TOLEDO-LUCAS COUNTY CARENET- UNITED WAY OF GREATER TOLEDO- EXCHANGE CLUB- TOLEDO PUBLIC SCHOOLS BOARD OF EDUCATION- BOWLING GREEN STATE UNIVERSITY ST. LUKE'S HOSPITAL PART V, SECTION B, LINE 11: ST. LUKE'S HOSPITAL (ST. LUKE'S) WILL SPECIFICALLY IMPLEMENT PROGRAMS TO ADDRESS THE FOLLOWING HEALTH NEEDS, LISTED IN ORDER OF PRIORITY:- CARDIOVASCULAR HEALTH - STROKE- ADDICTION/DRUGS (OPIATES) /PAIN MANAGEMENT- AGE/GERIATRIC-RELATED INITIATIVES - NUTRITION, DEMENTIA, AND/OR FALL PREVENTION- CHRONIC DISEASE (DIABETES/OBESITY/NUTRITION)- YOUTH/STUDENT ISSUESUNFORTUNATELY, THE COVID-19 PANDEMIC GREATLY IMPACTED OUR ABILITY TO OFFER IN-PERSON EDUCATION AND COMMUNITY OUTREACH, WHICH AFFECTING TOTAL PATIENT ENCOUNTERS. WHEN POSSIBLE, LEARNING OPPORTUNITIES VIRTUALLY WERE UTILIZED. PRIMARY AREAS OF FOCUS FOR 2021 WERE OFFERING 58 COVID-19 VACCINATION CLINICS TO MORE THAN 4,600 INDIVIDUALS IN THE COMMUNITY. 2,100 HOURS OF STAFF TIME WERE USED. WE ALSO FOCUSED ON BLOOD PRESSURE SCREENINGS AND PARTICIPATED IN OUTDOOR HEALTH FAIRS TO ADDRESS CHRONIC DISEASE AND CARDIOVASCULAR HEALTH. TO ADDRESS OUR DRUG ADDICTION STRATEGY, WE OFFERED TWO DRUG TAKE-BACK EVENTS TO SAFELY DISPOSE OF OPIOIDS AND UNUSED OR EXPIRED MEDICATIONS. MORE THAN 500 POUNDS OF MEDICATIONS WERE COLLECTED BETWEEN THE TWO EVENTS. YOUTH EVENTS, AS PART OF OUR STRATEGY, INCLUDED OFFERING FIVE SAFETY CITY EVENTS, GEARED TOWARD 750 ELEMENTARY STUDENTS TO EDUCATE THEM ON BIKE HELMET / TRAUMA SAFETY AND THE IMPORTANCE OF RECOGNIZING A STOKE AND HOW TO CALL 911 IN AN EMERGENCY. 16 1 - REGENCY CT RADIOLOGY SERVICES 300 REGENCY COURT STE 105 TOLDEO OH 43623 RADIOLOGY 2 - FALLEN TIMBERS RADIOLOGY 5757 MONCLOVA ROAD STE 31 MAUMEE OH 43537 RADIOLOGY 3 - SLH OUTPATIENT SURGERY- SURGICARE 5959 MONCLOVA ROAD MAUMEE OH 43537 OUTPATIENT SURGERY 4 - FALLEN TIMBERS LAB 5757 MONCLOVA ROAD MAUMEE OH 43537 LAB 5 - WATERVILLE SATELLITE LAB 900 WATERVILLE-MONCLOVA RD STE 8 WATERVILLE OH 43566 LAB 6 - ST LUKE'S DIABETES CARE CENTER 5871 MONCLOVA ROAD MAUMEE OH 43537 WOUND CARE 7 - WATERVILLE REHAB 900 WATERVILLE-MONCLOVA RD STE B WATERVILLE OH 43566 PHYSICAL THERAPY 8 - SWANTON REHAB 1 TURTLE CREEK CIRCLE SWANTON OH 43558 PHYSICAL THERAPY 9 - MAUMEE VALLEY REHAB 6005 MONCLOVA ROAD STE 225 MAUMEE OH 43537 REHAB 10 - MAUMEE VALLEY IMAGING 6005 MONCLOVA ROAD MAUMEE OH 43537 RADIOLOGY 11 - PAIN CENTER 5759 MONCLOVA ROAD MAUMEE OH 43537 PAIN CENTER 12 - MAUMEE VALLEY SATELLITE LAB 6005 MONCLOVA ROAD STE 210 MAUMEE OH 43537 LAB 13 - FAMILY MEDICINE CLINIC SATELLITE LAB 7045 LIGHTHOUSE WAY PERRYSBURG OH 43551 LAB 14 - ST LUKE'S FAMILY MEDICINE RESIDENCY 7045 LIGHTHOUSE WAY PERRYSBURG OH 43551 RESIDENCY PROGRAM 15 - ANTI COAGULATION CLINIC 6005 MONCLOVA ROAD MAUMEE OH 43537 ANTI-COAGULATION SERVICES 16 - OCCUPATIONAL HEALTH 5757 MONCLOVA RD MAUMEE OH 43537 OCCUPATIONAL HEALTH PART I, LINE 7: ST. LUKE'S HOSPITAL CALCULATED THE COST OF FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS, USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO CHARGES. OTHER BENEFITS AMOUNTS REPORTED ON LINE 7 WERE CALCULATED USING COSTSCHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM. AN INDIRECT COST ALLOCATION FACTOR FOR SHARED SERVICES IS ALSO CALCULATED AND INCLUDED IN APPLICABLE PROGRAMS LISTED IN OTHER BENEFITS. PART I, LN 7 COL(F): PROVISION FOR BAD DEBTS AND ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS ARE DUE FROM SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY AND ARE