2020-08-13T09:17:22-05:00 2019-09-30 381357951 PLANTE & MORAN PLLC 27400 NORTHWESTERN HIGHWAY SOUTHFIELD MI 48034 990 2018-10-01 381420304 MCLAREN CENTRAL MICHIGAN MCLA 9897726720 1221 SOUTH DRIVE MT PLEASANT MI 48858 TARA SOULES CFO 9897726720 2020-08-11 1 DAVID LOWENTHAL P00181637 2483522500 2020-08-11 24.127.213.245 2020-08-11 15:38:02 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 D1A42FCEE5CBCA1835161BC59C75369F1B7E9248 2018 2020-11-06 18:47:13Z MARTIN TURSKY 1221 SOUTH DRIVE MT PLEASANT MI 48858 86694405 0 X WWW.CMCH.ORG X 1940 MI TO IMPROVE THE HEALTH STATUS OF THE PEOPLE WE SERVE BY PROVIDING CARING, COMPASSIONATE, HIGH-QUALITY SERVICES. 16 13 648 126 0 0 100466 301594 82250664 84006798 452896 359581 2221389 1883476 85025415 86551449 0 0 0 0 44447122 47025665 0 0 0 46293164 46898114 90740286 93923779 -5714871 -7372330 69265179 60099596 14085693 12663932 55179486 47435664 MCLAREN HEALTH CARE, THROUGH ITS SUBSIDIARIES, WILL BE THE BEST VALUE IN HEALTHCARE AS DEFINED BY QUALITY OUTCOMES AND COST 0 0 63627894 85015469 PROVIDED INPATIENT, OUTPATIENT, AND HOME CARE MEDICAL SERVICES. (PATIENT ADMISSIONS - 2,679, PATIENT DAYS - 7,455, TOTAL OUTPATIENT VISITS - 82,663) 63627894 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 91 0 1 648 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 13 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 1 0 X TARA SOULES 9897726720 1221 SOUTH DRIVE MT PLEASANT MI 48858 MARTIN TURSKY PRESIDENT/CEO 40.00 0.00 X X 0 300487 76103 ASHOK VASHISHTA MD DIRECTOR/VPMA/CMO 0.18 0.00 X X 0 0 0 DANIEL BOGE VICE-CHAIR 0.19 1.00 X X 0 31000 0 PAMELA MYLER CHAIR 0.25 0.00 X X 0 0 0 KENNETH BOVEE DIRECTOR (PART YEAR) 0.02 0.00 X 0 0 0 FRANK CLOUTIER DIRECTOR 0.08 0.00 X 0 0 0 JAE EVANS CHAIR/GOVERNANCE 0.12 0.30 X 0 0 0 LINDA KAUFMANN DIRECTOR 0.22 0.00 X 0 0 0 STEVEN W MARTINEAU DIRECTOR (PART YEAR) 0.04 0.00 X 0 0 0 DOUG OUELLETTE DIRECTOR 0.08 0.00 X 0 0 0 CHUCK CRESPY DIRECTOR 0.19 0.00 X 0 0 0 NANCY RIDLEY DIRECTOR (PART YEAR) 0.06 0.00 X 0 0 0 JANET STRICKLER DIRECTOR 0.19 0.00 X 0 0 0 BRYAN WIEFERICH DIRECTOR 0.12 0.00 X 0 0 0 KEVIN COTTER DIRECTOR 0.19 0.00 X 0 0 0 MICHAEL SWIRTZ MD DIRECTOR 0.17 0.00 X 0 0 0 DANIEL WILKERSON MD DIRECTOR 0.19 0.00 X 0 0 0 MARK O'HALLA DIRECTOR/COO (PART YEAR) 0.10 46.39 X 0 1722641 32751 CLARENCE SEVILLIAN REGIONAL CEO 0.21 49.30 X 0 972257 32611 MIKE MOUTSATSON DO DIRECTOR 0.15 0.00 X 0 0 0 BOBBIE GROSS DIRECTOR OF NURSING 40.00 0.00 X 130989 0 18767 MICHAEL TERWILLIGER VP FACILITIES 40.00 0.00 X 164381 0 18997 TARA SOULES CHIEF FINANCIAL OFFICER 40.00 0.00 X 203913 0 19666 CAROLYN