2021-08-11T11:31:03-05:00 2020-09-30 381357951 PLANTE & MORAN PLLC 3000 TOWN CENTER SUITE 100 SOUTHFIELD MI 48075 990 2019-10-01 381976271 MCLAREN BAY REGION MCLA 9898943000 1900 COLUMBUS AVENUE BAY CITY MI 48708 DANIELLE JACKS-PORTER CFO 9898943000 2021-08-06 1 AMY CIMINELLO P00796388 2483522500 2021-08-06 2019 2022-09-23 18:48:47Z CLARENCE SEVILLIAN 1900 COLUMBUS AVENUE BAY CITY MI 48708 339524775 0 X WWW.MCLAREN.ORG/BAYREGION/BAYREGION.ASPX X 1972 MI TO PROVIDE GENERAL ACUTE CARE PATIENT SERVICES TO THE COMMUNITY WE SERVE AND TO BE MICHIGAN'S BEST VALUE IN HEALTHCARE AS DEFINED BY QUALITY OUTCOMES AND COST. 15 14 2382 93 115021 0 1433812 10777194 343933787 319084192 4153087 4171395 2406419 1733493 351927105 335766274 117632 94416 0 0 159194674 161535409 0 0 0 170616701 169110889 329929007 330740714 21998098 5025560 401424751 485478084 106946541 190198870 294478210 295279214 MCLAREN HEALTH CARE, THROUGH ITS SUBSIDIARIES, WILL BE MICHIGAN'S BEST VALUE IN HEALTHCARE AS DEFINED BY QUALITY OUTCOMES AND COST. 0 0 263010838 94416 318969171 MCLAREN BAY REGION TREATED 14,209 IN-PATIENTS & 300,183 PATIENTS FOR THE 2019/2020 FISCAL YEAR AND PROVIDED DISEASE DETECTION, PREVENTION AND COMMUNITY EDUCATIONAL SERVICES. THESE SERVICES WERE PROVIDED WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY FOR THE SERVICES. MCLAREN BAY REGION PROVIDED CHARITY CARE TO THOSE PATIENTS IN OUR COMMUNITY WHO DID NOT HAVE THE ABILITY TO PAY IN THE AMOUNT OF $2,556,817 FOR THE 2019/2020 FISCAL YEAR.CARDIOLOGY, BEING A SIGNIFICANT PRODUCT LINE, PERFORMED 306 OPEN HEART SURGERIES AND 5,245 CARDIAC CATHERIZATIONS IN FISCAL YEAR 2020. 263010838 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 129 0 1 2382 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 14 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 1 0 X DANIELLE JACKS-PORTER 9898943000 1900 COLUMBUS AVENUE BAY CITY MI 48708 RAMESH B CHERUKURI MD CARDIAC SURGEON 40.00 0.00 X 2182399 0 24231 DANIEL T LEE MD CARDIOLOGIST 40.00 0.00 X 1338378 0 28528 CLARENCE SEVILLIAN MBR PRESIDENT, CEO 39.50 10.50 X X 0 918356 32023 SUNIL V MANJILA MD NEUROLOGICAL SURGEON 40.00 0.00 X 591423 0 25487 VENKATA SAI ETHA MD PHYSICAL MED & REHAB PHYSICIAN 40.00 0.00 X 579898 0 28036 MANDHIR S JAMWAL MD FAMILY PRACTICE PHYSICIAN 40.00 0.00 X 466287 0 32117 NORMAN CHAPIN MD CHIEF MEDICAL OFFICER 40.00 0.00 X 398949 0 22284 DANIELLE JACKS-PORTER VP, CHIEF FINANCIAL OFFICER 40.00 4.00 X 335874 0 29189 ELLEN E TALBOTT VP, PATIENT CARE SERVICES (PART YEAR) 20.00 20.02 X 281009 0 31140 JASON WHITE MD CHIEF MEDICAL OFFICER (PART YEAR) 40.00 0.00 X 246490 0 23194 CAROLYN POTTER VP, HUMAN RESOURCES 20.00 20.00 X 228725 0 11285 MAGEN SAMYN VP, MARKETING, PUBLIC RELATIONS 40.00 0.00 X 180835 0 22435 KELLEY ZWINGMAN-KRITZMAN FORMER INTERIM CFO 35.00 6.00 X 136565 0 23791 DOMINIC MONASTIERE DIRECTOR 3.00 1.00 X 0 24305 0 MONICA BARANSKI VP, PATIENT CARE SERVICES 20.00 20.00 X 6408 0 743 GARY E BOSCO CHAIRMAN 10.00 0.00 X X 0 0 0 DOUGLAS J SAYLOR MD DIRECTOR 3.00 0.00 X 0 0 0 LEE NEWTON DO DIRECTOR 3.00 3.00 X 0 0 0 AMY RODRIGUEZ DIRECTOR 3.00 0.00 X 0 0 0 WILLIAM R BOWEN DIRECTOR 3.00 0.00 X 0 0 0 DEBRA K LUTZ VICE-CHAIRMAN 3.00 0.00 X X 0 0 0 DAVID B MIKOLAJCZAK SECRETARY 3.00 0.00 X X 0 0 0 SAAD AHMAD MD VICE-CHIEF OF STAFF 3.00 0.00 X 0 0 0 NAEEM AHMED MD CHIEF OF STAFF 3.00 0.00 X 0 0 0 HEATHER L GALLEGOS DIRECTOR 3.00 0.00 X 0 0 0 TERRY J CHERWIN DO DIRECTOR 3.00 0.00 X 0 0 0 RAJESH DANDAMUDI MD DIRECTOR 3.00 0.00 X 0 0 0 MITZI M DIMITROFF DIRECTOR 3.00 0.00 X 0 0 0 6973240 942661 334483 131 1 1 0 BAY CITY MEDICAL OFFICE