RECORDED AS BAD DEBT EXPENSE. PART II, COMMUNITY BUILDING ACTIVITIES: MCLAREN ST. LUKE'S PROMOTED THE HEALTH OF ITS COMMUNITY BY ENGAGING IN ACTIVITIES THAT PROMOTE COMMUNITY BUILDING, INCLUDING CONDUCTING 58 COV-19 VACCINE CLINICS, ADMINISTERING 4,603 COVID-19 VACCINES AND DEDICATING MORE THAN 2,100 OF STAFF HOURS TO THE CLINIC. WE ALSO HELD TWO DRUG TAKEBACK EVENTS, COLLECTING MORE THAN 600 POUNDS OF UNUSED MEDICATIONS FOR SAFE DISPOSING. MCLAREN ST. LUKE'S CONDUCTED SIX SAFETY CITY EVENTS, EDUCATING MORE THAN 620 ELEMENTARY SCHOOL AGE CHILDREN ABOUT CALLING 911 IN THE EVENT OF AN EMERGENCY AND BIKE HELMET SAFETY. FINALLY, MONTHLY BLOOD PRESURE SCREENINGS WERE CONDUCTED AND MORE THAN 200 PEOPLE ATTENDED THROUGHOUT 2021. PART III, LINE 2: ST. LUKE'S HOSPITAL'S ANALYSIS AND ASSESSMENT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND RELATED BAD DEBT EXPENSE USES A RECEIPTS LOOK-BACK METHOD UTILIZING HISTORICAL PAYMENT DATA ON ACCOUNTS, INCLUDING CONTRACTUAL ADJUSTMENTS FOR PAYER DISCOUNTS, AS WELL AS PATIENT PAYMENTS, SUCH AS COPAYS AND DEDUCTIBLES, TO ESTABLISH ANTICIPATED COLLECTABILITY RATES FOR ACCOUNTS RECEIVABLE WITHIN EACH PAYER CATEGORY. PART III, LINE 3: THERE IS NO ESTIMATE OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. 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 SURPLUS WAS CALCULATED USING THE COST-TO-CHARGE RATIO. IF SHORTFALLS DO RESULT IN ANY YEAR, THEN THE MEDICARE SHORTFALL, WHICH IS THE EXCESS OF COSTS TO TREAT MEDICARE PATIENTS OVER THE REIMBURSEMENT RECEIVED FROM THE FEDERAL GOVERNMENT, SHOULD BE TREATED AS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS:- THE MEDICARE SHORTFALL REPRESENTS THE RELIEF OF A FINANCIAL BURDEN THAT WOULD OTHERWISE BE BORNE BY A GOVERNMENT PROGRAM.- THE MEDICARE SHORTFALL REPRESENTS A SOCIETAL BENEFIT INSOFAR AS MANY OF THE PROGRAMS AND SERVICES WOULD NOT BE PROVIDED TO THE COMMUNITY, IF THE DECISION TO PROVIDE SUCH SERVICES WAS MADE ON A FINANCIAL BASIS.- MEDICARE IS A SOCIETAL BENEFIT, PROVIDED BY THE FEDERAL GOVERNMENT, FOR THOSE WHO WOULD OTHERWISE BE UNINSURED AFTER AGING OUT OF TRADITIONAL MEANS OF HEALTH INSURANCE, SUCH AS INSURANCE PROVIDED BY AN EMPLOYER.- MEDICARE IS NOT A TRUE MARKET PAYER, AS COMPARED TO COMMERCIAL PAYERS, WHEREBY REIMBURSEMENT RATES CAN BE NEGOTIATED AND ADJUSTED IN ORDER TO REDUCE INCURRED LOSSES.ST. LUKE'S HOSPITAL USED THE MEDICARE ALLOWABLE COSTS PER ITS FISCAL YEAR ENDED 2021 AS-FILED MEDICARE COST REPORTS, LESS ANY ADJUSTMENTS FOR SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION, IF APPLICABLE. ALLOWABLE COSTS ARE CALCULATED BY ALLOCATING TOTAL FACILITY COSTS TO REVENUE GENERATING UNITS WITHIN THE HOSPITAL. THE MEDICARE COST REPORT DOES NOT REFLECT ALL OF THE COSTS ASSOCIATED WITH MEDICARE PROGRAMS. PART III, LINE 9B: FINANCIAL ASSISTANCE DISCOUNTS ARE GRANTED FOR MEDICALLY NECESSARY SERVICES WHEN IT IS DETERMINED THAT THE PATIENT AND FAMILY INCOME MEETS THE CRITERIA ESTABLISHED. PATIENTS WHO HAVE INSURANCE COVERAGE OR WHO ARE ENTITLED TO GOVERNMENTAL ASSISTANCE ARE IDENTIFIED IN ORDER FOR REIMBURSEMENT TO BE OBTAINED. ALL PATIENTS WITH SELF-PAY BALANCES AFTER INSURANCE MAY OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS IF THEY PROVIDE APPROPRIATE DOCUMENTATION THAT THEY SATISFY THE INCOME GUIDELINES. VERIFICATION OF FINANCIAL ASSISTANCE IS PURSUED THROUGHOUT THE INTERNAL COLLECTION PROCESS UNTIL ALL OPTIONS HAVE BEEN EXHAUSTED. ALL PATIENTS THAT HAVE A SELF-PAY BALANCE, INCLUDING