2020-08-03T13:38:11-05:00 2019-09-30 381357951 PLANTE & MORAN PLLC 27400 NORTHWESTERN HIGHWAY SOUTHFIELD MI 48034 990 2018-10-01 381474929 HURON MEMORIAL HOSPITAL HURO 9892699521 1100 S VAN DYKE ROAD BAD AXE MI 48413 MICHAEL JOHNSTON PRESIDENT & CEO 9892699521 2020-07-31 1 DAVID LOWENTHAL P00378651 2483522500 2020-07-31 24.127.213.245 2020-07-31 09:56:41 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 D1A42FCEE5CBCA1835161BC59C75369F1B7E9248 2018 2020-11-19 02:30:22Z HURON MEDICAL CENTER MCLAREN THUMB REGION MICHAEL JOHNSTON 1100 S VAN DYKE ROAD BAD AXE MI 48413 50831951 0 X WWW.MCLAREN.ORG/THUMBREGION X 1906 MI HURON MEDICAL CENTER IS COMMITTED TO PROVIDING EXCELLENCE IN HEALTHCARE TO OUR COMMUNITIES IN A CARING, COMPASSIONATE MANNER. 14 13 415 50 79184 0 57186 260005 19379447 49720204 104210 653102 972966 178192 20513809 50811503 0 0 0 0 10515107 26569548 0 0 0 10207141 20444200 20722248 47013748 -208439 3797755 31436450 35626363 15398189 13648631 16038261 21977732 HURON MEDICAL CENTER IS COMMITTED TO PROVIDING EXCELLENCE IN HEALTHCARE TO OUR COMMUNITIES IN A CARING, COMPASSIONATE MANNER. 0 0 36564173 49780045 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 = 3,262 AND TOTAL OUTPATIENT REGISTRATIONS = 47,435 FOR ADDITIONAL INFORMATION VISIT WWW.MCLAREN.ORG/THUMBREGION. 36564173 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 32 0 415 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 1 X MICHAEL JOHNSTON 9898037127 1100 S VAN DYKE BAD AXE MI 48413 MARY RAPSON TREASURER 2.00 0.10 X X 0 0 0 JOHN HUNT CHAIRPERSON 2.00 0.00 X X 0 0 0 DONALD CLARK SECRETARY 2.00 0.10 X X 0 0 0 MICHAEL JOHNSTON CEO 40.00 0.50 X X 0 158468 42862 ALBERT HASS CHAIRPERSON (PART YEAR) 2.00 0.00 X X 0 0 0 MICHAEL REMLEY DO CHIEF OF STAFF 2.00 0.00 X 0 0 0 RICHARD COOK TRUSTEE 2.00 0.00 X 0 0 0 TIMOTHY STRAIGHT DDS TRUSTEE 2.00 0.00 X 0 0 0 SHELLEY HERRINGTON TRUSTEE 2.00 0.10 X 0 0 0 TAMI SALENS TRUSTEE 2.00 0.00 X 0 0 0 DOUG BRINING TRUSTEE 2.00 0.00 X 0 0 0 NANCY ELLIOTT TRUSTEE 2.00 0.10 X 0 0 0 JOE CANDELA TRUSTEE 2.00 0.00 X 0 0 0 JOHN SMIGIELSKI TRUSTEE 2.00 0.00 X 0 0 0 CLARENCE SEVILLIAN TRUSTEE 2.00 47.51 X 0 972257 32611 SCOTT SHISLER DO PHYSICIAN (PART YEAR) 40.00 0.00 X 351160 0 0 ROBERT MUTCH PHYSICIAN 40.00 0.00 X 372828 0 28195 JULIE ZACHWIEJA PHYSICIAN 40.00 0.00 X 434094 0 22142 JOANNA KALA PHYSICIAN 40.00 0.00 X 322555 0 30759 BRANDEN BORCHARDT CRNA 40.00 0.00 X 298455 0 30759 1779092 1130725 187328 22 0 1 0 DEGARA PLLC 2370 SILVER POINT DR WATERFORD MI 48328 ER STAFFING 1214923 AHSA PO BOX 670529 DALLAS TX 752670529 AGENCY NURSING 699085 HEIDEN INC 2825 MCCARTY RD SAGINAW MI 48603 IT CONSULTING 419140 WEATHERBY LOCUMS INC 6451 N FEDERAL HIGHWAY FORT LAUDERDALE FL 33308 LOCUM CONTRACTOR 346543 DIVERSIFIED CLINICAL SERVICES 28525 NETWORK PLACE CHICAGO IL 60673 CLINIC STAFFING 346310 19 250205 9800 260005 