BLDG LLC 839 N JEFFERSON STREET SUITE 600 MILWAUKEE WI 53202 PROPERTY MANAGEMENT 1832357 LWB 8 INC 3000 TOWN CENTER STE 1515 SOUTHFIELD MI 48705 PSYCHOLOGY SERVICES 931243 INTERIM PHYSICIANS LLC PO BOX 679139 DALLAS TX 75267 PHYSICIAN SERVICES 892312 TOTAL RENAL CARE INCFKA DAVITA PO BOX 781607 PHILADELPHIA PA 191781607 DIALYSIS SERVICES 868335 MARY FREE BED REHAB HOSPITAL 235 WEALTHY ST SE GRAND RAPIDS MI 49503 REHAB SERVICES 671475 26 1056874 9720320 10777194 PATIENT SERVICES 621110 296700066 296585045 115021 MEDICAID QAAP TAX PAYMENTS 621110 16938380 16938380 PROGRAM SVC REVENUE 621110 6618654 6618654 RELATED-PARTY RENT 531390 623199 623199 INCOME FROM JOINT VENTURES 900099 -1796107 -1796107 319084192 4120031 4120031 776702 0 776702 776702 776702 3809865 3758501 51364 51364 51364 CAFETERIA 722514 956791 956791 956791 335766274 318969171 115021 5904888 X 94416 94416 1649940 1649940 131263837 97739053 33524784 4075436 3034570 1040866 17259648 12851534 4408114 7286548 5425564 1860984 4724094 4724094 527015 527015 70526 70526 7301 7301 43634196 32490022 11144174 380792 283538 97254 2123053 1580825 542228 491392 365890 125502 9930214 7394037 2536177 70663 52616 18047 47488 35360 12128 2021383 1505122 516261 11633640 8662408 2971232 2741516 2041333 700183 MEDICAL SUPPLIES & DRUG 69952250 69952250 BAD DEBT EXPENSE 14330619 14330619 BUILDING RENTAL COSTS 2268882 1689410 579472 LAUNDRY 1255688 934985 320703 2900177 2547286 352891 330740714 263010838 67729876 0 9680717 66803271 33353374 22025472 -3881284 1986345 7330079 7356821 2406576 2077450 312955588 168656020 110341412 144299568 224479352 222088822 3391737 4686316 14322788 14154019 401424751 485478084 8797131 48915846 2534564 1390904 3288731 96758506 135459729 106946541 190198870 X 293972377 294772231 505833 506983 294478210 295279214 401424751 485478084 X 5025560 8379860 -12604416 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 7301 7301 0 PART II-B, LINE 1: A PORTION OF DUES PAID TO MICHIGAN HEALTH AND HOSPITAL ASSOCIATION SUPPORT LOBBYING ACTIVITIES. 471562 471562 471562 471562 471562 471562 471562 471562 471562 471562 0.00000 1.00000 0.00000 0 0 5934002 5934002 144739253 64944263 79794990 6319969 4545597 1774372 124158252 96953677 27204575 31804112 2212483 29591629 144299568 PROFESSIONAL LIABILITY RESERVE 4790252 ACCRUED PENSION 18795778 COST REPORT SETTLEMENT PAYABLE 6757589 POST RETIREMENT BENEFIT COST 487706 OTHER LONG-TERM LIABILITIES 28252193 INTERCOMPANY LOANS PAYABLE 43333545 DUE TO RELATED ORGANIZATIONS 33042666 135459729 PART V, LINE 4: THE INTENDED USE OF THE FUNDS IS AS DETERMINED BY THE DONOR. 1 1 X 1 X 1 X 1 1 0 1 1 804333 804333 0.00250 46111865 43854050 2257815 0.00710 46916198 43854050 3062148 0.00960 302486 302486 0.00100 1973326 785703 1187623 0.00380 307772 307772 0.00100 105535 105535 0.00030 2689119 785703 1903416 0.00610 49605317 44639753 4965564 0.01570 29918 29918 0.00010 1808 1808 0.00000 27954 27954 0.00010 11019 11019 0.00000 17515 1760 15755 0.00000 88214 1760 86454 0.00020 1 14330619 1433062 97850401 104307624 -6457223 X 1 1 1 1 MCLAREN BAY REGION 1900 COLUMBUS AVE BAY CITY MI 48708 WWW.MCLAREN.ORG/BAYREGION 1060000023 X X X X REHAB, PSYCH SERVICES AND DIAGNOSTIC CENTER MCLAREN BAY REGION 1 0 0 1 X X X X X X X X X 18 1 1 0 1 X HTTPS://TINYURL.COM/YAWXCYL4 X 1 18 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 MCLAREN BAY REGION PART V, SECTION B, LINE 5: MCLAREN BAY REGION WAS IN CONSULTATION WITH: BAY HEALTH PLAN - A GROUP THAT SERVES THE NEEDS OF THE INDIGENT POPULATION IN BAY CITY; BAY AREA BEHAVIORAL HEALTH - A MENTAL HEALTH OUTPATIENT