PATIENTS THAT MAY QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, RECEIVE BILLING STATEMENTS AND PAYMENT REMINDERS. THESE STATEMENTS INFORM ALL PATIENTS OF THE OPPORTUNITY TO SEEK A FINANCIAL ASSISTANCE ADJUSTMENT FOR MEDICALLY NECESSARY SERVICES, THE ELIGIBILITY CRITERIA, AND THE METHOD TO APPLY. IF A FINANCIAL ASSISTANCE APPLICATION HAS NOT BEEN COMPLETED AND/ORREQUESTED INCOME VERIFICATION HAS NOT BEEN RECEIVED FROM A PATIENT WHO COULD POTENTIALLY QUALIFY, THE PATIENT WILL CONTINUE TO RECEIVE BILLING STATEMENTS THROUGH THE NORMAL COLLECTION PROCESS. IF A PATIENT DOES NOT HAVE INSURANCE, A PRESUMPTIVE CHARITY DETERMINATION (WHICH USES PUBLICLY AVAILABLE DATA SUCH AS DEMOGRAPHIC INFORMATION, CREDIT HISTORY, ETC.) MAY BE MADE TO ASSIST WITH QUALIFYING FOR FINANCIAL ASSISTANCE. ONCE IT HAS BEEN DETERMINED THAT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, AN ADJUSTMENT IS PROCESSED. THE PATIENT ACCOUNT ANALYST WILL DETERMINE PATIENT ELIGIBILITY AND CALCULATE THE ADJUSTMENT BASED ON POLICY GUIDELINES. AN ADJUSTMENT FORM IS PREPARED AND APPROVED PER POLICY. UNINSURED PATIENTS MAY BE REQUIRED TO COMPLETE AN APPLICATION AND PROVIDE REQUIRED DOCUMENTATION, INCLUDING ANY DOCUMENTATION REQUIRED TO DETERMINE ELIGIBILITY. UNINSURED PATIENTS ARE NOTIFIED IN WRITING WHETHER OR NOTTHEY QUALIFY FOR ANY FINANCIAL ASSISTANCE ADJUSTMENT FOR WHICH THEY HAVE SUBMITTED AN APPLICATION, AND OF ANY REMAINING BALANCE OWED. THE ADJUSTMENT IS THEN APPLIED TO THE PATIENT'S ACCOUNT. PATIENTS MAY BE OFFERED PAYMENT PLANS WHEN APPROPRIATE BASED ON DOCUMENTED FINANCIAL NEED AND CIRCUMSTANCES. LONGER PAYMENT PLANS MAY BE OFFERED ON AN EXCEPTION BASIS FOR CASES WITH UNUSUALLY HIGH BALANCES OR SPECIAL CIRCUMSTANCESDEMONSTRATING AN INABILITY TO PAY. ONCE THE INTERNAL COLLECTION PROCESS HAS BEEN COMPLETED, PATIENT ACCOUNTS MAY BE REFERRED TO AN EXTERNAL COLLECTION AGENCY IF THE PATIENT HAS NOT CONTACTED US REGARDING THEIR DESIRE TO APPLY FOR FINANCIAL ASSISTANCE, SENT IN A FINANCIAL ASSISTANCE APPLICATION, RESPONDED TO REQUESTS FOR ADDITIONAL INFORMATION, OR WE ARE UNABLE TO MAKE A PRESUMPTIVE CHARITYDETERMINATION. IT IS THE EXPECTATION OF THE EXTERNAL COLLECTION AGENCY AS THEY WORK ACCOUNTS TO OFFER FINANCIAL ASSISTANCE WHEN APPLICABLE. THROUGHOUT THE COLLECTION PROCESS, THE COLLECTION AGENCY WILL INFORM UNINSURED PATIENTS OF THE CRITERIA TO OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS BASED ON FAMILY INCOME AND FAMILY SIZE AND WILL FORWARDAPPLICATIONS FOR PATIENTS WHO SUBMIT THE REQUIRED DOCUMENTATION TO THE CENTRAL BUSINESS OFFICE FOR PROCESSING. PART VI, LINE 2: ST. LUKE'S HOSPITAL HAS ACTIVELY PARTICIPATED IN THE LUCAS COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SINCE ITS EARLY BEGINNINGS. THROUGH THE COURSE OF A PRIMARY MARKET RESEARCH SURVEY (WHICH IS CONSISTENT WITH THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM [BRFSS] QUESTIONNAIRE DEVELOPED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION) AND PUBLISHED HEALTH AND DEMOGRAPHIC DATA, A CHNA IS COMPLETED EVERY THREE YEARS. A MULTI-DISCIPLINARY, COMPREHENSIVE GROUP OF STAKEHOLDERS (INCLUDING A ST. LUKE'S HOSPITAL REPRESENTATIVE) FROM LUCAS COUNTY DISCUSS, DEBATE AND RANK FINDINGS FROM THE CHNA. ST. LUKE'SHOSPITAL THEN REVIEWS THE CHNA RESULTS AND LUCAS COUNTY FINDINGS REPORT TO DEVELOP ITS OWN CHNA REPORT AND IMPLEMENTATION PLAN FOR ITS PRIMARY SERVICE AREA, MOST OF WHICH IS LOCATED IN LUCAS COUNTY. PROGRAMS IDENTIFY RESOURCES