MCLAREN THUMB REGION: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- MCLAREN THUMB REGION (EIN 38-1474929)
- Tax period
- 2019-10-01 to 2020-09-30
- Filed
- 2021-08-11
- IRS object ID
- 202112239349300211
- Schema version
- 2019v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-08-11T09:19:39-05:00 | ReturnTs |
| Tax Period End | 2020-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3000 TOWN CENTER SUITE 100 | AddressLine1Txt |
| City | SOUTHFIELD | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48075 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381474929 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HURON MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HURO | BusinessNameControlTxt |
| Phone | 9892699521 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 S VAN DYKE ROAD | AddressLine1Txt |
| City | BAD AXE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48413 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANIELLE JACKS-PORTER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9892699521 | PhoneNum |
| Signature | 2021-08-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY CIMINELLO | PreparerPersonNm |
| PTIN | P00796388 | PTIN |
| Phone | 2483522500 | PhoneNum |
| Preparation | 2021-08-06 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HURON MEDICAL CENTER MCLAREN THUMB REGION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DANIELLE JACKS-PORTER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 S VAN DYKE ROAD | AddressLine1Txt |
| City | BAD AXE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48413 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $40,567,551 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MCLAREN.ORG/THUMBREGION | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1906 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | HURON MEDICAL CENTER IS COMMITTED TO PROVIDING EXCELLENCE IN HEALTHCARE TO OUR COMMUNITIES IN A CARING, COMPASSIONATE MANNER. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 28 | TotalEmployeeCnt |
| Total Volunteers | 50 | TotalVolunteersCnt |
| Total Gross UBI | $18,804 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $260,005 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,743,482 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $49,720,204 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $35,179,262 | CYProgramServiceRevenueAmt |
| PY Investment Income | $653,102 | PYInvestmentIncomeAmt |
| CY Investment Income | $468,196 | CYInvestmentIncomeAmt |
| PY Other Revenue | $178,192 | PYOtherRevenueAmt |
| CY Other Revenue | $176,611 | CYOtherRevenueAmt |
| PY Total Revenue | $50,811,503 | PYTotalRevenueAmt |
| CY Total Revenue | $40,567,551 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $26,569,548 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $18,157,056 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $20,444,200 | PYOtherExpensesAmt |
| CY Other Expenses | $24,201,717 | CYOtherExpensesAmt |
| PY Total Expenses | $47,013,748 | PYTotalExpensesAmt |
| CY Total Expenses | $42,358,773 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,797,755 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,791,222 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $35,626,363 | TotalAssetsBOYAmt |
| Total Assets EOY | $35,980,815 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $13,648,631 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $21,751,164 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $21,977,732 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $14,229,651 | NetAssetsOrFundBalancesEOYAmt |
| Mission | HURON MEDICAL CENTER IS COMMITTED TO PROVIDING EXCELLENCE IN HEALTHCARE TO OUR COMMUNITIES IN A CARING, COMPASSIONATE MANNER. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $35,843,096 | ExpenseAmt |
| Revenue | $35,177,382 | RevenueAmt |
| Desc | HURON MEDICAL CENTER IS A FULLY LICENSED ACUTE CARE HOSPITAL, WE PROVIDE WOUND CARE SERVICES, OBSTETRICS SERVICES, LOCATED IN A RURAL AREA AND PROVIDES QUALITY HEALTHCARE TO AREA RESIDENTS CLOSE TO HOME. PROVIDING PATIENT CARE: TOTAL PATIENT DAYS = 2,196 AND TOTAL OUTPATIENT REGISTRATIONS = 37,398 FOR ADDITIONAL INFORMATION VISIT WWW.MCLAREN.ORG/THUMBREGION. | Desc |
| Total Program Service Expenses | $35,843,096 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 396 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 28 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STEPHANIE REMLEY DIRECTOR OF FINANCE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9898037127 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 S VAN DYKE | AddressLine1Txt |