ORGANIZATION; BAY SPECIAL CARE HOSPITAL - A LONG TERM ACUTE CARE FACILITY; AND BAY COUNTY HEALTH DEPARTMENT. MANY MEETINGS AND FOCUS GROUPS WERE FORMED TO DISCUSS THE ISSUES AND WORK ON PREPARATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE HEALTH IMPROVEMENT PLANS AND THE CHNA IMPLEMENTATION AND TIMELINE PLANNING. PLEASE FIND A COPY OF THE CHNA AND IMPLEMENTATION PLAN AT:HTTPS://WWW.MCLAREN.ORG/MAIN/COMMUNITY-HEALTH-NEEDS-ASSESSMENT MCLAREN BAY REGION PART V, SECTION B, LINE 6A: MCLAREN BAY SPECIAL CARE MCLAREN BAY REGION PART V, SECTION B, LINE 11: PLEASE SEE THE CHNA AND IMPLEMENTATION POLICY FOR THE NEEDS THAT WERE IDENTIFIED AT: HTTPS://WWW.MCLAREN.ORG/MAIN/COMMUNITY-HEALTH-NEEDS-ASSESSMENTTHE ORGANIZATION HAS FOCUSED ITS EFFORTS ON THOSE NEEDS THAT IT CAN IMPACT THE MOST. THE OTHER NEEDS IDENTIFIED WILL BE ADDRESSED BY OTHER COMMUNITY SERVICE PROVIDERS. MCLAREN BAY REGION PART V, SECTION B, LINE 13B: PRESUMPTIVE FINANCIAL ASSISTANCE MAY BE APPLIED BASED ON THIRD PARTY INFORMATION OR A PRIOR FINANCIAL ASSISTANCE DETERMINATION. DESIGNATED PERSONNEL WILL MAKE REASONABLE EFFORT TO NOTIFY THE INDIVIDUAL OF ASSISTANCE. 1 1 - HURON VASCULAR SERVICES 1100 S VAN DYKE RD STE 700 BAD AXE MI 48413 CARDIOVASCULAR SERVICES PART I, LINE 3C: INCOME CRITERIA IS BASED UPON 200% OF THE 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. ACTUAL COSTS FROM THE PROVIDERS RECORDS WERE USED FOR LINES 7E THROUGH 7I. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE SCHEDULE H, PART I, COLUMN F PERCENTAGE EQUALS $14,330,619 PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY-BUILDING ACTIVITIES ARE DESIGNED AND IMPLEMENTED BASED ON COMMUNITY NEEDS ASSESSMENTS AND INPUT FROM COMMUNITY-BASED ORGANIZATIONS AND OTHER COMMUNITY STAKEHOLDERS, INCLUDING BUSINESS VENDORS, RELIGIOUS ORGANIZATIONS AND POLITICAL LEADERS. EACH ORGANIZATION DEFINES ANNUAL COMMUNITY-BUILDING AND OUTREACH ACTIVITY PLANS. THESE PLANS ARE DESIGNED TO ADDRESS THE SPECIFIC HEALTH PREVENTION, EDUCATION, DIAGNOSIS, TREATMENT AND FOLLOW-UP CARE REQUIREMENTS OF UNIQUE DISEASE, DEMOGRAPHIC AND GEOGRAPHIC COMMUNITIES IDENTIFIED BY ONGOING NEEDS ASSESSMENTS DESCRIBED ABOVE. PART III, LINE 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 MEDICARE SURPLUS (SHORTFALL), FROM THE MEDICARE COST REPORT, WAS CALCULATED BY UTILIZING COST ACCOUNTING ACCOUNTING WHEN APPROPRIATE AND AVAILABLE. IN SOME AREAS A COST TO CHARGE METHODOLOGY WAS REQUIRED. SHORTFALLS ARE CONSIDERED TO BE COMMUNITY BENEFIT. PART III, LINE 9B: A FORMAL WRITTEN DEBT COLLECTION POLICY IS IN PLACE. THE COLLECTION POLICY WILL ASSESS A PATIENT'S ABILITY TO PAY FOR SERVICES INCLUDING METHODS OF PAYMENTS, ENTITLEMENT PROGRAMS, CHARITY CARE POLICIES, DISCOUNT POLICIES, INQUIRIES OF CREDIT REPORT AND OTHER AVAILABLE INFORMATION RELATIVE TO THE PATIENT'S FINANCIAL SITUATION. THE COLLECTION PROCESS BEGINS AT THE POINT OF SERVICE AND IS COMPLETED WHEN THE BALANCE IS RECONCILED AND MAY INCLUDE USE OF EXTERNAL COLLECTION AGENCIES AND OR ATTORNEY'S. PART VI, LINE 2: PRIMARY AND SECONDARY MARKET RESEARCH IS CONDUCTED BY AND THROUGH COMMUNITY-BASED HEALTH COALITIONS, ACADEMIC INSTITUTIONS, THIRD PARTY DATA ANALYTICS ORGANIZATIONS, HEALTH NEEDS ASSESSMENTS AND SURVEYS, HISTORIC HEALTH SERVICES UTILIZATION PATTERNS, DEMOGRAPHIC ANALYSIS AND POPULATION-BASED HEALTH CARE SERVICES UTILIZATION FORECASTS. PART VI, LINE 3: AVAILABILITY OF FINANCIAL ASSISTANCE INFORMATION AND EDUCATION IS PROVIDED AT ALL INPATIENT AND OUTPATIENT REGISTRATION POINTS-OF-SERVICE. INFORMATION AND EDUCATION IS ALSO AVAILABLE THROUGH THE ORGANIZATION'S