AND GAPS IN SERVICES TO ADDRESS KEY HEALTH ISSUES FOR HEALTHY LUCAS COUNTY. THE PROGRAMS THAT WERE IDENTIFIED AS HEALTH NEEDS AND PRIORITIES ARE: CARDIOVASCULAR HEALTH/STROKE; ADDICTION/DRUGS (OPIATES)/PAIN MANAGEMENT; AGE/GERIATRIC-RELATED INITIATIVES; CHRONIC DISEASE; YOUTH/STUDENT ISSUES. PART VI, LINE 3: THE OPPORTUNITY FOR FINANCIAL ASSISTANCE ADJUSTMENTS IS COMMUNICATED TOPATIENTS AT ST. LUKE'S HOSPITAL THROUGH THE FOLLOWING METHODS:A. ADMITTING LOCATIONS HAVE FINANCIAL ASSISTANCE FORMS AVAILABLE FOR SELF-PAY PATIENTS TO COMPLETE WHEN REGISTERED AS UNINSURED. AT ADMITTING, UNINSURED PATIENTS ARE INFORMED OF THE OPPORTUNITY TO SEEK FINANCIAL ASSISTANCE.B. A PATIENT FINANCIAL ADVOCATE IS AVAILABLE AT THE HOSPITAL TO ASSIST UNINSURED PATIENTS IN COMPLETING THE FORMS. THE PATIENT FINANCIAL ADVOCATE ATTEMPTS TO MEET WITH IN-HOUSE PATIENTS TO ASSESS ELIGIBILITY AND TO ASSIST WITH APPLICATION FOR GOVERNMENT ASSISTANCE PROGRAMS, TOEXPLAIN PATIENT LIABILITY FOR CHARGES, TO PROVIDE AN ESTIMATE OF CHARGES WHEN FEASIBLE, TO EXPLAIN THE OPPORTUNITY FOR FINANCIAL ASSISTANCE, INCLUDING THE CRITERIA AND THE METHOD FOR APPLYING, AND TO EXPLAIN PAYMENT OPTIONS.C. A MESSAGE IS SENT ALONG WITH THE PATIENT BILLING STATEMENTS TO NOTIFY THE UNINSURED PATIENT THAT FINANCIAL ASSISTANCE IS AVAILABLE, TO EXPLAIN THE ELIGIBILITY CRITERIA, AND TO DESCRIBE THE METHOD TO APPLY. D. A SUMMARY OF THE POLICY FOR UNINSURED PATIENTS IS INCLUDED IN THE STATEMENTS OF UNINSURED PATIENT, AVAILABLE VIA THE ST. LUKE'S HOSPITAL WEB SITE, AVAILABLE AT HOSPITAL REGISTRATION LOCATIONS, OR BY CALLING THE MCLAREN CENTRAL BILLIN SERVICE DEPARTMENT. BUSINESS OFFICEPERSONNEL ALSO NOTIFY UNINSURED PATIENTS OF THE FINANCIAL ADJUSTMENT POLICY THROUGH THE CUSTOMER SERVICE AND COLLECTION DEPARTMENTS. PART VI, LINE 4: ST. LUKE'S HOSPITAL IS LOCATED IN MAUMEE, OHIO, WHICH IS IN THE SOUTHWEST PORTION OF LUCAS COUNTY. AS OF THE 2010 CENSUS, THERE WERE 441,815 PEOPLE, 180,267 HOUSEHOLDS, AND 111,016 FAMILIES RESIDING IN LUCAS COUNTY. THE RACIAL MAKEUP OF THE COUNTY WAS 74.0% WHITE, 19.0% BLACK OR AFRICAN AMERICAN, 1.5% ASIAN, 0.3% AMERICAN INDIAN, 2.0% FROM OTHER RACES, AND 3.1% FROM TWO OR MORE RACES. THE MEDIAN HOUSEHOLD INCOME AND PER CAPITA INCOME IN THE COUNTY WERE $46,806 AND $23,981, RESPECTIVELY. APPROXIMATELY 14% OF FAMILIES AND 18% OF THE POPULATION WERE BELOW THE POVERTY LINE. BESIDES LUCAS COUNTY, ST. LUKE'S ALSO DRAWS A CONSIDERABLE NUMBER OF PATIENTS FROM WOOD COUNTY AND FULTON COUNTY. PART VI, LINE 5: ST. LUKE'S HOSPITAL HAS AN OPEN MEDICAL STAFF, AND AS OF SEPTEMBER 30, 2021, HAD 445 ACTIVE OR ASSOCIATE MEMBERS. ST. LUKE'S HOSPITAL HAS 14 BOARD MEMBERS WHO ARE VOLUNTEERS AND NOT COMPENSATED FOR THEIR SERVICE TO OUR HOSPITAL. ST. LUKE'S HOSPITAL OPERATES SEVERAL SERVICES EITHER FREE OR AT LOW COST FOR THE BENEFIT OF THE COMMUNITY. PART VI, LINE 6: ST. LUKE'S HOSPITAL AND ITS RELATED ORGANIZATIONS WITHIN THE ST LUKE'S HOSPITAL'S SYSTEM WERE ACQUIRED BY MCLAREN HEALTH CARE CORPORATION. MCLAREN HEALTH CARE CORPORATION IS NOW THE SOLE MEMBER OF ST. LUKE'S HOSPITAL. ST. LUKE'S HOSPITAL - AN OHIO NOT-FOR-PROFIT CORPORATION OPERATES A GENERAL, ACUTE CARE FACILITY OFFERING INPATIENT AND OUTPATIENT HEALTHCARE SERVICES PRIMARILY TO RESIDENTS IN THE SOUTHWESTERN PART OF LUCAS COUNTY, NORTHERN WOOD COUNTY AND EASTERN FULTON COUNTY IN OHIO.ST. LUKE'S HOSPITAL FOUNDATION - AN OHIO NOT-FOR-PROFIT CORPORATION SUPPORTS THE ACTIVITIES AND PURPOSES OF THE HOSPITAL.CARE