NET PATIENT REVENUE 621110 48371782 48371782 PHARMACY 340B INCOME 446110 1348422 1348422 49720204 240916 240916 76181 20448 55733 55733 59841 -4108 412186 0 412186 412186 412186 BILLING/STAFFING 561000 79793 79793 CAFETERIA 722210 39167 39167 3499 3499 122459 50811503 49780045 79184 692269 X 21530746 16482113 5048633 713951 546540 167411 2822692 2160814 661878 1502159 1149926 352233 8013 8013 82788 82788 5972398 4014168 1958230 285744 285744 638966 638966 1065513 502857 562656 78128 21749 56379 101700 34757 66943 415119 414283 836 1401799 573095 828704 247090 205742 41348 MEDICAL SUPPLIES & DRUG 7216639 7216639 PROVIDER TAX EXPENSES 1204982 1204982 ALL OTHER EXPENSES 1198268 870489 327779 BAD DEBT EXPENSE 527053 527053 47013748 36564173 10449575 0 2497250 80960 258173 0 3965949 9616121 459973 1188870 494748 283321 14597667 1923176 12193982 12674491 11566375 11782600 31436450 35626363 4312066 3887549 7485760 7161118 1774421 1766922 1825942 833042 15398189 13648631 X 16038261 21977732 16038261 21977732 31436450 35626363 X 3797755 -423240 2564956 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 1047 1047 0 PART II-B, LINE 1: THE HOSPITAL PAYS DUES TO MICHIGAN HEALTH & HOSPITAL ASSOCIATION, A PORTION OF WHICH GOES TOWARDS LOBBYING. 416653 416653 9223514 864571 8358943 73734 14673 59061 4528574 1043932 3484642 355192 355192 12674491 COST REPORT SETTLEMENTS 710884 OTHER LIABILITIES 122158 833042 1 1 X 1 X 1 X 1 1 0 1 1 70660 70660 0.00150 7088715 5868648 1220067 0.02620 7159375 5868648 1290727 0.02770 1680660 1492197 188463 0.00410 1680660 1492197 188463 0.00410 8840035 7360845 1479190 0.03180 1 527053 126641 10956900 11593727 -636827 X 1 1 1 1 HURON MEMORIAL HOSPITAL 1100 S VAN DYKE BAD AXE MI 48413 WWW.HURONMEDICALCENTER.ORG 1060000058 X X X HURON MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X X 18 1 0 1 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 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 7D: THE HOSPITAL'S WEBSITE IS: HTTPS://WWW.MCLAREN.ORG/MAIN/COMMUNITY-HEALTH-NEEDS-ASSESSMENTTHE CHNA AND IMPLEMENTATION PLAN ARE ALSO AVAILABLE UPON REQUEST. 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. 15 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 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 $527,053. 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 117 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 0 1 0 0 0 0 0 0 0 MICHAEL JOHNSTON CEO 0 141346 0 0 0 17122 0 34983 0 7879 0 201330 0 0 CLARENCE SEVILLIAN TRUSTEE 0 491825 0 224377 0 256055 0 13750 0 18861 0 1004868 0 0 SCOTT SHISLER DO PHYSICIAN (PART YEAR) 351160 0 0 0 0 0 0 0 0 0 351160 0 0 0 ROBERT MUTCH PHYSICIAN 372828 0 0 0 0 0 0 0 28195 0 401023 0 0 0 JULIE ZACHWIEJA PHYSICIAN 434094 0 0 0 0 0 0 0 22142 0 456236 0 0 0 JOANNA KALA PHYSICIAN 322555 0 0 0 0 0 0 0 30759 0 353314 0 0 0 BRANDEN BORCHARDT