| City | BAD AXE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48413 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|---|
| CLARENCE SEVILLIAN | ||||||||
| TRUSTEE | 2.00 | 48.00 | Yes (X) | $0 | $918,356 | $32,023 | ||
| JULIE ZACHWIEJA | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $404,111 | $0 | $28,195 | Yes (X) | ||
| MICHAEL JOHNSTON | ||||||||
| CEO | 24.50 | 25.50 | Yes (X) | $0 | $287,765 | $87,244 | Yes (X) | |
| SCOTT SHISLER DO | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $355,244 | $0 | $0 | Yes (X) | ||
| JODI BOVENSCHEN | ||||||||
| CRNA | 40.00 | 0.00 | $304,577 | $0 | $28,195 | Yes (X) | ||
| BRANDEN BORCHARDT | ||||||||
| CRNA | 40.00 | 0.00 | $300,437 | $0 | $28,195 | Yes (X) | ||
| JOE PATTON | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $292,966 | $0 | $30,759 | Yes (X) | ||
| MARY RAPSON | ||||||||
| TREASURER | 2.00 | 0.10 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JOHN HUNT | ||||||||
| CHAIRPERSON | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| DONALD CLARK | ||||||||
| SECRETARY | 2.00 | 0.10 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MICHAEL REMLEY DO | ||||||||
| CHIEF OF STAFF | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD COOK | ||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TIMOTHY STRAIGHT DDS | ||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SHELLEY HERRINGTON | ||||||||
| TRUSTEE | 2.00 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| TAMI SALENS | ||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DOUG BRINING | ||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| NANCY ELLIOTT | ||||||||
| TRUSTEE | 2.00 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| JOE CANDELA | ||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN SMIGIELSKI | ||||||||
| TRUSTEE - PART YEAR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,657,335 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,206,121 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $234,611 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 17 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DEGARA PLLC | |||||
| 2370 SILVER POINT DR | WATERFORD | MI | 48328 | ER STAFFING | $1,169,351 |
| AHSA | |||||
| PO BOX 670529 | DALLAS | TX | 752670529 | AGENCY NURSING | $783,700 |
| PYRAMID PAVING | |||||
| 600 N JEFFERSON | BAY CITY | MI | 48708 | PAVING SERVICES | $589,821 |
| GENESSE COLO-RECTAL | |||||
| 1020 CHARTER DR STE A | FLINT | MI | 48532 | CONTRACT SURGEON | $485,236 |
| DIVERSIFIED CLINICAL SERVICES | |||||
| 28525 NETWORK PLACE | CHICAGO | IL | 60673 | CLINIC STAFFING | $388,874 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 18 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $58,806 | RelatedOrganizationsAmt |
| Government Grants | $4,677,000 | GovernmentGrantsAmt |
| All Other Contributions | $7,676 | AllOtherContributionsAmt |
| Total Contributions | $4,743,482 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 621110 | $34,715,378 | $34,715,378 |
| PHARMACY 340B INCOME | 446110 | $463,884 | $463,884 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $35,179,262 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $202,724 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $4,060 | UnrelatedBusinessRevenueAmt |
| Exclusion | $198,664 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $7,465 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $7,465 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,465 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$1,880 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $9,345 | UnrelatedBusinessRevenueAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $265,472 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $265,472 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $265,472 | TotalRevenueColumnAmt |
| Exclusion | $265,472 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| CAFETERIA | 722210 | $92,759 | $92,759 | |
| BILLING/STAFFING | 561000 | $5,399 | $5,399 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $70,988 | TotalRevenueColumnAmt |
| Exclusion | $70,988 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $169,146 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $40,567,551 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $35,177,382 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $18,804 | UnrelatedBusinessRevenueAmt |
| Exclusion | $627,883 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,048,176 | TotalAmt |
| Program Services | $12,010,581 | ProgramServicesAmt |
| Management And General | $2,037,595 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $814,112 | TotalAmt |