ENTERPRISES, INC. - AN OHIO NOT-FOR-PROFIT CORPORATION OPERATES AND MANAGES MEDICAL OFFICE BUILDINGS. CARE ENTERPRISES, INC. INCLUDES A 70 PERCENT OWNERSHIP IN WATERVILLE MEDICAL CENTER, LLC. THIS ENTITY WAS MERGED INTO THE HOSPITAL ON SEPTEMBER 30, 2021.WELLCARE PHYSICIANS GROUP, LLC - EMPLOYS PHYSICIANS AND OTHER MEDICAL PROFESSIONALS PROVIDING PRIMARY AND SPECIALTY HEALTHCARE SERVICES TO ITS PATIENTS.CARE HOLDINGS, INC. - ENGAGES IN THE BUSINESS OF THE OWNERSHIP, DEVELOPMENT AND MANAGEMENT OF REAL ESTATE. THIS ENTITY WAS MERGED INTO THE HOSPITAL ON SEPTEMBER 30, 2021.PHYSICIANS ADVANTAGE MSO, INC. - PROVIDES MANAGEMENT SERVICES TO WELLCARE PHYSICIANS GROUP, LLC AND OTHER INDEPENDENT PHYSICIANS ON A FEE-FOR-SERVICE BASIS. THIS ENTITY WAS MERGED INTO THE HOSPITAL ON SEPTEMBER 30, 2021. PART VI, LINE 7, REPORTS FILED WITH STATES OH 1 ST LUKE'S HOSPITAL FOUNDATION 5901 MONCLOVA ROAD MAUMEE OH 43537 311292849 501(C)(3) 286714 OPERATING SUPPORT THE TOLEDO ZOOLOGICAL SOCIETY 2700 BROADWAY TOLEDO OH 43609 344440256 501(C)(3) 30000 CHARITABLE DONATION 2 0 EMPLOYEE HARDSHIP ASSISTANCE PROGRAM 14 20232 FMV PART I, LINE 2: REQUESTS FOR FUNDS ARE REVIEWED BY THE SENIOR DIRECTOR OF FINANCE, CFO, AND CEO FOR CONSISTENCY WITH THE ORGANIZATION'S MISSION AND PURPOSE. FUNDS ARE DISTRIBUTED TO 501(C)(3) AND OTHER COMMUNITY ORGANIZATIONS, TYPICALLY FOR GENERAL SUPPORT PURPOSES. 1 1 0 0 0 0 0 1 0 PHILIP INCARNATI MCLAREN PRESIDENT & CEO 0 2238831 0 889548 0 5487929 0 131585 0 8308 0 8756201 0 0 GREGORY LANE MCLAREN EXEC VP & CAO 0 887628 0 587866 0 690487 0 42468 0 16106 0 2224555 0 0 LAWRENCE SPETKA PHYSICIAN 1061095 0 293196 0 7386 0 34858 0 26403 0 1422938 0 0 0 AHMAD ZAKERI PHYSICIAN 1114833 0 235696 0 2501 0 60683 0 27955 0 1441668 0 0 0 BRIAN HOEFLINGER PHYSICIAN 1100955 0 0 0 2412 0 55296 0 36099 0 1194762 0 0 0 JENNIFER MONTGOMERY PRESIDENT/CEO 0 512215 0 174763 0 62666 0 184277 0 17868 0 951789 0 0 PETER KOLTZ PHYSICIAN 403276 0 425847 0 394 0 35018 0 36242 0 900777 0 0 0 BENJAMIN J SALPIETRO PHYSICIAN 802387 0 0 0 2412 0 0 0 33399 0 838198 0 0 0 DANIEL L WAKEMAN FORMER PRESIDENT/CEO 167011 0 200000 0 66777 0 24581 0 10464 0 468833 0 0 0 JEFF KIM VP INFORMATION TECHNOLOGY 273534 0 50000 0 1290 0 48841 0 39238 0 412903 0 0 0 MOHAMMAD EL SAYYAD MD TRUSTEE 315492 0 30821 0 287 0 13336 0 35642 0 395578 0 0 0 KEVIN RILEY CHIEF FINANCIAL OFFICER - PART YEAR 223713 0 50000 0 72837 0 0 0 26436 0 372986 0 0 0 MARTIN MORRISSEY VP GENERAL COUNSEL - PART YEAR 252259 0 50000 0 3701 0 27983 0 37862 0 371805 0 0 0 LALAINE MATTISON MD TRUSTEE 261174 0 0 0 1018 0 48044 0 23217 0 333453 0 0 0 JILL TROSIN VP CHIEF NURSING OFFICER - PART YEAR 218651 0 50000 0 6173 0 26093 0 11841 0 312758 0 0 0 STEVE THOMPSON VP CHIEF FINANCIAL OFFICER 296154 0 0 0 743 0 5206 0 6954 0 309057 0 0 0 KEITH BURMEISTER VP CHIEF RELATIONS OFFICER 187637 0 50000 0 1625 0 25764 0 17120 0 282146 0 0 0 CONNIE SESSLER VP HUMAN RESOURCES 189867 0 50000 0 1715 0 28014 0 11475 0 281071 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, LINES 4A-B KEVIN RILEY RECEIVED SEVERANCE PAYMENTS TOTALING $412,500, STARTING NOVEMBER 1, 2020 THROUGH APRIL 2022. HE RECEIVED A TOTAL OF 45,833 DURING THE CALENDAR YEAR 2020. THE ORGANIZATION SPONSORS A LOAN-REGIME SPLIT-DOLLAR INSURANCE PROGRAM FOR CERTAIN SENIOR EXECUTIVES. 