POTTER VP HR 20.00 20.00 X 0 239098 11524 DR MICHAEL GROSS ANESTHESIOLOGIST 40.00 0.00 X 519856 0 24734 DR KYLE GILDE ANESTHESIOLOGIST 40.00 0.00 X 440127 0 26964 DR PREM KUNDI ANESTHESIOLOGIST 40.00 0.00 X 394776 0 1884 DR IMAN ZEIDAN HOSPITALIST 40.00 0.00 X 328787 0 15729 DR ROBERT SEALS HOSPITALIST 40.00 0.00 X 156228 0 12801 WILLIAM LAWRENCE PRESIDENT/CEO-FORMER 40.00 0.00 X 0 382382 19524 2339057 3647865 312055 18 1 1 0 CLARK CONSTRUCTION COMPANY 3535 MOORES RIVER DR LANSING MI 48911 CONSTRUCTION 992748 MORRISON MANAGEMENT SPECIALISTS INC PO BOX 102289 ATLANTA GA 30368 CAFETERIA SERVICES 860440 ALCON LABORATORIES PO BOX 677775 DALLAS TX 75267 LAB SERVICES 397128 SENTRY DATA SYSTEMS INC PO BOX 505353 ST LOUIS MO 63150 SOFTWARE SERVICES 371733 HAYES LOCUMS 6700 N ANDREWS AVE FT LAUDERDALE FL 33309 CONTRACTED PHYSICIANS 120539 21 301594 301594 PATIENT SERVICE REVENUE 624100 84006798 84006798 84006798 402606 402606 538528 0 538528 538528 538528 99931 142956 -43025 -43025 -43025 340B RETAIL PHARMACY 446110 655963 655963 FOOD/NUTRITIONAL SERVICES 900099 230914 230914 GIFT SHOP REVENUE 900099 121794 121794 336277 336277 1344948 86551449 85015469 0 1234386 X 495312 495312 39013191 29894742 9118449 1116989 911488 205501 4313682 465992 3847690 2086491 1658090 428401 8240 8240 38647 38647 1796 1796 11263748 3255161 8008587 271168 271168 680596 358354 322242 664686 507581 157105 2161005 794532 1366473 127655 78809 48846 11531 10556 975 263631 263631 4022787 1178204 2844583 352685 70480 282205 MEDICAL SUPPLIES 16036555 15540690 495865 BAD DEBTS 5766294 5766294 QAAP 2802595 2802595 UTILITIES 1076812 1076812 1347683 334326 1013357 93923779 63627894 30295885 0 2995 2995 6271014 -3232919 37055 43023 8915649 10644016 2016737 1515157 2346619 1995304 615185 528549 102048792 73316156 30203884 28732636 18386168 18602266 349000 349000 120873 919569 69265179 60099596 9535820 9434999 4549873 3228933 0 0 14085693 12663932 X 54266913 46739940 771689 554841 140884 140883 55179486 47435664 69265179 60099596 -7372330 -371492 0 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 1796 1796 0 PART II-B, LINE 1: A PORTION OF OUR DUES TO MICHIGAN HEALTH AND HOSPITAL ASSOCIATION SUPPORT LOBBYING ACTIVITIES. 