| Program Services | $691,978 | ProgramServicesAmt |
| Management And General | $122,134 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,631,519 | TotalAmt |
| Program Services | $2,393,698 | ProgramServicesAmt |
| Management And General | $237,821 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $663,249 | TotalAmt |
| Program Services | $567,049 | ProgramServicesAmt |
| Management And General | $96,200 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,487 | TotalAmt |
| Management And General | $1,487 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,872 | TotalAmt |
| Management And General | $124,872 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,773,469 | TotalAmt |
| Program Services | $6,103,416 | ProgramServicesAmt |
| Management And General | $1,670,053 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $288,112 | TotalAmt |
| Management And General | $288,112 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,655 | TotalAmt |
| Program Services | $137,435 | ProgramServicesAmt |
| Management And General | $36,220 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,457,813 | TotalAmt |
| Program Services | $898,801 | ProgramServicesAmt |
| Management And General | $559,012 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,196 | TotalAmt |
| Program Services | $23,418 | ProgramServicesAmt |
| Management And General | $46,778 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,008 | TotalAmt |
| Program Services | $40,800 | ProgramServicesAmt |
| Management And General | $18,208 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $370,518 | TotalAmt |
| Program Services | $370,518 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,944,819 | TotalAmt |
| Program Services | $1,187,194 | ProgramServicesAmt |
| Management And General | $757,625 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $276,401 | TotalAmt |
| Program Services | $276,401 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUG | $8,530,376 | $8,135,371 | $395,005 |
| PROVIDER TAX EXPENSES | $1,390,182 | $1,390,182 | |
| BAD DEBT EXPENSE | $619,202 | $619,202 | |
| DUES & SUBSCRIPTION | $148,828 | $32,813 | $116,015 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $972,779 | TotalAmt |
| Program Services | $964,239 | ProgramServicesAmt |
| Management And General | $8,540 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,358,773 | TotalAmt |
| Program Services | $35,843,096 | ProgramServicesAmt |
| Management And General | $6,515,677 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,960 | BOYAmt |
| EOY | $1,039,648 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,616,121 | BOYAmt |
| EOY | $5,626,000 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,188,870 | BOYAmt |
| EOY | $1,258,984 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $283,321 | BOYAmt |
| EOY | $311,123 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $18,058,714 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,451,610 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,674,491 | BOYAmt |
| EOY | $14,607,104 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,782,600 | BOYAmt |
| EOY | $12,526,655 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $611,301 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,626,363 | BOYAmt |
| EOY | $35,980,815 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,887,549 | BOYAmt |
| EOY | $4,995,481 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $5,570,098 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,161,118 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,766,922 | BOYAmt |
| EOY | $8,854,322 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $833,042 | BOYAmt |
| EOY | $2,331,263 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,648,631 | BOYAmt |
| EOY | $21,751,164 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,977,732 | BOYAmt |
| EOY | $14,229,651 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,977,732 | BOYAmt |
| EOY | $14,229,651 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,626,363 | BOYAmt |
| EOY | $35,980,815 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,791,222 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $265,030 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$6,221,889 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $1,001 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,001 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL PAYS DUES TO MICHIGAN HEALTH & HOSPITAL ASSOCIATION, A PORTION OF WHICH GOES TOWARDS LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $416,653 | OtherCostOrOtherBasisAmt |