WEBSITE(S). FINANCIAL AND APPLICATION FORMS ARE AVAILABLE AT ALL INPATIENT AND OUTPATIENT POINTS-OF-SERVICE, INCLUDING PROVIDING ASSISTANCE IN COMPLETING THE APPLICATION. THE ORGANIZATION AND ITS SUBSIDIARIES/AFFILIATES ALSO PROVIDE SPECIALLY-TRAINED COUNSELORS TO ASSIST PATIENTS AND REVIEW ELIGIBILITY FOR FEDERAL, STATE AND OTHER GOVERNMENT PROGRAMS, INCLUDING, BUT NOT LIMITED TO, MEDICAID, DISABILITY, SOCIAL SECURITY, AND ANY OTHER FORMS OF THIRD PARTY PAYMENT. PART VI, LINE 4: THE SERVICE AREA OF MCLAREN BAY REGION IS COMPOSED OF 76 ZIP CODES AND IS CENTERED PRINCIPALLY ON THE CITY OF BAY CITY, MICHIGAN IN THE COUNTY OF BAY. THE PRIMARY SERVICE AREA, ACCOUNTING FOR 75% OF ANNUAL INPATIENT DISCHARGES, IS COMPOSED OF 8 ZIP CODES AND CAN BE CHARACTERIZED AS LARGELY URBAN IN NATURE. THE SECONDARY SERVICE AREA, ACCOUNTING FOR 25% OF ANNUAL INPATIENT DISCHARGES, IS COMPOSED OF 68 ZIP CODES AND CAN BE CHARACTERIZED AS LARGELY RURAL IN NATURE. PRIMARY SERVICE AREA DEMOGRAPHIC DISTRIBUTIONS:AGE DISTRIBUTION0 - 14 17.6%15 - 17 4.0%18 - 24 8.7%25 - 34 12.4%35 - 54 27.5%55 - 64 13.5%65+ 16.3%EDUCATION LEVELLESS THAN HIGH SCHOOL 3.3%SOME HIGH SCHOOL 8.8%HIGH SCHOOL DEGREE 35.2%SOME COLLEGE/ASSOC. DEGREE 33.2 %BACHELOR'S DEGREE OR GREATER 19.5%HOUSEHOLD INCOME DISTRIBUTION<$15K 14.3%$15 - 25K 12.9%$25 - 50K 29.5%$50 - 75K 19.1%$75 - 100K 11.2%OVER $100K 13.0%RACE/ETHNICITYWHITE NON-HISPANIC 91.7%BLACK NON-HISPANIC 1.5%HISPANIC 4.1%ASIAN & PACIFIC IS. NON-HISPANIC 0.5%ALL OTHERS 2.1% PART VI, LINE 5: THE PARENT ORGANIZATION AND EACH OF ITS SUBSIDIARY/AFFILIATE MEMBERS MAINTAIN A LOCAL COMMUNITY-BASED BOARD WITH POWERS, RESPONSIBILITIES AND ACCOUNTABILITIES FOR THE OVERSIGHT OF THE OPERATION OF THEIR RESPECTIVE ORGANIZATIONS. EACH SUBSIDIARY/AFFILIATE ORGANIZATION MAINTAINS AN OPEN MEDICAL STAFF ALLOWING ANY PHYSICIAN OR OTHER CARE PROVIDER WITH PROPER CREDENTIALS TO JOIN THE STAFF AND PROVIDE APPROVED CARE. THE ORGANIZATION FUNDS AND MAINTAINS OVER 500 MEDICAL RESIDENCY AND FELLOWSHIP PROGRAMS TO TRAIN FUTURE GENERATIONS OF PHYSICIANS; ORGANIZATION FUNDS, OPERATES AND MAINTAINS NUMEROUS HEALTH CARE EDUCATION PROGRAMS AT THE HIGH SCHOOL, COMMUNITY COLLEGE, UNIVERSITY AND POST-GRADUATE LEVELS OF EDUCATION. THE ORGANIZATION PROVIDES SPONSORSHIP (FINANCIAL AND IN-KIND RESOURCES) SUPPORT TO COMMUNITY-LEVEL ACTIVITIES (HEALTH WALKS AND RACES, FITNESS TRAINING, DISEASE AWARENESS EVENTS, CULTURAL EVENTS AND OTHER HEALTH-RELATED NON-PROFIT ACTIVITIES, EVENTS AND ORGANIZATIONS). THE ORGANIZATION ALSO DIRECTS, FUNDS, SUPPORTS AND PARTICIPATES IN FUNDRAISING ACTIVITIES THAT SUPPORT HEALTH PREVENTION/EDUCATION, DIAGNOSIS AND TREATMENT PROVIDED BY OTHER NON-PROFIT COMMUNITY ORGANIZATIONS. PART VI, LINE 6: THE ROLE OF THE PARENT ORGANIZATION IS TO SET THE VISION AND STRATEGIC DIRECTION FOR THE ORGANIZATION AS A WHOLE. THIS INCLUDES THE DEVELOPMENT OF THE ANNUAL STRATEGIC PLAN WHICH DEFINES THE STRATEGIC PRIORITIES FOR THE ORGANIZATION AND ITS MEMBERS, THE METRICS TO BE MEASURED FOR EACH STRATEGIC PROGRAM AND THE BENCHMARK OR TARGET/GOALS FOR EACH METRIC. STRATEGIC PRIORITIES DIRECTLY ADDRESS AND MEASURE (AT A SUBSIDIARY LEVEL) CLINICAL QUALITY AND CLINICAL OUTCOMES; PATIENT, PHYSICIAN, EMPLOYEE AND COMMUNITY SATISFACTION WITH THE ORGANIZATION AND ITS SUBSIDIARY/AFFILIATE MEMBERS; AND DEVELOPMENT OF NEW SERVICES TO IMPROVE ACCESS TO, QUALITY OF, AND COST OF HEALTH SERVICES.THE ROLE OF THE ORGANIZATION'S SUBSIDIARIES/AFFILIATES IS THE DEVELOPMENT AND IMPLEMENTATION OF ANNUAL STRATEGIC AND OPERATIONAL PLANS THAT SUPPORT AND ADVANCE THE STRATEGIC PLAN OF THE PARENT