912573 303688 26084 546621 695724 886024 136401 -38918 70934 912573 843467 69822 6843 34108 886024 853477 91994 -33002 69002 843467 932119 1365 -6305 73702 853477 0.00000 0.20250 0.79750 1 0 423532 423532 55330349 37118313 18212036 3352903 2802636 550267 42942008 33395207 9546801 28732636 PART V, LINE 4: TO ASSIST IN FUTURE CAPITAL NEEDS SUCH AS AN EMERGENCY ROOM RENOVATION 1 1 X 1 X 1 X 1 1 1 0 1 1 178984 178984 0.00200 15570762 12514550 3056212 0.03470 15749746 12514550 3235196 0.03670 15666 15666 0.00020 18425 18425 0.00020 105381 105381 0.00120 139472 139472 0.00160 15889218 12514550 3374668 0.03830 62376 62376 0.00070 62376 62376 0.00070 1 5766294 20589798 26566105 -5976307 X 1 1 1 1 MCLAREN CENTRAL MICHIGAN 1221 SOUTH DR MT PLEASANT MI 48858 WWW.CMCH.ORG 1060000040 X X X MCLAREN CENTRAL MICHIGAN 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X HTTPS://TINYURL.COM/YAWXCYL4 X 1 18 1 HTTPS://TINYURL.COM/YAWXCYL4 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X 1 X HTTPS://TINYURL.COM/YYA9C5OC X HTTPS://TINYURL.COM/YYA9C5OC X HTTPS://TINYURL.COM/YYA9C5OC X X X X X X 1 X 0 X X X X 1 X 0 0 MCLAREN CENTRAL MICHIGAN PART V, SECTION B, LINE 5: THERE WERE SEVEN PHASES TO MITHRIVE. THE FIRST FOUR INCLUDED, COMMUNITY THEMES & STRENGTHS ASSESSMENT, COMMUNITY HEALTH STATUS ASSESSMENT, LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT, AND FORCES OF CHANGE ASSESSMENT. THE COMMUNITY WAS EVALUATED BY COLLECTING DATA VIA MINI CLIENT INTERVIEWS, COMMUNITY INPUT BOARDS, GATHERING SECONDARY DATA FROM RELIABLE AND REPUTABLE SOURCES, COMMUNITY DISCUSSIONS, REGIONAL MEETINGS, COMMUNITY SURVEY AND A HEALTHCARE PROVIDER SURVEY. PHASE 5 PRIORITIZED THE ISSUES IDENTIFIED IN THE FIRST FOUR PHASES. PHASE SIX FORMED GOALS AND STRATEGIES FOR THE PRIORITIZED ISSUES, AND PHASE SEVEN WAS BUILDING THE ACTION PLAN FOR CARRYING OUT THE VISION.-MORE THAN 1880 INDIVIDUALS PARTICIPATED IN A COMMUNITY SURVEY-468 PHYSICIANS AND HEALTHCARE PROVIDERS PARTICIPATED IN THE HEALTHCARE SURVEY; 85 OF THESE PROVIDERS IDENTIFIED THEMSELVES AS SERVING CLARE AND/OR ISABELLA COUNTIES-REGIONAL MEETINGS WERE CONDUCTED ALONG WITH STRATEGIC COMMUNITY-FOCUSED CONVERSATIONS-190 HEALTH INDICATORS SUCH AS LEADING CAUSES OF DEATH, DISEASE RATES, HEALTH RISK BEHAVIORS AND ACCESS TO HEALTH CARE WERE COLLECTED AND ANALYZED MCLAREN CENTRAL MICHIGAN PART V, SECTION B, LINE 7D: ANNOUNCEMENTS WERE MADE AT HOSPITAL MANAGEMENT TEAM MEETINGS, COMMUNITY SERVICE GROUPS SUCH AS ROTARY, JAYCEES AND CHAMBER OF COMMERCE AND REFERENCED AT LOCAL COMMUNITY EVENTS SUCH AS CHILD ADVOCACY CENTER MEETINGS AND GATHERINGS.CHNA AND IMPLEMENTATION POLICY CAN BE ACCESSED AT: HTTPS://WWW.MCLAREN.ORG/MAIN/COMMUNITY-HEALTH-NEEDS-ASSESSMENT MCLAREN CENTRAL MICHIGAN PART V, SECTION B, LINE 11: THE HOSPITAL HAS A WRITTEN IMPROVEMENT PLAN THAT WAS ADOPTED BY THE MCLAREN CENTRAL MICHIGAN BOARD OF DIRECTORS ON FEBRUARY 7, 2020. THE PLAN INCLUDES STRATEGIES AND IMPLEMENTATIONS FOR THE HOSPITAL TO ADDRESS AND WORK TO