| Book Value | $416,653 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,544,498 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,492,643 | DepreciationAmt |
| Book Value | $8,051,855 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $319,943 | OtherCostOrOtherBasisAmt |
| Depreciation | $39,676 | DepreciationAmt |
| Book Value | $280,267 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,366,282 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,919,291 | DepreciationAmt |
| Book Value | $5,446,991 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $411,338 | OtherCostOrOtherBasisAmt |
| Book Value | $411,338 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $14,607,104 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO RELATED ORGANIZATIONS | Desc |
| Amt | $2,331,263 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,331,263 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,198 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,198 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,000,509 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,998,208 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,002,301 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02400 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,001,707 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,998,208 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,003,499 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02400 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,001,707 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,998,208 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,003,499 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02400 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $619,202 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $2,199 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $9,271,208 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $11,693,660 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,422,452 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HURON MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 S VAN DYKE | AddressLine1Txt |
| City | BAD AXE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48413 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.HURONMEDICALCENTER.ORG | WebsiteAddressTxt |
| State License | 1060000058 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HURON MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://TINYURL.COM/YAWXCYL4 | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://TINYURL.COM/YAWXCYL4 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://TINYURL.COM/YYA9C5OC | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://TINYURL.COM/YYA9C5OC | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://TINYURL.COM/YYA9C5OC | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| HURON MEMORIAL HOSPITAL | PART V, SECTION B, LINE 3J: THE COMMUNITY NEEDS ASSESSMENT CONDUCTED FOCUSED ON ASSESSING COMMUNITY HEALTH NEEDS, LOCAL HEALTH RESOURCES, BARRIERS TO CARE, GAPS IN SERVICE AND TRENDS REGARDING HEALTH AND HEALTHY LIFESTYLES. |
| HURON MEMORIAL HOSPITAL | PART V, SECTION B, LINE 5: THE FULL CHNA, WHICH INCLUDES THE IMPLEMENTATION STRATEGY CAN BE LOCATED AT THE HOSPITAL'S WEBSITE: HTTPS://WWW.MCLAREN.ORG/MAIN/COMMUNITY-HEALTH-NEEDS-ASSESSMENTCOMMUNITY HEALTH SURVEYS WERE DISTRIBUTED WIDELY DURING THE LATE SUMMER OF 2019 THROUGHOUT THE SERVICE AREA AT CLINICS, COMMUNITY EVENTS, LOCAL BUSINESS, HOSPITAL EMPLOYEES AND INDIVIDUAL REQUESTS OF COMMUNITY MEMBERS. THE SURVEY WAS AVAILABLE WIDELY IN BOTH PAPER FORMAT AND THROUGH EMAIL. |
| HURON MEMORIAL HOSPITAL | PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH MICHIGAN CENTER FOR RURAL HEALTH, HOSPITAL COUNCIL OF EAST CENTRAL MICHIGAN, AND THUMB RURAL HEALTH NETWORK. |
| HURON MEMORIAL HOSPITAL | PART V, SECTION B, LINE 11: THE CHNA WAS USED TO IDENTIFY COMMUNITY NEED AND ASSIST THE HOSPITAL IN PLANNING AND PRIORITIZING ITS COMMUNITY BENEFIT INVOLVEMENTS. |
| HURON MEMORIAL HOSPITAL | 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 15 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - HMC UROLOGY ASSOCIATES | ||||
| 1060 S VAN DYKE STE 800 | BAD AXE | MI | 48413 | PHYSICIAN OFFICE |
| 2 - DR CARRIE FRANZEL NP | ||||
| 1011 S VAN DYKE STE C | BAD AXE | MI | 48413 | PHYSICIAN OFFICE |
| 3 - DR KLOSOWSKIKIMBERLY DIMOCK PA | ||||
| 1080 S VAN DYKE STE B | BAD AXE | MI | 48413 | PHYSICIAN OFFICE |
| 4 - HURON SURGICAL SERVICES | ||||
| 1060 S VAN DYKE STE 500 | UBLY | MI | 48475 | PHYSICIAN OFFICE |
| 5 - DR ANGELA STOUTENBURGPODIATRY | ||||
| 1117 S VAN DYKE STE 400 | ELKTON | MI | 48731 | PHYSICIAN OFFICE |
| 6 - HMC OBGYN | ||||