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 THE PARTICIPANT'S ACCOUNT BALANCE, AND THE BENEFIT IS PAID IN A SINGLE SUM SERPS ARE PROVIDED ON A TAX-NEUTRAL BASIS. BOTH SERPS ARE DESIGNED TO OR DEBITED TO THEIR ACCOUNTS. THE BENEFIT UNDER THE NEW SERP IS EQUAL TO WITHIN 60 DAYS OF THE PARTICIPANT'S TERMINATION DATE. BENEFITS UNDER BOTH COMPLY WITH INTERNAL REVENUE CODE SECTIONS 457(F) AND 409A. PART I, LINE 7 MCLAREN HEALTH CARE CORPORATION (MHCC) HAS A LEADERSHIP INCENTIVE PROGRAM FOR LEADERS OF THE CORPORATION, SUBSIDIARY EXECUTIVES AND DIRECTORS, AND MANAGERS. 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 MHCC SERVES, AND (C) PROTECTING MHCC'S ABILITY TO COMPETE WITH OTHER EMPLOYERS FOR HIGH-TALENT LEADERS. FORM 990, PART VI, SECTION A, LINE 4 ST. LUKE'S HOSPITAL AND ITS RELATED ORGANIZATIONS WITHIN THE ST LUKE'S HOSPITAL'S SYSTEM WERE ACQUIRED BY MCLAREN HEALTH CARE CORPORATION. MCLAREN HEALTH CARE CORPORATION IS NOW THE SOLE MEMBER OF ST. LUKE'S HOSPITAL. 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 THE CORPORATE DIRECTOR OF BUDGET, THE CORPORATE SENIOR VICE PRESIDENT AND CFO OF MCLAREN HEALTH CARE CORPORATION (MHCC). COPIES OF THE RETURNS ARE MADE AVAILABLE TO THE MHCC BOARD MEMBERS, WHO SERVE AS THE OVERALL GOVERNING BOARD. RETURNS ARE AVAILABLE FOR ALL CORPORATIONS OF WHICH MHCC 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 MHCC IS THE ULTIMATE ACCOUNTABLE ORGANIZATION FOR THE SYSTEM; AS SUCH IT IS THE OVERALL GOVERNING BOARD OF OUR SYSTEM WHOSE RESPONSIBILITIES INCLUDES 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 2021. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 10,904,747. MANAGEMENT AND GENERAL EXPENSES 62,357. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,967,104. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 4,928,111. MANAGEMENT AND GENERAL EXPENSES 779,457. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,707,568. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,122,596. MANAGEMENT AND GENERAL EXPENSES 2,998,018. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,120,614. BILLING SERVICES: PROGRAM SERVICE EXPENSES 943,098. MANAGEMENT AND GENERAL EXPENSES 2,288,705. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,231,803. LAB SERVICES: PROGRAM SERVICE EXPENSES 2,870,696. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,870,696. FORM 990, PART XI, LINE 9: PENSION/POST-RETIREMENT EXPENSE ADJUSTMENT 39,931,417. BENEFICIAL INTEREST IN FOUNDATION -564,733. TRANSFER FROM WELLCARE -14,509,082. VALUATION ADJUSTMENT 5,396,493. FORM 990, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. WELLCARE PHYSICIANS GROUP LLC 5901 MONCLOVA ROAD MAUMEE OH 43537 611528443 EMPLOYS PHYSICIANS OH -11610229 4131163 ST LUKE'S HOSPITAL 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 MICHIGAN 1 KARMANOS CANCER FOUNDATION 4100 JOHN R ST DETROIT MI 48201 383584572 FOUNDATION MI 501(C)(3) LINE 7 BARBARA ANN KARMANOS CANCER INSTITUTE 1 MCLAREN GREATER LANSING FOUNDATION 401 W GREENLAWN AVE LANSING MI 48910 382463637 FOUNDATION MI 501(C)(3) LINE 7 MCLAREN GREATER LANSING 1 MCLAREN GREATER LANSING 401 W GREENLAWN AVE LANSING MI 48910 381434090 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 BARBARA ANN KARMANOS CANCER HOSPITAL 4100 JOHN R ST DETROIT MI 48201 201649466 HOSPITAL MI 501(C)(3) LINE 3 BARBARA ANN KARMANOS CANCER INSTITUTE 1 BARBARA ANN KARMANOS CANCER INSTITUTE 4100 JOHN R ST DETROIT MI 48201 381613280 CANCER RESEARCH & CARE CENTER MI 501(C)(3) LINE 7 MCLAREN HEALTH CARE CORPORATION 1 MCLAREN LAPEER REGION 1375 N MAIN ST LAPEER MI 48446 382689033 