IMPROVE MENTAL HEALTH AND SUBSTANCE ABUSE, BASIC NEEDS AND LEADING CAUSES OF DEATH IN OUR SERVICE AREA. MCLAREN CENTRAL MICHIGAN ACKNOWLEDGES THE WIDE RANGE OF ISSUES THAT EMERGED FROM THE CHNA PROCESS, AND DETERMINED THAT WITH THE BROAD NATURE OF THE STRATEGIC ISSUES WE COULD EFFECTIVELY FOCUS ON ONLY THOSE ISSUES THAT WERE PRIORITIZED THE HIGHEST BY OUR COMMUNITY.DUE TO THE LOWER PRIORITIZATION, MCM WILL NOT TARGET THE FOLLOWING IDENTIFIED STRATEGIC ISSUES:-HOW DO WE IMPROVE ACCESS TO COMPREHENSIVE HEALTH CARE FOR ALL?-HOW DO WE FOSTER A SENSE OF COMMUNITY THAT PROMOTES TRUST, SOCIAL SUPPORT, AND INCLUSIVENESS?WHILE WE ARE NOT TARGETING THESE STRATEGIC ISSUES IN THIS IMPLEMENTATION STRATEGY, WE STILL COMMIT TO CONTINUING OUR EFFORTS TO IMPROVE THESE ISSUES AS WELL. MCLAREN CENTRAL MICHIGAN PART V, SECTION B, LINE 13B: FINANCIAL ASSISTANCE GUIDELINES ARE BASED ON 200-400% OF THE FEDERAL POVERTY GUIDELINES PUBLISHED ANNUALLY IN THE FEDERAL REGISTER. DESIGNATED PERSONNEL WILL ACCESS THE FEDERAL REGISTER AND UPDATE THE FINANCIAL ASSISTANCE GUIDELINES ANNUALLY. THE DISCOUNT IS BASED ON FAMILY SIZE AND ANNUAL INCOME. 16 1 - MEDICAL OFFICE BUILDING 1201 SOUTH DR MT PLEASANT MI 48858 MEDICAL OFFICES 2 - WELLNESS CENTRAL 2600 THREE LEAVES DR MT PLEASANT MI 48858 PHYSICAL THERAPY/ORTHO 3 - HEALTH PARK 7 2940 HEALTH PARKWAY MT PLEASANT MI 48858 PROVIDER OFFICE 4 - PICKARD ST CLINIC 4641 E PICKARD ST MT PLEASANT MI 48858 PROVIDER OFFICE/BARIATRIC CENTER 5 - HEALTH PARK 4 2853 HEALTH PARKWAY MT PLEASANT MI 48858 PROVIDER OFFICE 6 - HEALTH PARK 2 2935 HEALTH PARKWAY MT PLEASANT MI 48858 PROVIDER OFFICE 7 - HEALTH PARK 1 2981 HEALTH PARKWAY MT PLEASANT MI 48858 PROVIDER OFFICE 8 - COMPREADY CARE 1523 S MISSION ST MT PLEASANT MI 48858 WALK-IN CLINIC 9 - MCLAREN HEART CENTER 5115 E PICKARD ST MT PLEASANT MI 48858 PROVIDER OFFICE 10 - ALMA CARDIOLOGY 315 E WARWICK DR ALMA MI 48801 PROVIDER OFFICE 11 - ALMA LEASE WRIGHT AVE ALMA MI 48801 LEASE SPACE 12 - SHEPHERD CLINIC 322 E WRIGHT AVE SHEPHERD MI 48883 PROVIDER OFFICE 13 - CLARE CLINIC 1509 N MCEWANN ST CLARE MI 48617 PROVIDER OFFICE 14 - WEIDMAN CLINIC 3520 N WOODRUFF RD WEIDMAN MI 48893 PROVIDER OFFICE 15 - KIRBY OFFICE 4599 JENNIFER LN MT PLEASANT MI 48858 PROIDER OFFICE 16 - MEDICAL RECORDS MISSION ST MT PLEASANT MI 48858 MEDICAL RECORDS PART I, LINE 7: A COST TO CHARGE RATIO WAS USED TO COMPLETE THE CHARITY CARE (LINE 7A) AND MEANS-TESTED GOVERNMENT PROGRAMS (LINE 7B AND 7C). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 THAT ACCOMPANIES THE INSTRUCTIONS TO THIS SCHEDULE.THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO COMPLETE THE COMMUNITY BENEFIT IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS (LINE 7E) AND HEALTH PROFESSIONS EDUCATION (LINE 7F). PART I, LN 7 COL(F): THE PERCENTAGE IS CALCULATED BASED ON TOTAL FUNCTIONAL EXPENSES SHOWN ON PART X, LINE 25, LESS BAD DEBT OF $5,766,294. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY-BUILDING ACTIVITIES ARE DESIGNED AND IMPLEMENTED BASED ON COMMUNITY NEEDS ASSESSMENTS AND INPUT FROM COMMUNITY-BASED ORGANIZATIONS AND OTHER COMMUNITY STAKEHOLDERS, INCLUDING BUSINESS VENDORS, RELIGIOUS ORGANIZATIONS AND POLITICAL LEADERS. EACH ORGANIZATION DEFINES ANNUAL COMMUNITY-BUILDING AND OUTREACH ACTIVITY PLANS. THESE PLANS ARE DESIGNED TO ADDRESS THE SPECIFIC HEALTH PREVENTION, EDUCATION, DIAGNOSIS, TREATMENT AND FOLLOW-UP CARE REQUIREMENTS OF UNIQUE DISEASE, DEMOGRAPHIC AND GEOGRAPHIC COMMUNITIES IDENTIFIED BY ONGOING NEEDS ASSESSMENTS DESCRIBED ABOVE. PART III, LINE 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 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 COST TO CHARGE RATIO WAS USED IN THE CALCULATION, WHICH RESULTED IN A SHORTFALL OF $2,172,704. ADDITIONAL COSTS ASSOCIATED WITH MEDICARE BUT NOT INCLUDED ON THE COST REPORT INCLUDE THE MEDICARE ADVANTAGE PROGRAM. THE ORGANIZATION INCURRED GROSS CHARGES OF 30,967,452. AFTER APPLYING THE SAME COST TO CHARGE RATIO USED THROUGHOUT SCHEDULE H THE ESTIMATED COST INCURRED FOR THE MEDICARE ADVANTAGE PROGRAMS WAS 10,101,414. THE ORGANIZATION RECEIVED A TOTAL OF 7,928,710 IN REIMBURSEMENT. THE NET MEDICARE SHORTFALL FOR THE MEDICARE ADVANTAGE PROGRAM TOTALED APPROXIMATELY 2,172,704 FOR THE YEAR. THE ORGANIZATION FEELS THAT THE ENTIRE AMOUNT OF THE SHORTFALL SHOULD BE TAKEN INTO CONSIDERATION WHEN DETERMINING THE TOTAL COMMUNITY BENEFIT PROVIDED. PART III, LINE 9B: MCLAREN CENTRAL MICHIGAN WILL ALLOW ANY PATIENT TO ESTABLISH A PAYMENT PLAN AT ANY TIME DURING THE NORMAL COLLECTIONS PROCESS OF 120 DAYS. IN EXTENUATING CIRCUMSTANCES, WHEN A PATIENT DEMONSTRATES AN INABILITY TO PAY IN THE AMOUNT THE PATIENT MAY APPLY FOR AN EXTENDED PAYMENT PLAN BY CONTACTING ONE OF THE HOSPITAL FINANCIAL COUNSELORS. ACCOUNTS THAT QUALIFY FOR FINANCIAL HARDSHIP AND REDUCED PAYMENTS WILL BE TRANSFERRED FROM ACCOUNTS RECEIVABLE TO IN HOUSE BAD DEBT STATUS IN THE HOSPITAL AND PHYSICIAN OFFICE COMPUTER SYSTEM. THESE ACCOUNTS WILL BE MONITORED FOR COMPLIANCE WITH THE CONTRACT ESTABLISHED BY THE FINANCIAL COUNSELOR OR CENTRAL BILLING. PART VI, LINE 2: MCLAREN CENTRAL MICHIGAN PARTICIPATED IN A REGION WIDE COMMUNITY HEALTH ASSESSMENT CALLED MITHRIVE. MITHRIVE IS A COLLABORATION OF