| 1011 S VAN DYKE STE D | BAD AXE | MI | 48413 | PHYSICIAN OFFICE |
| 7 - DR JOANNA KALA | ||||
| 1117 S VAN DYKE STE 200 | BAD AXE | MI | 48413 | PHYSICIAN OFFICE |
| 8 - ELKTON | ||||
| 6 MAIN STREET | BAD AXE | MI | 48413 | PHYSICIAN OFFICE |
| 9 - UBLY MEDICAL CLINIC | ||||
| 2269 E MAIN STREET | BAD AXE | MI | 48413 | OUTPATIENT CLINIC |
| 10 - PORT AUSTIN MEDICAL CLINIC | ||||
| 24 E SPRING STREET | PORT AUSTIN | MI | 48467 | OUTPATIENT CLINIC |
| 11 - JOANNA KAPA NP | ||||
| 1060 S VAN DYKE STE 700 | BAD AXE | MI | 48413 | PHYSICIAN OFFICE |
| 12 - DR CHARLES CHRISTENSEN | ||||
| 1060 S VAN DYKE STE 400 | BAD AXE | MI | 48413 | PHYSICIAN OFFICE |
| 13 - DR YASHIR BABIKER | ||||
| 1060 S VAN DYKE STE 300 | BAD AXE | MI | 48413 | PHYSICIAN OFFICE |
| 14 - HMC AFTER HOURS CLINIC | ||||
| 1040 S VAN DYKE STE 2 | BAD AXE | MI | 48413 | OUTPATIENT CLINIC |
| 15 - VALLEY EMT ASSOCIATES PC | ||||
| 1060 S VAN DYKE STE 200 | BAD AXE | MI | 48413 | PHYSICIAN OFFICE |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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: | THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 WAS USED TO CALCULATE THE AMOUNTS IN THE LINE 7 TABLE FOR LINES 7A-7D. THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO CALCULATE THE AMOUNTS ON LINES 7E-7I. |
| PART I, LN 7 COL(F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX LINE 25 BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN COLUMN F IS $619,202. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | THE HOSPITAL IS THE LARGEST EMPLOYER IN THE COUNTY AND HAS BEEN INVOLVED IN BIKE HELMET SAFETY, DISASTER PLANNING, TRAINING EMERGENCY PERSONNEL WORKING CLOSELY WITH THE FIRE DEPARTMENT, IN ADDITION TO PARTICIPATING IN CAREER DAYS FOR WORKFORCE DEVELOPMENT. THE HOSPITAL ACTIVELY PARTICIPATES IN THE HURON COMMUNITY COLLABORATIVE WHICH PROVIDES AN ONGOING FORUM FOR THE PROMOTION OF INTERAGENCY COMMUNICATION, PLANNING AND COORDINATION RESULTING IN AN ACCESSIBLE, EFFECTIVE AND COMPREHENSIVE HUMAN SERVICES SYSTEM FOCUSING ON EARLY INTERVENTION, PREVENTION AND THE DEVELOPMENT OF NEW PROGRAMS RESPONSIVE TO THE NEEDS OF THE COMMUNITY. THE RELATIONSHIP INCLUDES A COMMITMENT TO MUTUAL RELATIONSHIPS AND GOALS; A JOINTLY DEVELOPED STRUCTURE AND SHARED RESPONSIBILITY; MUTUAL AUTHORITY AND ACCOUNTABILITY FOR SUCCESS AND SHARING OF RESOURCES AND REWARDS. |
| 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: | THE AMOUNT OF BAD DEBT THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY WAS DETERMINED BY A DETAILED AND ACCURATE ACCOUNTING OF ACTUAL CHARITY CARE WRITE-OFFS INCLUDED IN BAD DEBT. |
| 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 HOSPITAL CONSIDERS ANY MEDICARE SHORTFALL AS A COMMUNITY BENEFIT DUE TO THE ELDERLY POPULATION IN THE HOSPITAL'S SERVICE AREA. THE MEDICARE COSTS ARE TAKEN FROM THE MEDICARE COST REPORT USING THE REQUIRED MEDICARE COST-TO-CHARGE RATIO METHODOLOGY. |
| PART III, LINE 9B: | THE COLLECTION PROCESS IS THE SAME FOR ALL PAYERS, WHICH INCLUDES THREE STATEMENT MAILINGS TWENTY-EIGHT DAYS APART, FOLLOWED BY COLLECT LETTER 1 TWENTY-EIGHT DAYS LATER AND COLLECT LETTER 2, 7 DAYS LATER AND MAILED TO GUARANTOR. APPROXIMATELY TWO WEEKS AFTER RECEIPT OF COLLECT LETTER 2 AND NON-PAYMENT OR UNSATISFACTORY PAYMENT ARRANGEMENTS (CONTRACT AMOUNT), THE ACCOUNT IS FLAGGED TO THE FINANCIAL COUNSELORS AS ARE ALL OTHER SELF PAY RECEIVABLES WITH THE SAME COLLECTION EFFORT. MINIMUM COLLECTION CYCLE IS APPROXIMATELY ONE HUNDRED FIFTY DAYS. A BAD DEBT LISTING IS GENERATED FOR REVIEW BY THE FINANCIAL COUNSELOR, WHO DETERMINES UNCOLLECTIBLE ACCOUNTS AND GENERATES A REPORT THAT IS TRANSFERRED TO A COLLECTION AGENCY. THE FINANCIAL COUNSELOR MONITORS THE COLLECTION ACTIVITY ON A REGULAR BASIS. |
| PART VI, LINE 2: | THE HOSPITAL WAS FOUNDED BY FRANK W. HUBBARD AS A MEMORIAL TO HIS FATHER, OPENED IN 1903 AND WAS CHARTERED WITH THE STATE OF MICHIGAN IN 1906. THE PRIMARY NEED THE HOSPITAL HAS ADDRESSED SINCE IT OPENED IS GEOGRAPHICAL ACCESS TO MEDICAL CARE, ESPECIALLY OBSTETRICS. THE HOSPITAL HAS EVOLVED OVER THE PAST 118 YEARS BY OFFERING SERVICES THE AREA NEEDS INCLUDING OUTPATIENT DIAGNOSTIC AND PROCEDURE SERVICES IN ADDITION TO CARDIOLOGY AND ONCOLOGY SERVICES. MICHIGAN HOSPITAL ASSOCIATION (MHA) OFFERS MARKET INFORMATION AND SHARES REPORTS ABOUT THE NUMBER AND TYPE OF SPECIALTY PHYSICIANS NEEDED IN EACH ZIP CODE FOR OUR MARKET. ONCE ASSESSING THE NEED FOR A SPECIALTY, THE ASSESSMENT IS FURTHER REFINED TO INCLUDE WHAT KIND OF SERVICES AND RESOURCES ARE NEEDED TO SUPPORT THE SPECIALTY PHYSICIAN. WE COORDINATE THE DEMOGRAPHICS OF PATIENTS, COMORBIDITIES, AND SOCIAL NEEDS TO ROUND OUT THE ASSESSMENT. |