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 MCLAREN LAPEER REGION FOUNDATION 1375 N MAIN ST LAPEER MI 48446 382689603 FOUNDATION MI 501(C)(3) LINE 12A, I MCLAREN LAPEER REGION 1 MARWOOD MANOR NURSING HOME PO BOX 5011 PORT HURON MI 48060 382683251 NURSING HOME MI 501(C)(3) LINE 10 PORT HURON HOSPITAL 1 MCLAREN HEALTH CARE CORPORATION ONE MCLAREN PARKWAY GRAND BLANC MI 48439 382397643 SUPPORTING ORG MI 501(C)(3) LINE 12A, I N/A 0 MCLAREN HEALTH CARE VILLAGE FOUNDATION 401 S BALLENGER HIGHWAY FLINT MI 48532 262693350 SUPPORTING ORG MI 501(C)(3) LINE 12A, I MCLAREN HEALTH CARE CORPORATION 1 MCLAREN HEALTH PLAN COMMUNITY G-3245 BEECHER ROAD FLINT MI 48532 272204037 INSURANCE MI 501(C)(4) MCLAREN HEALTH PLAN 1 MCLAREN HEALTH PLAN INC G-3245 BEECHER ROAD FLINT MI 48532 383252216 HEALTH CARE SERVICES MI 501(C)(4) MCLAREN INTEGRTAED HMO GROUP 1 MCLAREN HOSPICE AND HOME CARE FOUNDATION 1515 CAL DR DAVISON MI 48423 463643089 FOUNDATION MI 501(C)(3) LINE 12A, I MCLAREN HEALTH MANAGEMENT GROUP 1 MCLAREN MEDICAL GROUP 401 S BALLENGER HWY FLINT MI 48532 382988086 MANAGEMENT COMPANY MI 501(C)(3) LINE 12A, I MCLAREN HEALTH CARE CORPORATION 1 MCLAREN NORTHERN MICHIGAN 416 CONNABLE AVENUE PETOSKEY MI 49770 382146751 ACUTE CARE HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 MCLAREN NORTHERN MICHIGAN FOUNDATION 360 CONNABLE AVENUE PETOSKEY MI 49770 382445611 FOUNDATION MI 501(C)(3) LINE 7 MCLAREN NORTHERN MICHIGAN 1 MCLAREN PORT HURON 1221 PINE GROVE AVENUE PORT HURON MI 48060 381369611 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 MCLAREN FLINT 401 S BALLENGER HWY FLINT MI 48532 382383119 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 MICHIGAN CANCER SOCIETY 4100 JOHN R ST DETROIT MI 48201 382823451 CANCER RESEARCH MI 501(C)(3) LINE 7 BARBARA ANN KARMANOS CANCER INSTITUTE 1 MOUNT CLEMENS REGIONAL HEALTHCARE FOUNDATION PO BOX 326 MOUNT CLEMENS MI 48046 382578873 FOUNDATION MI 501(C)(3) LINE 10 MCLAREN MACOMB 1 MCLAREN MACOMB 1000 HARRINGTON MOUNT CLEMENS MI 48043 381218516 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 NORTH OAKLAND NORTH MACOMB IMAGING INC 50 NORTH PERRY STREET PONTIAC MI 48342 382807040 MRI IMAGING MI 501(C)(3) LINE 3 MCLAREN OAKLAND 1 NORTHERN MICHIGAN HEMATOLOGY AND ONCOLOGY 416 CONNABLE AVENUE PETOSKEY MI 49770 320020293 PHYSICIAN PRACTICE MI 501(C)(3) LINE 3 MCLAREN NORTHERN MICHIGAN 1 NORTHERN MICHIGAN MEDICAL MANAGEMENT 416 CONNABLE AVENUE PETOSKEY MI 49770 208458840 PHYSICIAN PRACTICE MI 501(C)(3) LINE 3 MCLAREN NORTHERN MICHIGAN 1 MCLAREN OAKLAND FOUNDATION 50 NORTH PERRY STREET PONTIAC MI 48342 200442217 FOUNDATION MI 501(C)(3) LINE 12C, III-FI MCLAREN OAKLAND 1 MCLAREN OAKLAND 50 NORTH PERRY STREET PONTIAC MI 48342 381428164 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 PORT HURON HOSPITAL FOUNDATION PO BOX 5011 PORT HURON MI 48060 382777750 FOUNDATION MI 501(C)(3) LINE 12A, I PORT HURON HOSPITAL 1 THE CARDIAC INSTITUTE DBA MICHIGAN HEART & VASCULAR SPECIALISTS 416 CONNABLE AVENUE PETOSKEY MI 49770 262774689 PHYSICIAN PRACTICE MI 501(C)(3) LINE 3 MCLAREN NORTHERN MICHIGAN 1 MCLAREN HEALTH MANAGEMENT GROUP 1515 CAL DRIVE DAVISON MI 48423 383491714 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 MCLAREN HEALTH CARE CORPORATION 1 VITALCARE INC 761 LAFAYETTE AVENUE CHEBOYGAN MI 49721 382527255 HOSPICE CARE/HOME HEALTH SERVICES MI 501(C)(3) LINE 10 MCLAREN NORTHERN MICHIGAN 1 MCLAREN FLINT FOUNDATION 401 S BALLENGER HIGHWAY FLINT MI 48532 381358053 