LOCAL HEALTH DEPARTMENTS, HOSPITALS, AND COMMUNITY ORGANIZATIONS WORKING WITH LOCAL RESIDENTS TO IMPROVE HEALTH AND WELLBEING IN THE 31 COUNTIES OF NORTHERN-LOWER MICHIGAN. OVER 150 COMMUNITY PARTNERS PARTICIPATED AND INPUT WAS RECEIVED FROM OVER 3,000 RESIDENTS. THERE WERE SEVEN PHASES TO MITHRIVE. THE FIRST FOUR INCLUDED, COMMUNITY THEMES & STRENGTHS ASSESSMENT, COMMUNITY HEALTH STATUS ASSESSMENT, LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT, AND FORCES OF CHANGE ASSESSMENT. THE COMMUNITY WAS EVALUATED BY COLLECTING DATA VIA MINI CLIENT INTERVIEWS, COMMUNITY INPUT BOARDS, GATHERING SECONDARY DATA FROM RELIABLE AND REPUTABLE SOURCES, COMMUNITY DISCUSSIONS, REGIONAL MEETINGS, COMMUNITY SURVEY AND A HEALTHCARE PROVIDER SURVEY. PHASE 5 PRIORITIZED THE ISSUES IDENTIFIED IN THE FIRST FOUR PHASES. PHASE SIX FORMED GOALS AND STRATEGIES FOR THE PRIORITIZED ISSUES, AND PHASE SEVEN WAS BUILDING THE ACTION PLAN FOR CARRYING OUT THE VISION.-MORE THAN 1880 INDIVIDUALS PARTICIPATED IN A COMMUNITY SURVEY-468 PHYSICIANS AND HEALTHCARE PROVIDERS PARTICIPATED IN THE HEALTHCARE SURVEY; 85 OF THESE PROVIDERS IDENTIFIED THEMSELVES AS SERVING CLARE AND/OR ISABELLA COUNTIES-REGIONAL MEETINGS WERE CONDUCTED ALONG WITH STRATEGIC COMMUNITY-FOCUSED CONVERSATIONS-190 HEALTH INDICATORS SUCH AS LEADING CAUSES OF DEATH, DISEASE RATES, HEALTH RISK BEHAVIORS AND ACCESS TO HEALTH CARE WERE COLLECTED AND ANALYZED PART VI, LINE 3: AVAILABILITY OF FINANCIAL ASSISTANCE INFORMATION AND EDUCATION IS PROVIDED AT ALL INPATIENT AND OUTPATIENT REGISTRATION POINTS-OF-SERVICE. INFORMATION AND EDUCATION IS ALSO AVAILABLE THROUGH THE ORGANIZATION'S WEBSITE. FINANCIAL AND APPLICATION FORMS ARE AVAILABLE AT ALL INPATIENT AND OUTPATIENT REGISTRATION POINTS-OF-SERVICE, INCLUDING PROVIDING ASSISTANCE IN COMPLETING THE APPLICATION. ORGANIZATION AND IT'S SUBSIDIARIES/AFFILIATES ALSO PROVIDE SPECIFICALLY-TRAINED COUNSELORS TO ASSIST PATIENTS AND REVIEW ELIGIBILITY FOR FEDERAL, STATE AND OTHER GOVERNMENT PROGRAMS, INCLUDING, BUT NOT LIMITED TO, MEDICAID, DISABILITY, SOCIAL SECURITY, AND ANY OTHER FORMS OF THIRD PARTY PAYMENT. PART VI, LINE 4: MCLAREN CENTRAL MICHIGAN SERVICE AREA DEMOGRAPHICS AND VITAL STATISTICS MCLAREN CENTRAL MICHIGAN'S SERVICE AREA COMPRISE THE ZIP CODES OF 48858 (MT. PLEASANT), 48883 (SHEPHERD), 48893 (WEIDMAN), 48617 (CLARE), 48633 (FARWELL), 48625 (HARRISON), AND 48632 (LAKE), 49340 (REMUS), 48878 (ROSEBUSH), 49310 (BLANCHARD), 49305 (BARRYTON) WITH A TOTAL POPULATION OF 101,640. THE LARGEST COMMUNITY IS MT. PLEASANT, MAKING UP 26% OF THE POPULATION. THE SERVICE AREA'S POPULATION