| PART VI, LINE 3: | THE HOSPITAL HAS A PATIENT FINANCIAL COUNSELOR REPRESENTATIVE FOR BOTH THE HOSPITAL AND THE PHYSICIAN SERVICES WHO INFORM AND EDUCATE PATIENTS AND PERSONS BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS IN ADDITION TO THE HOSPITAL'S CHARITY CARE POLICY, FOLLOWING THE DELIVERY OF CARE. NO FINANCIAL CONVERSATIONS TAKE PLACE UNTIL CARE IS GIVEN. THE HOSPITAL ALSO HAS A COMMUNITY BOARD THAT APPROVES BOTH THE DISCOUNTING AND CHARITY CARE POLICIES. THE HOSPITAL POSTS ITS CHARITY CARE POLICY AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN THE ADMISSIONS AREA AND IN THE EMERGENCY ROOM. THIS INFORMATION IS ALSO PROVIDED AT ADMISSION, AT DISCHARGE, AND ON PATIENT BILLS AND IS PROVIDED BY THE HOSPITAL'S BILLERS AND FINANCIAL COUNSELORS ON A ROUTINE BASIS. |
| PART VI, LINE 4: | THE HURON MEDICAL CENTER IS LOCATED IN BAD AXE, MICHIGAN AND IS THE ONLY FULLY LICENSED ACUTE CARE HOSPITAL IN HURON COUNTY AND THE ONLY HOSPITAL IN THE TRI-COUNTY AREA PROVIDING OBSTETRICAL SERVICES. WE SERVE PATIENTS IN THE HURON, SANILAC AND TUSCOLA COUNTY AREA. BAD AXE IS THE COUNTY SEAT OF AND IS THE LARGEST COMMUNITY IN HURON COUNTY. IN THE MOST RECENT CENSUS DATA, THE POPULATION OF BAD AXE WAS 3,010 AND THE MEDIAN HOUSEHOLD INCOME WAS $29,164 REPRESENTING 64% OF MICHIGAN ESTIMATED PER HOUSEHOLD INCOME. THE "TIP OF THE THUMB" IS POPULATED WITH THE FOLLOWING RACIAL MIX: WHITE 95%, HISPANIC 2%, ASIAN ALONE 2%, AND TWO OR MORE RACES 1%. |
| PART VI, LINE 5: | THE HOSPITAL, PHYSICIAN PRACTICES, AND AFTER-HOUR CLINIC LOCATIONS PROVIDE ACCESS TO TIMELY HEALTHCARE SERVICES AND BASES WHERE HEALTH EDUCATIONAL OPPORTUNITIES CAN BE PRESENTED TO THE PUBLIC. IN ADDITION, THE AREA IN WHICH THE FACILITIES ARE LOCATED WORKS WITH THE MARKETING DIRECTOR TO SETUP HEALTH SCREENINGS, SELF-HELP OR EDUCATIONAL PRESENTATIONS AT LOCAL OR COUNTY EVENTS. |
| PART VI, LINE 6: | HURON MEMORIAL HOSPITAL PROVIDES CARE AND SERVICES TO ALL PATIENTS AND ITS COMMUNITY REGARDLESS OF INSURANCE OR ABILITY TO PAY. HURON MEMORIAL HOSPITAL ALSO USES ITS RESOURCES TO ADDRESS VARIOUS COMMUNITY NEEDS. HURON MEMORIAL FOUNDATION'S FUNDRAISING ACTIVITIES SUPPORT THE CHARITABLE MISSION OF HURON MEMORIAL HOSPITAL SO THAT IT MAY PROVIDE HEALTH SERVICES TO THE COMMUNITY. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | MI |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CLARENCE SEVILLIAN | ||||||||||||||
| TRUSTEE | $0 | $536,485 | $0 | $143,750 | $0 | $238,121 | $0 | $14,000 | $0 | $18,023 | $0 | $950,379 | $0 | $0 |
| JULIE ZACHWIEJA | ||||||||||||||
| PHYSICIAN | $404,111 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $28,195 | $0 | $432,306 | $0 | $0 | $0 |
| MICHAEL JOHNSTON | ||||||||||||||
| CEO | $0 | $256,919 | $0 | $0 | $0 | $30,846 | $0 | $74,270 | $0 | $12,974 | $0 | $375,009 | $0 | $0 |
| SCOTT SHISLER DO | ||||||||||||||
| PHYSICIAN | $355,244 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $355,244 | $0 | $0 | $0 |
| JODI BOVENSCHEN | ||||||||||||||
| CRNA | $304,577 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $28,195 | $0 | $332,772 | $0 | $0 | $0 |
| BRANDEN BORCHARDT | ||||||||||||||
| CRNA | $300,437 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $28,195 | $0 | $328,632 | $0 | $0 | $0 |
| JOE PATTON | ||||||||||||||
| PHYSICIAN | $292,966 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $30,759 | $0 | $323,725 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 | IN ADDITION TO THE POWERS RESERVED TO THE MEMBER AS THE SOLE MEMBER OF THE CORPORATION BY MICHIGAN LAW AND ANY RESERVED POWERS IN THE CORPORATION'S BYLAWS, THE FOLLOWING ACTIONS (THE "RESERVED POWERS") TAKEN BY THE CORPORATION'S BOARD OF DIRECTORS (THE "BOARD") WILL NOT BECOME EFFECTIVE WITHOUT THE ADVANCE APPROVAL OF THE MEMBER: A. ANY AMENDMENT, MODIFICATION, OR REPEAL OF THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; B. THE ELECTION OF INDIVIDUALS TO SERVE ON THE CORPORATION'S BOARD, AS NOMINATED BY THE CORPORATION'S BOARD; C. THE ACQUISITION OR CREATION OF ALL WHOLLY-OWNED OR CONTROLLED ENTITIES AND ANY MERGER, CONSOLIDATION OR AFFILIATION OF THE CORPORATION WITH ANOTHER ENTITY; D. ANY VOLUNTARY DISSOLUTION .OF THE CORPORATION; E. THE ADMISSION OF NEW OR ADDITIONAL MEMBERS TO THE MEMBERSHIP OF THE CORPORATION; F. ANY CHANGE IN THE VOTING POWERS OF THE MEMBER AS THE SOLE MEMBER OF THE CORPORATION; G. ANY SALE, LEASE OR OTHER TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; H. THE DISCONTINUANCE OR MATERIAL MODIFICATION OF A MAJOR ACTIVITY, PROGRAM, OR SERVICE OF THE CORPORATION; I. 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 WILL NOT BE UNREASONABLY DENIED BY THE MEMBER, OR THE INCURRENCE OF UNBUDGETED CAPITAL EXPENDITURES IN EXCESS OF $200,000 IN THE ANNUAL AGGREGATE; AND J. THE CREATION OF ANY LONG-TERM OBLIGATION OF THE CORPORATION, THE PRINCIPAL AMOUNT OF WHICH EXCEEDS 25% OF THE VALUE OF THE NET ASSETS (TOTAL ASSETS MINUS TOTAL LIABILITIES) OF THE CORPORATION, OR THE ISSUANCE OF ANY BOND, NOTE OR OTHER EVIDENCE OF INDEBTEDNESS; PROVIDED, HOWEVER, APPROVAL OF THE MEMBER AS THE SOLE CORPORATE 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. |