ORGANIZATION. ALL LOCAL PLANS ARE DEVELOPED AND DESIGNED TO REFLECT THE UNIQUE POPULATION-BASED HEALTH CARE NEEDS AND REQUIREMENTS OF THE COMMUNITIES SERVED BY THE SUBSIDIARY/AFFILIATE ORGANIZATION.ALL LOCAL SUBSIDIARIES/AFFILIATES HAVE FULL AUTHORITY AND DECISION-MAKING POWERS TO DEFINE AND EXECUTE THE STRATEGIC AND OPERATIONAL PLANS INTENDED TO IMPROVE THE HEALTH AND WELFARE OF THE COMMUNITIES THEY SERVE. PART VI, LINE 7, REPORTS FILED WITH STATES MI 1 BAY FUTURE INC 812 N WATER STREET BAY CITY MI 48708 300274225 501(C)(3) 15000 N/A N/A ECONOMIC DEVELOPMENT MICHIGAN HEALTH IMPROVEMENT ALLIANCE PO BOX 432 BAY CITY MI 48707 452133862 501(C)(3) 15000 N/A N/A STATE WIDE HEALTH DEVELOPMENT MIDLAND BUSINESS ALLIANCE 300 RODD ST SUITE 101 MIDLAND MI 48640 382600199 501(C)(3) 6800 N/A N/A COMPREHENSIVE BUSINESS SUPPORT 3 0 PART I, LINE 2: MCLAREN BAY REGION REVIEWS TAX-EXEMPT STATUS AND MONITORS OVERALL STANDING OF ORGANIZATION IN DETERMINING GRANTS. 0 1 0 0 0 0 0 1 0 RAMESH B CHERUKURI MD CARDIAC SURGEON 1520000 0 442758 0 219641 0 5600 0 18631 0 2206630 0 0 0 DANIEL T LEE MD CARDIOLOGIST 1150000 0 0 0 188378 0 14000 0 14528 0 1366906 0 0 0 CLARENCE SEVILLIAN MBR PRESIDENT, CEO 0 536485 0 143750 0 238121 0 14000 0 18023 0 950379 0 0 SUNIL V MANJILA MD NEUROLOGICAL SURGEON 568615 0 0 0 22808 0 11514 0 13973 0 616910 0 0 0 VENKATA SAI ETHA MD PHYSICAL MED & REHAB PHYSICIAN 408000 0 77934 0 93964 0 14000 0 14036 0 607934 0 0 0 MANDHIR S JAMWAL MD FAMILY PRACTICE PHYSICIAN 400000 0 32347 0 33940 0 14000 0 18117 0 498404 0 0 0 NORMAN CHAPIN MD CHIEF MEDICAL OFFICER 395385 0 0 0 3564 0 4422 0 17862 0 421233 0 0 0 DANIELLE JACKS-PORTER VP, CHIEF FINANCIAL OFFICER 306739 0 24736 0 4399 0 11173 0 18016 0 365063 0 0 0 ELLEN E TALBOTT VP, PATIENT CARE SERVICES (PART YEAR 244840 0 28888 0 7281 0 14000 0 17140 0 312149 0 0 0 JASON WHITE MD CHIEF MEDICAL OFFICER (PART YEAR) 190716 0 49986 0 5788 0 12432 0 10762 0 269684 0 0 0 CAROLYN POTTER VP, HUMAN RESOURCES 207190 0 19691 0 1844 0 10303 0 982 0 240010 0 0 0 MAGEN SAMYN VP, MARKETING, PUBLIC RELATIONS 155925 0 19176 0 5734 0 8990 0 13445 0 203270 0 0 0 KELLEY ZWINGMAN-KRITZMAN FORMER INTERIM CFO 119416 0 8726 0 8423 0 6828 0 16963 0 160356 0 0 0 PART I, LINE 1A THE CEO/EXECUTIVE DIRECTOR WAS COMPENSATED BY A RELATED ORGANIZATION, AND THEREFORE NONE OF THE LINE 1 BOXES HAVE BEEN CHECKED. THE CORPORATE CEO, SUBSIDIARY CEOS AND CORPORATE EXECUTIVE & SENIOR VICE-PRESIDENTS IN SOME INSTANCES HAVE RECEIVED TAX INDEMNIFICATION FOR THE FOLLOWING BENEFITS: VEHICLE COSTS, GROUP TERM LIFE INSURANCE, SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS, AND HEALTH CLUB OR SOCIAL DUES. THESE BENEFITS HAVE BEEN INCLUDED IN TAXABLE COMPENSATION. PART I, LINE 3 THE CEO/EXECUTIVE DIRECTOR WAS COMPENSATED BY A RELATED ORGANIZATION, AND THEREFORE NONE OF THE LINE 3 BOXES HAVE BEEN CHECKED. THE RELATED ORGANIZATION USED THE FOLLOWING METHODOLOGIES TO ESTABLISH THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B MCLAREN MAINTAINS TWO SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES (THE "SERPS"). THE OLD SERP WAS CLOSED TO NEW PARTICIPANTS ON OCTOBER 1, 2006, AND THE NEW SERP BECAME EFFECTIVE AS OF JANUARY 1, 2007. NO EMPLOYEE MAY PARTICIPATE IN BOTH OF THE SERPS. THE OLD SERP IS STRUCTURED AS A DEFINED BENEFIT PLAN THAT ESSENTIALLY REPLACES THE BENEFITS THE PARTICIPANT IS NOT PERMITTED TO RECEIVE UNDER MCLAREN'S QUALIFIED RETIREMENT PLAN DUE TO IRS LIMITATIONS APPLICABLE TO QUALIFIED PLANS. THE BENEFIT UNDER THE OLD SERP IS PAYABLE IN EITHER THE FORM OF A LUMP SUM DISTRIBUTION OR IN MONTHLY PAYMENTS