CRNA 298455 0 0 0 0 0 0 0 30759 0 329214 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. A COLFAX TOWNSHIP HOSPITAL FINANCE AUTHORITY 386022353 NONEAVAIL 2013-06-28 9430560 REFINANCE BONDS ISSUED 10/23/2003 0 0 0 A 2269442 9430560 66700 2013 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 A 1 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 WAGE INFORMATION FROM TRADE GROUPS IS USED TO ESTABLISH BENCHMARKS FOR APPROPRIATE COMPENSATION LEVELS. THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER IS ANALYZED ANNUALLY BY THE BOARD OF DIRECTORS. THE BOARD REVIEWS THE STATED GOALS FOR THE YEAR AND DETERMINES IF SUCH GOALS HAVE BEEN MET AND DETERMINES THE AMOUNT OF A COMPENSATION INCREASE OR BONUS, IF ANY OTHER EXECUTIVE COMPENSATION IS APPROVED BY THE CEO AS AUTHORIZED BY THE BOARD AND IS BASED ON EXECUTIVE COMPENSATION SURVEYS COMPLETED BY HUMAN RESOURCES. THIS PROCESS WAS LAST UNDERTAKEN IN 2018. 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 3,246,451. MANAGEMENT AND GENERAL EXPENSES 216,654. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,463,105. NON PHYSICIAN PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 767,717. MANAGEMENT AND GENERAL EXPENSES 1,741,576. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,509,293. FORM 990, PART XI, LINE 9: ACQUISITION CAPITAL 2,564,956. FORM 990, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MCLAREN BAY REGION FOUNDATION 1900 COLUMBUS AVE BAY CITY MI 48708 382156534 FOUNDATION MI 501(C)(3) LINE 12A, I MCLAREN BAY REGION 1 MCLAREN BAY REGION 1900 COLUMBUS AVE BAY CITY MI 48708 381976271 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 BAY REGIONAL MEDICAL CENTER AUXILIARY 1908 COLUMBUS AVENUE BAY CITY MI 48708 386081235 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12A, I MCLAREN BAY REGION 1 MCLAREN BAY SPECIAL CARE 3250 E MIDLAND ROAD STE 1 BAY CITY MI 48706 383161753 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN BAY REGION 1 MCLAREN CENTRAL MICHIGAN 1221 SOUTH DRIVE MT PLEASANT MI 48858 381420304 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 CHARLEVOIX NURSING HOME CORPORATION DBA BOULDER PARK TERRACE 14676 WEST UPRIGHT CHARLEVOIX MI 49720 383038683 SKILLED NURSING FACILITY MI 501(C)(3) LINE 10 MCLAREN NORTHERN MICHIGAN 1 KARMANOS CANCER FOUNDATION 4100 JOHN R ST DETROIT MI 48532 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 PORT HURON HOSPITAL 1 MCLAREN HEALTH CARE CORPORATION ONE MCLAREN PARKWAY GRAND BLANC MI 48439 382397643 SUPPORTING ORG MI 501(C)(3) LINE 12A, I N/A 0 MCLAREN HEALTH CARE VILLAGE FOUNDATION 401 S BALLENGER HIGHWAY FLINT MI 48532 262693350 SUPPORTING ORG MI 501(C)(3) LINE 12A, I MCLAREN HEALTH CARE CORPORATION 1 MCLAREN HEALTH PLAN COMMUNITY G-3245 BEECHER ROAD FLINT MI 48532 272204037 INSURANCE MI 501(C)(4) MCLAREN HEALTH PLAN 1 MCLAREN HEALTH PLAN INC G-3245 BEECHER