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12A, I MCLAREN FLINT 1 CARO COMMUNITY HOSPITAL 401 N HOOPER ST CARO MI 48723 383426063 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 CARO COMMUNITY HOSPITAL ENDOWMENT FOUNDATION 401 N HOOPER ST CARO MI 48724 382422995 FOUNDATION MI 501(C)(3) LINE 12C, III-FI CARO COMMUNITY HOSPITAL 1 MDWISE INC 2955 N MERIDIAN STREET SUITE 201 INDIANAPOLIS IN 46208 351931354 HEALTH MAINTENANCE ORGANIZATION IN 501(C)(4) MCLAREN INTEGRTAED HMO GROUP 1 MDWISE MEDICAID NETWORK INC 2955 N MERIDIAN STREET SUITE 201 INDIANAPOLIS IN 46208 473192307 INSURANCE IN 501(C)(4) MCLAREN INTEGRTAED HMO GROUP 1 HURON MEMORIAL HOSPITAL 1100 S VAN DYKE ROAD BAD AXE MI 48413 381474929 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 HURON MEMORIAL FOUNDATION 1100 S VAN DYKE ROAD BAD AXE MI 48413 382717147 FOUNDATION MI 501(C)(3) LINE 7 HURON MEMORIAL HOSPITAL 1 MCLAREN INTEGRATED HMO GROUP G-3245 BEECHER ROAD FLINT MI 48532 824449304 HEALTH CARE SERVICES MI 501(C)(4) MCLAREN HEALTH CARE CORPORATION 1 ST LUKE'S HOSPITAL FOUNDATION 5901 MONCLOVA ROAD MAUMEE OH 43537 341292849 FOUNDATION OH 501(C)(3) LINE 12A, I ST LUKE'S HOSPITAL 1 CARE ENTERPRISES INC 5901 MONCLOVA ROAD MAUMEE OH 43537 341366709 RENTAL REAL ESTATE OH 501(C)(3) LINE 12A, I ST LUKE'S HOSPITAL 1 LAKE ORION NURSING CENTER CORPORATION 50 NORTH PERRY STREET PONTIAC MI 48342 382895426 NURSING HOME MI 501(C)(3) LINE 10 MCLAREN OAKLAND 1 MCLAREN - NORTHERN EQUITIES CANCER CENTER PROJECT LLC 39000 COUNTRY CLUB DRIVE FARMINGTON HILLS MI 48331 263112935 RENTAL REAL ESTATE MI N/A 0 1 MOUNT CLEMENS REGIONAL HEALTH BUILDING HEALTH PARTNERS 1000 HARRINGTON ST MOUNT CLEMENS MI 48043 262524717 BUILDING MANAGEMENT MI N/A 0 1 SOUTH VAN DYKE MEDICAL COMPLEX-A 125 N HANSELMAN ST BAD AXE MI 48413 383372174 VARIOUS HEALTHCARE ACTIVITIES MI N/A 0 1 WATERVILLE MEDICAL CENTER LLC 5901 MONCLOVA ROAD MAUMEE OH 43537 320160784 RENTAL REAL ESTATE OH N/A 0 1 ST LUKES HOSPITAL PAIN MANAGEMENT LLC 5901 MONCLOVA ROAD MAUMEE OH 43537 833639701 PAIN MANAGEMENT OH N/A 0 0 CLARKSTON PROPERTY ASSOCIATES 50 NORTH PERRY STREET PONTIAC MI 48342 432006072 REAL ESTATE MI N/A C 0 DELPHINUS INVESTMENT INC 4100 JOHN R ST DETROIT MI 48075 454758176 HOLD PASSIVE INVESTMENT MI N/A C 1 HEALTH ADVANTAGE INC G3245 BEECHER ROAD FLINT MI 48532 912141720 INSURANCE MI N/A C 1 MCLAREN INSURANCE COMPANY LTD 10 MAIN ST GRAND CAYMAN CJ INSURANCE CJ N/A C 1 MID-MICHIGAN PHYSICIANS PC 2510 KERRY STREET SUITE 200 LANSING MI 48912 383267121 PHYSICIAN PRACTICE MI N/A C 1 MCLAREN PHYSICIAN PARTNERS ONE MCLAREN PARKWAY GRAND BLANC MI 48439 383136458 MANAGED CARE MI N/A C 0 VITALCARE HOME MEDICAL EQUIPMENT INC 761 LAFAYETTE AVENUE CHEBOYGAN MI 49721 382662954 SALE AND RENTAL OF DURABLE MEDICAL EQUIPMENT MI N/A C 1 HURON CLINIC CONDOMINIUMS OWNERS 125 N HANSELMAN ST BAD AXE MI 48413 412144341 VARIOUS HEALTHCARE ACTIVITIES MI N/A C 1 CARE HOLDINGS INC 5901 MONCLOVA ROAD MAUMEE OH 43537 341796790 HOLDING CO OH N/A C 0 PHYSICIANS ADVANTAGE MSO INC 5901 MONCLOVA ROAD MAUMEE OH 43537 061811760 PHYS MGMT SERVICE OH N/A C 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 CARE ENTERPRISES A 94551 FAIR MARKET VALUE CARE ENTERPRISES K 335105 FAIR MARKET VALUE CARE ENTERPRISES O 154733 ALLOCATION OF ACTUAL COST CARE ENTERPRISES Q 367900 ALLOCATION OF ACTUAL COST ST LUKE'S HOSPITAL FOUNDATION B 286714 CASH ST LUKE'S HOSPITAL FOUNDATION C 3648536 CASH ST LUKE'S HOSPITAL FOUNDATION O 174764 ALLOCATION OF ACTUAL COST