EQUAL TO THE ACTUARIAL EQUIVALENT OF THE PARTICIPANT'S ACCRUED BENEFIT. THE BENEFIT IS PAID AT AGE 55, AND IF THE PARTICIPANT REMAINS EMPLOYED, THE BENEFIT IS PAID UPON TERMINATION OF EMPLOYMENT, REDUCED TO TAKE INTO ACCOUNT THE BENEFIT PREVIOUSLY PAID. THE NEW SERP IS STRUCTURED AS A DEFINED CONTRIBUTION PLAN, AND MCLAREN CONTRIBUTES 15 PERCENT OF EACH PARTICIPANT'S COMPENSATION TO THE PLAN EACH YEAR FOR ALLOCATION TO THE PARTICIPANT'S ACCOUNT. PARTICIPANTS IN THE NEW SERP BECOME VESTED IN THEIR ACCOUNTS UPON THE EARLIER OF FIVE YEARS OF PARTICIPATION IN THE PLAN OR ATTAINMENT OF AGE 60. PARTICIPANTS IN THE NEW SERP SELF-DIRECT THE INVESTMENT OF THEIR ACCOUNTS AND HAVE THE ACTUAL INVESTMENT RETURN CREDITED OR DEBITED TO THEIR ACCOUNTS. THE BENEFIT UNDER THE NEW SERP IS EQUAL TO THE PARTICIPANT'S ACCOUNT BALANCE, AND THE BENEFIT IS PAID IN A SINGLE SUM WITHIN 60 DAYS OF THE PARTICIPANT'S TERMINATION DATE. BENEFITS UNDER BOTH SERPS ARE PROVIDED ON A TAX-NEUTRAL BASIS. BOTH SERPS ARE DESIGNED TO COMPLY WITH INTERNAL REVENUE CODE SECTIONS 457(F) AND 409A. PART I, LINE 7 MCLAREN HEALTH CARE (MHC) HAS A LEADERSHIP INCENTIVE PROGRAM FOR LEADERS OF THE CORPORATION, SUBSIDIARY EXECUTIVES AND DIRECTORS, MANAGERS AND SUPERVISORS. THE PURPOSE OF THE PLAN IS TO ENHANCE THE ORGANIZATION'S ABILITY TO ACHIEVE ITS GOALS BY PROVIDING TOP OFFICIALS AND THE BOARD OF DIRECTORS WITH A TOOL FOR (A) CLEARLY COMMUNICATING PERFORMANCE ON THE PART OF KEY LEADERS, (B) STIMULATING AND REWARDING SUPERIOR LEVELS OF PERFORMANCE ON THE PART OF KEY LEADERS WHICH WILL ULTIMATELY BENEFIT THE COMMUNITIES MHC SERVES, AND (C) PROTECTING MHC'S ABILITY TO COMPETE WITH OTHER EMPLOYERS FOR HIGH-TALENT LEADERS. FORM 990, PART VI, SECTION A, LINE 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 THE CORPORATION'S BOARD OF DIRECTORS WILL HAVE FULL AUTHORITY TO GOVERN THE AFFAIRS OF THE CORPORATION EXCEPT FOR POWERS WHICH ARE RESERVED TO MHCC AS THE SOLE MEMBER OF THE CORPORATION BY MICHIGAN LAW AND THE FOLLOWING ACTIONS, THE APPROVAL OF WHICH IS RESERVED TO MHCC AND WHICH WILL NOT BECOME EFFECTIVE WITHOUT THE ADVANCE APPROVAL OF MHCC: A) ANY AMENDMENT, MODIFICATION OR REPEAL OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; B) ANY MERGER, CONSOLIDATION OR AFFILIATION OF THE CORPORATION WITH ANOTHER ENTITY; C) ANY VOLUNTARY DISSOLUTION OF THE CORPORATION; D) NEW OR ADDITIONAL MEMBERS TO THE MEMBERSHIP OF THE CORPORATION; E) ANY CHANGES IN THE VOTING POWERS OF MHCC AS THE SOLE MEMBER OF THE CORPORATION F) ANY SALES, LEASE OR OTHER TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; G) THE DISCONTINUANCE OR MATERIAL MODIFICATION OF A MAJOR ACTIVITY, PROGRAM OR SERVICE OF THE CORPORATION; H) THE STRATEGIC AND LONG-RANGE PLANS AND THE ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS OF THE CORPORATION, WHICH APPROVAL WILL NOT BE UNREASONABLY DENIED BY MHCC; I) THE CREATION OF ANY LONG-TERM OBLIGATION OF THE CORPORATION, THE PRINCIPAL AMOUNT OF WHICH EXCEEDS 25% OF THE VALUE OF THE NET ASSETS OF THE CORPORATION; PROVIDED, HOWEVER, APPROVAL OF MHCC AS THE SOLE MEMBER OF THE CORPORATION WILL NOT BE REQUIRED FOR ANY SUCH OBLIGATION INCURRED IN THE ORDINARY COURSE OF BUSINESS THAT IS PAYABLE ON DEMAND OR MATURES WITHIN 12 MONTHS FROM THE DATE OF ITS CREATION; J) THE ISSUANCE OF BONDS OR OTHER EVIDENCE OF INDEBTEDNESS; K) SELL, CONVEY, ASSIGN, TRANSFER, ALIENATE, PLEDGE OR ENCUMBER REAL PROPERTY IN EXCESS OF $250,000; L) PURCHASE OR ACQUIRE ADDITIONAL REAL PROPERTY IN EXCESS OF $250,000; AND M) THE APPROVAL OF UNBUDGETED EXPENDITURES IN EXCESS OF $250,000 IN THE ANNUAL AGGREGATE. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 DATA IS PREPARED INTERNALLY AND SUBMITTED TO OUR AUDITING FIRM FOR RETURN PREPARATION. ONCE THE RETURNS HAVE BEEN COMPLETED, THE FORMS ARE REVIEWED BY ENTITY CFO AND THE FINANCE LEADERSHIP OF MCLAREN HEALTH CARE (MHC). COPIES OF DRAFT RETURNS ARE MADE AVAILABLE TO THE MHC BOARD MEMBERS, WHO SERVE AS THE OVERALL GOVERNING BOARD. RETURNS ARE AVAILABLE FOR ALL CORPORATIONS OF WHICH MHC IS THE SOLE MEMBER AS WELL AS OTHER RELATED ENTITIES OF THOSE CORPORATIONS FOR REVIEW RATHER THAN HAVING THE LOCAL BOARDS REVIEW THE RETURNS. THE BOARD OF MHC IS THE ULTIMATE ACCOUNTABLE ORGANIZATION FOR THE SYSTEM; AS SUCH IT IS THE OVERALL GOVERNING BOARD OF THE SYSTEM, WHOSE RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: APPROVING ALL SUBSIDIARY BOARD MEMBERS, FINANCIAL BUDGETS, AND ISSUANCE OF DEBT. FORM 990, PART VI, SECTION B, LINE 12C THE CORPORATE COMPLIANCE DEPARTMENT, IN ACCORDANCE WITH THE MCLAREN HEALTH CARE (MHC) BOARD CONFLICT OF INTEREST POLICY, ANNUALLY DISTRIBUTES THE CONFLICT OF INTEREST DISCLOSURE SURVEY TO ALL MHC CORPORATE AND SUBSIDIARY ORGANIZATION BOARD MEMBERS, EXECUTIVES AND OTHER LEADERSHIP EMPLOYEES. THE CORPORATE COMPLIANCE DEPARTMENT THROUGH THE GOVERNANCE COMMITTEE, COMPILES AND ANALYZES SURVEY DATA BY ORGANIZATION, INVESTIGATES AND REVIEWS POTENTIAL CONFLICTS WITH THE ORGANIZATION'S CEO AND BOARD CHAIR, AND WHEN NECESSARY, RECOMMENDS ACTIONS TO BE TAKEN TO RESOLVE IDENTIFIED CONFLICTS. A COMPLETE REPORT OF ALL CORPORATE AND SUBSIDIARY BOARD MEMBER AND EXECUTIVE DISCLOSURES, CONFLICTS IDENTIFIED AND ACTIONS TAKEN IS REVIEWED BY THE MHC GOVERNANCE COMMITTEE AND EACH SUBSIDIARY CEO AND BOARD CHAIR RECEIVES A REPORT SPECIFIC TO THEIR ORGANIZATION'S BOARD MEMBERS AND EXECUTIVES. CONFLICTS ARE DISCLOSED TO THE FULL BOARD AND BOARD COMMITTEES SO APPROPRIATE ACTIONS CAN BE TAKEN. ACTIONS MAY INCLUDE PROHIBITING A BOARD MEMBER FROM PARTICIPATING IN DELIBERATIONS INVOLVING TRANSACTIONS WITH A COMPANY WITH WHICH THEY CONDUCT FINANCIAL TRANSACTIONS; BOARD MEMBERS FAILING TO COMPLETE A DISCLOSURE SURVEY OR INTENTIONALLY FAILING TO REPORT A KNOWN CONFLICT OF INTEREST ARE RELIEVED OF THEIR SERVICE TO MHC. FORM 990, PART VI, SECTION B, LINE 15B THE COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS TO REVIEW THE PERFORMANCE AND RECOMMEND THE TOTAL COMPENSATION PACKAGE OF THE MCLAREN HEALTHCARE CORPORATION'S CEO TO THE BOARD. FURTHER THE COMMITTEE ESTABLISHES THE SALARY RANGES AND PERQUISITES OF THE OTHER MOST HIGHLY COMPENSATED OFFICERS (MHC EXECUTIVE & SENIOR VICE-PRESIDENTS AND CEOS OF MHC SUBSIDIARY ORGANIZATIONS) TO THE BOARD. THE MEMBERS OF THE COMMITTEE MUST MEET THE INDEPENDENCE REQUIREMENTS OF THE APPLICABLE PROVISIONS OF SECTION 4958 OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED AND FINAL TREASURY REGULATIONS SECTION 53.4958-6(C)(1)(III). THE COMMITTEE RETAINS THE SERVICES ANNUALLY OF AN INDEPENDENT FIRM WITH SIGNIFICANT QUALIFICATIONS AND EXPERIENCE TO CONDUCT A REVIEW OF THE CORPORATION'S EXECUTIVE COMPENSATION PROGRAM. THE RETAINED FIRM UTILIZES APPROPRIATE COMPENSATION COMPARABILITY DATA. THE RETAINED FIRM CONDUCTS ANALYSIS OF THE COMPETITIVENESS OF THESE PROGRAMS AND EXPRESSES AN OPINION TO THE REASONABLENESS OF THESE COMPENSATION PROGRAMS. ALL DATA UTILIZED BY THE COMMITTEE, DELIBERATIONS OF THE COMMITTEE, AND FINAL COMPENSATION DECISIONS BY THE COMMITTEE ARE DOCUMENTED IN FORMAL REPORTS AND MINUTES. THE CORPORATE COMPENSATION COMMITTEE WORKS UNDER AND PERIODICALLY RENEWS THE MCLAREN HEALTH CARE CORPORATION COMPENSATION COMMITTEE CHARTER. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS FISCAL YEAR 2020. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 7,503,929. MANAGEMENT AND GENERAL EXPENSES 2,573,870. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,077,799. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 24,986,093. MANAGEMENT AND GENERAL EXPENSES 8,570,304. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,556,397. FORM 990, PART XI, LINE 9: NET ASSET TRANSFER (TO)/FROM AFFILIATE -12,244,556. MINIMUM PENSION LIABILITY ADJUSTMENT -359,860. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MCLAREN BAY MEDICAL FOUNDATION 1900 COLUMBUS AVE BAY CITY MI 48708 382156534 FOUNDATION MI 501(C)(3) LINE 12A, I MCLAREN BAY REGION 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 CANCER CARE CENTER 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 MCLAREN PORT HURON 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 & 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 MCLAREN PORT HURON 1 REGIONAL EMERGENCY MEDICAL SERVICE INC 25400 W 8 MILE ROAD SOUTHFIELD MI 48034 383255499 AMBULANCE SERVICE MI 501(C)(3) LINE 10 MCLAREN MEDICAL MANAGEMENT INC 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 410 N HOOPER ST CARO MI 48723 383426063 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 CARO COMMUNITY HOSPITAL ENDOWMENT FOUNDATION 410 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 LAKE ORION NURSING CENTER 50 NORTH PERRY STREET PONTIAC MI 48342 382895426 NURSING CENTER 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 MOUNT CLEMENS REGIONAL HEALTH BUILDING HEALTH PARTNERS 1000 HARRINGTON ST MOUNT CLEMENS MI 48043 262524717 BUILDING MANAGEMENT MI N/A SOUTH VAN DYKE MEDICAL COMPLEX-A 125 N HANSELMAN ST BAD AXE MI 48413 383372174 VARIOUS HEALTHCARE ACTIVITIES MI N/A 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 1 1 1 0 0 1 0 1 0 1 1 1 1 1 1 1 1 1 1 MCLAREN BAY MEDICAL FOUNDATION C 1028030 ALLOCATION OF ACTUAL COST MCLAREN BAY SPECIAL CARE A 352050 ALLOCATION OF ACTUAL COST MCLAREN BAY SPECIAL CARE O 88390 COST OF COMPENSATION MCLAREN BAY SPECIAL CARE P 164777 ALLOCATION OF ACTUAL COST MCLAREN BAY SPECIAL CARE Q 1264384 ALLOCATION OF ACTUAL COST MCLAREN BAY SPECIAL CARE S 2460375 ALLOCATION OF ACTUAL COST MCLAREN FLINT O 177428 COST OF COMPENSATION MCLAREN FLINT P 215457 ALLOCATION OF ACTUAL COST MCLAREN FLINT Q 93972 ALLOCATION OF ACTUAL COST MCLAREN MACOMB N 309750 ALLOCATION OF ACTUAL COST MCLAREN MACOMB Q 69110 ALLOCATION OF ACTUAL COST MCLAREN CENTRAL MICHIGAN O 84526 COST OF COMPENSATION MCLAREN CENTRAL MICHIGAN R 72555 ALLOCATION OF ACTUAL COST MCLAREN NORTHERN O 83566 COST OF COMPENSATION BARBARA ANN KARMANOS CANCER INSTITUTE P 1189334 ALLOCATION OF ACTUAL COST MCLAREN CARO O 265294 COST OF COMPENSATION MCLAREN THUMB O 349862 COST OF COMPENSATION MCLAREN THUMB Q 51857 ALLOCATION OF ACTUAL COST MCLAREN MEDICAL GROUP A 233649 ALLOCATION OF ACTUAL COST MCLAREN MEDICAL GROUP O 3498090 COST OF COMPENSATION MCLAREN MEDICAL GROUP P 1729558 ALLOCATION OF ACTUAL COST MCLAREN MEDICAL GROUP Q 4203008 ALLOCATION OF ACTUAL COST MCLAREN MEDICAL GROUP R 2380334 ALLOCATION OF ACTUAL COST MCLAREN MEDICAL GROUP S 6429331 ALLOCATION OF ACTUAL COST MCLAREN HEALTH MANAGEMENT GROUP P 3425392 ALLOCATION OF ACTUAL COST MCLAREN HEALTH MANAGEMENT GROUP S 50123 ALLOCATION OF ACTUAL COST MCLAREN HEALTH MANAGEMENT GROUP A 37500 ALLOCATION OF ACTUAL COST MCLAREN HEALTH PLAN S 11056861 CASH MCLAREN HEALTH PLAN COMMUNITY S 1396136 CASH HEALTH ADVANTAGE INC R 14162943 CASH MCLAREN BAY MEDICAL FOUNDATION P 288295 ALLOCATION OF ACTUAL COST