| 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 15 | 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 | THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PHYSICIAN PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,673,015. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,673,015. NON PHYSICIAN PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 952,889. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 952,889. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,477,512. MANAGEMENT AND GENERAL EXPENSES 1,670,053. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,147,565. |
| FORM 990, PART XI, LINE 9: | ACQUISITION CAPITAL -6,221,889. |
| FORM 990, PART XII, LINE 2C | THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (45 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MCLAREN BAY REGION FOUNDATION | |||||||||||
| 1900 COLUMBUS AVE | BAY CITY | MI | 48708 | 382156534 | FOUNDATION | MI | 501(C)(3) | LINE 12A, I | MCLAREN BAY REGION | Yes (1) | |
| MCLAREN BAY REGION | |||||||||||
| 1900 COLUMBUS AVE | BAY CITY | MI | 48708 | 381976271 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (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 | Yes (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 | Yes (1) | |
| MCLAREN CENTRAL MICHIGAN | |||||||||||
| 1221 SOUTH DRIVE | MT PLEASANT | MI | 48858 | 381420304 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (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 | Yes (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 | Yes (1) | |
| MCLAREN GREATER LANSING FOUNDATION | |||||||||||
| 401 W GREENLAWN AVE | LANSING | MI | 48910 | 382463637 | FOUNDATION | MI | 501(C)(3) | LINE 7 | MCLAREN GREATER LANSING | Yes (1) | |
| MCLAREN GREATER LANSING | |||||||||||
| 401 W GREENLAWN AVE | LANSING | MI | 48910 | 381434090 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (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 | Yes (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 | Yes (1) | |
| MCLAREN LAPEER REGION | |||||||||||
| 1375 N MAIN ST | LAPEER | MI | 48446 | 382689033 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MCLAREN LAPEER REGION FOUNDATION | |||||||||||
| 1375 N MAIN ST | LAPEER | MI | 48446 | 382689603 | FOUNDATION | MI | 501(C)(3) | LINE 12A, I | MCLAREN LAPEER REGION | Yes (1) | |
| MARWOOD MANOR NURSING HOME | |||||||||||
| PO BOX 5011 | PORT HURON | MI | 48060 | 382683251 | NURSING HOME | MI | 501(C)(3) | LINE 10 | PORT HURON HOSPITAL | Yes (1) | |
| MCLAREN HEALTH CARE CORPORATION | |||||||||||
| ONE MCLAREN PARKWAY | GRAND BLANC | MI | 48439 | 382397643 | SUPPORTING ORG | MI | 501(C)(3) | LINE 12A, I | 0 | N/A | |
| 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 | Yes (1) | |
| MCLAREN HEALTH PLAN COMMUNITY | |||||||||||
| G-3245 BEECHER ROAD | FLINT | MI | 48532 | 272204037 | INSURANCE | MI | 501(C)(4) | MCLAREN HEALTH PLAN | Yes (1) | ||
| MCLAREN HEALTH PLAN INC | |||||||||||
| G-3245 BEECHER ROAD | FLINT | MI | 48532 | 383252216 | HEALTH CARE SERVICES | MI | 501(C)(4) | MCLAREN HEALTH CARE CORPORATION | Yes (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 | Yes (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 | Yes (1) | |
| MCLAREN NORTHERN MICHIGAN | |||||||||||
| 416 CONNABLE AVENUE | PETOSKEY | MI | 49770 | 382146751 | ACUTE CARE HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MCLAREN NORTHERN MICHIGAN FOUNDATION | |||||||||||
| 360 CONNABLE AVENUE | PETOSKEY | MI | 49770 | 382445611 | FOUNDATION | MI | 501(C)(3) | LINE 7 | MCLAREN NORTHERN MICHIGAN | Yes (1) | |
| MCLAREN PORT HURON | |||||||||||
| 1221 PINE GROVE AVENUE | PORT HURON | MI | 48060 | 381369611 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MCLAREN FLINT | |||||||||||
| 401 S BALLENGER HWY | FLINT | MI | 48532 | 382383119 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (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 | Yes (1) | |
| MOUNT CLEMENS REGIONAL HEALTHCARE FOUNDATION | |||||||||||
| PO BOX 326 | MOUNT CLEMENS | MI | 48046 | 382578873 | FOUNDATION | MI | 501(C)(3) | LINE 10 | MCLAREN MACOMB | Yes (1) | |
| MCLAREN MACOMB | |||||||||||