ROAD FLINT MI 48532 383252216 HEALTH CARE SERVICES MI 501(C)(4) MCLAREN HEALTH CARE CORPORATION 1 MCLAREN HOSPICE AND HOME CARE FOUNDATION 1515 CAL DR DAVISON MI 48423 463643089 FOUNDATION MI 501(C)(3) LINE 12A, I MCLAREN HEALTH MANAGEMENT GROUP 1 MCLAREN MEDICAL GROUP 401 S BALLENGER HWY FLINT MI 48532 382988086 MANAGEMENT COMPANY MI 501(C)(3) LINE 12A, I MCLAREN HEALTH CARE CORPORATION 1 MCLAREN NORTHERN MICHIGAN 416 CONNABLE AVENUE PETOSKEY MI 49770 382146751 ACUTE CARE HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 MCLAREN NORTHERN MICHIGAN FOUNDATION 360 CONNABLE AVENUE PETOSKEY MI 49770 382445611 FOUNDATION MI 501(C)(3) LINE 7 MCLAREN NORTHERN MICHIGAN 1 MCLAREN PORT HURON 1221 PINE GROVE AVENUE PORT HURON MI 48060 381369611 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 MCLAREN FLINT 401 S BALLENGER HWY FLINT MI 48532 382383119 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 MICHIGAN CANCER SOCIETY 4100 JOHN R ST DETROIT MI 48201 382823451 CANCER RESEARCH MI 501(C)(3) LINE 7 BARBARA ANN KARMANOS CANCER INSTITUTE 1 MOUNT CLEMENS REGIONAL HEALTHCARE FOUNDATION PO BOX 326 MOUNT CLEMENS MI 48046 382578873 FOUNDATION MI 501(C)(3) LINE 10 MCLAREN MACOMB 1 MCLAREN MACOMB 1000 HARRINGTON MOUNT CLEMENS MI 48043 381218516 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 NORTH OAKLAND NORTH MACOMB IMAGING INC 50 NORTH PERRY STREET PONTIAC MI 48342 382807040 MRI IMAGING MI 501(C)(3) LINE 3 MCLAREN OAKLAND 1 NORTHERN MICHIGAN HEMATOLOGY AND ONCOLOGY 416 CONNABLE AVENUE PETOSKEY MI 49770 320020293 PHYSICIAN PRACTICE MI 501(C)(3) LINE 3 MCLAREN NORTHERN MICHIGAN 1 NORTHERN MICHIGAN MEDICAL MANAGEMENT 416 CONNABLE AVENUE PETOSKEY MI 49770 208458840 PHYSICIAN PRACTICE MI 501(C)(3) LINE 3 MCLAREN NORTHERN MICHIGAN 1 MCLAREN OAKLAND FOUNDATION 50 NORTH PERRY STREET PONTIAC MI 48342 200442217 FOUNDATION MI 501(C)(3) LINE 12C, III-FI MCLAREN OAKLAND 1 MCLAREN OAKLAND 50 NORTH PERRY STREET PONTIAC MI 48342 381428164 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 PORT HURON HOSPITAL FOUNDATION PO BOX 5011 PORT HURON MI 48060 382777750 FOUNDATION MI 501(C)(3) LINE 12A, I PORT HURON HOSPITAL 1 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 HEALTH CARE CORPORATION 1 MDWISE MEDICAID NETWORK INC 2955 N MERIDIAN STREET SUITE 201 INDIANAPOLIS IN 46208 473192307 INSURANCE IN 501(C)(4) MDWISE INC 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 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 -677 18880 0 1 0.67000 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 RAPIN & RAPIN INC DBA PRESCRIPTION SERVICES PHARMACY 416 CONNABLE AVENUE PETOSKEY MI 49770 383465261 RETAIL PHARMACY MI N/A C 1 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 HURON MEMORIAL HOSPITAL C 3499 9641 0.62500 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 MCLAREN BAY REGION O 347043 COST OF COMPENSATION