| 1000 HARRINGTON | MOUNT CLEMENS | MI | 48043 | 381218516 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (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 | Yes (1) | |
| NORTHERN MICHIGAN HEMATOLOGY AND ONCOLOGY | |||||||||||
| 416 CONNABLE AVENUE | PETOSKEY | MI | 49770 | 320020293 | PHYSICIAN PRACTICE | MI | 501(C)(3) | LINE 3 | MCLAREN NORTHERN MICHIGAN | Yes (1) | |
| NORTHERN MICHIGAN MEDICAL MANAGEMENT | |||||||||||
| 416 CONNABLE AVENUE | PETOSKEY | MI | 49770 | 208458840 | PHYSICIAN PRACTICE | MI | 501(C)(3) | LINE 3 | MCLAREN NORTHERN MICHIGAN | Yes (1) | |
| MCLAREN OAKLAND FOUNDATION | |||||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 200442217 | FOUNDATION | MI | 501(C)(3) | LINE 12C, III-FI | MCLAREN OAKLAND | Yes (1) | |
| MCLAREN OAKLAND | |||||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 381428164 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| PORT HURON HOSPITAL FOUNDATION | |||||||||||
| PO BOX 5011 | PORT HURON | MI | 48060 | 382777750 | FOUNDATION | MI | 501(C)(3) | LINE 12A, I | PORT HURON HOSPITAL | Yes (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 | Yes (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 | Yes (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 | Yes (1) | |
| VITALCARE INC | |||||||||||
| 761 LAFAYETTE AVENUE | CHEBOYGAN | MI | 49721 | 382527255 | HOSPICE CARE/HOME HEALTH SERVICES | MI | 501(C)(3) | LINE 10 | MCLAREN NORTHERN MICHIGAN | Yes (1) | |
| MCLAREN FLINT FOUNDATION | |||||||||||
| 401 S BALLENGER HIGHWAY | FLINT | MI | 48532 | 381358053 | SUPPORTING ORGANIZATION | MI | 501(C)(3) | LINE 12A, I | MCLAREN FLINT | Yes (1) | |
| CARO COMMUNITY HOSPITAL | |||||||||||
| 410 N HOOPER ST | CARO | MI | 48723 | 383426063 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (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 | Yes (1) | |
| MDWISE INC | |||||||||||
| 2955 N MERIDIAN STREET SUITE 201 | INDIANAPOLIS | IN | 46208 | 351931354 | HEALTH MAINTENANCE ORGANIZATION | IN | 501(C)(4) | MCLAREN HEALTH CARE CORPORATION | Yes (1) | ||
| MDWISE MEDICAID NETWORK INC | |||||||||||
| 2955 N MERIDIAN STREET SUITE 201 | INDIANAPOLIS | IN | 46208 | 473192307 | INSURANCE | IN | 501(C)(4) | MDWISE INC | Yes (1) | ||
| HURON MEMORIAL FOUNDATION | |||||||||||
| 1100 S VAN DYKE ROAD | BAD AXE | MI | 48413 | 382717147 | FOUNDATION | MI | 501(C)(3) | LINE 7 | HURON MEMORIAL HOSPITAL | Yes (1) | |
| MCLAREN INTEGRATED HMO GROUP | |||||||||||
| G-3245 BEECHER ROAD | FLINT | MI | 48532 | 824449304 | HEALTH CARE SERVICES | MI | 501(C)(4) | MCLAREN HEALTH CARE CORPORATION | Yes (1) | ||
| LAKE ORION NURSING CENTER | |||||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 382895426 | NURSING CENTER | MI | 501(C)(3) | LINE 10 | MCLAREN OAKLAND | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | HURON MEMORIAL HOSPITAL | RELATED | -$5,949 | $12,868 | 0 | Yes (1) | 0.67000 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of Total IncomeShareOfTotalIncomeAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | Yes (1) | |||||||
| HEALTH ADVANTAGE INC | ||||||||||||||||
| G3245 BEECHER ROAD | FLINT | MI | 48532 | 912141720 | INSURANCE | MI | N/A | C | Yes (1) | |||||||
| MCLAREN INSURANCE COMPANY LTD | ||||||||||||||||
| INSURANCE | N/A | C | Yes (1) | 10 MAIN ST | GRAND CAYMAN | CJ | CJ | |||||||||
| MID-MICHIGAN PHYSICIANS PC | ||||||||||||||||
| 2510 KERRY STREET SUITE 200 | LANSING | MI | 48912 | 383267121 | PHYSICIAN PRACTICE | MI | N/A | C | Yes (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 | Yes (1) | |||||||
| HURON CLINIC CONDOMINIUMS OWNERS | ||||||||||||||||
| 125 N HANSELMAN ST | BAD AXE | MI | 48413 | 412144341 | VARIOUS HEALTHCARE ACTIVITIES | MI | C | Yes (1) | HURON MEMORIAL HOSPITAL | $4,060 | 0.62500 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (13 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CARO COMMUNITY HOSPITAL | ||
| S | $57,166 | CASH |
| BARBARA ANN KARMANOS CANCER INSTITUTE | ||
| P | $138,590 | ALLOCATION OF ACTUAL COST |
| HURON MEMORIAL FOUNDATION | ||
| C | $58,806 | CASH |
| MCLAREN HEALTH PLAN COMMUNITY | ||
| S | $96,932 | CASH |
| MCLAREN HEALTH PLAN | ||
| S | $429,446 | CASH |
| HEALTH ADVANTAGE INC | ||
| R | $1,032,268 | CASH |
| MCLAREN BAY REGION | ||
| O | $349,862 | COST OF COMPENSATION |
| MCLAREN BAY REGION | ||
| P | $51,857 | ALLOCATION OF ACTUAL COST |
| MCLAREN FLINT | ||
| P | $70,124 | ALLOCATION OF ACTUAL COST |
| MCLAREN HEALTH MANAGEMENT GROUP | ||
| P | $177,419 | ALLOCATION OF ACTUAL COST |
| MCLAREN MEDICAL GROUP | ||
| P | $426,267 | ALLOCATION OF ACTUAL COST |
| MCLAREN MEDICAL GROUP | ||
| Q | $4,308,576 | ALLOCATION OF ACTUAL COST |
| MCLAREN MEDICAL GROUP | ||
| S | $2,922,257 | ALLOCATION OF ACTUAL COST |