IS PRIMARILY WHITE 85% AND 95% IN ISABELLA AND CLARE COUNTIES, RESPECTIVELY. NATIVE AMERICAN POPULATION MAKE UP 2.9% OF THE ENTIRE SERVICE AREA WHILE HISPANIC OR LATINO MAKE UP 3.8% AND 2% RESPECTIVELY. THE DEMOGRAPHIC PROFILE OF ISABELLA AND CLARE COUNTIES ARE SIGNIFICANTLY DIFFERENT, OVER 50% OF ISABELLA COUNTY RESIDENTS ARE BETWEEN THE AGES OF 18-44, WHEREAS ONLY 27% OF CLARE RESIDENTS ARE WITHIN THE SAME AGE RANGE. ISABELLA COUNTY'S LOWER AGE IS ATTRIBUTED TO THE STUDENT POPULATION OF CMU. RESIDENTS OVER THE AGE OF 65 ARE 11.6% AND 22.6% RESPECTIVELY, WHICH IS UP IN BOTH COUNTIES FROM THE 2016 ASSESSMENT. OVERALL, THERE HAS BEEN AN INCREASE IN POPULATION OF 278 REPRESENTING A POSITIVE CHANGE OF 2.7%. THE POPULATION IS EXPECTED TO INCREASE THROUGH 2020. ISABELLA COUNTY IS LOCATED IN THE HEART OF MICHIGAN'S LOWER PENINSULA AND IS HOME TO THE SAGINAW CHIPPEWA INDIAN TRIBE AND CENTRAL MICHIGAN UNIVERSITY. AGRICULTURE, OIL AND GAS PRODUCTION, AND MANUFACTURING ARE THE LEADING INDUSTRIES IN THE COUNTY. A MAJORITY OF THE COMMERCIAL DEVELOPMENT IS LOCATED IN THE CITY OF MT. PLEASANT WHERE U.S.-127 GOING NORTH AND SOUTH AND M-20 GOING EAST AND WEST INTERSECT. MT. PLEASANT IS THE COUNTY SEAT AND THE LARGEST COMMUNITY WITH A POPULATION OF 25,388. UNION TOWNSHIP, WITH 7,615 RESIDENTS AND CHIPPEWA TOWNSHIP WITH 4,617 RESIDENTS ARE THE NEXT TWO LARGEST COMMUNITIES. THE TOTAL POPULATION IS 71,282. THE LARGEST EMPLOYER IN ISABELLA COUNTY IS THE SOARING EAGLE CASINO AND RESORT FOLLOWED BY CENTRAL MICHIGAN UNIVERSITY, AND THE SAGINAW CHIPPEWA INDIAN TRIBE. MCLAREN CENTRAL MICHIGAN IS ALSO LOCATED IN MT. PLEASANT. CLARE COUNTY IS LOCATED IMMEDIATELY NORTH OF ISABELLA COUNTY AND IS KNOWN AS MICHIGAN'S "GATEWAY TO THE NORTH." IT IS HOME TO MIDMICHIGAN COMMUNITY COLLEGE WITH AGRICULTURE AND MANUFACTURING BEING THE LEADING INDUSTRIES. THE MOST COMMERCIAL DEVELOPMENT IS IN THE CITY OF CLARE WHERE U.S.-127 AND U.S.-10 MEET. HARRISON IS THE COUNTY SEAT AND IS HOME TO 2,114 RESIDENTS WHILE CLARE BOASTS THE LARGEST POPULATION AT 3,118. CLARE COUNTY'S TOTAL POPULATION IS 30,358. MID-MICHIGAN HEALTH IS THE LARGEST EMPLOYER IN THE COUNTY. APPROXIMATELY 90% OF OUR DISCHARGES ORIGINATE FROM OUR PRIMARY SERVICE AREA, WHICH IS ISABELLA AND CLARE COUNTIES. THIS REPORT WILL FOCUS ON THE TWO COUNTIES. EVEN WITH LITTLE POPULATION GROWTH THERE WILL BE A NEED FOR A GROWING RANGE OF ACUTE CARE SERVICES INCLUDING HEART AND VASCULAR DISEASE, STROKE, DIABETES, CANCER CARE AND PREVENTIVE SERVICES DUE TO AN AGING POPULATION. MCM'S SERVICE AREAS OVERALL MINORITY POPULATION IS ALSO EXPECTED TO CONTINUE TO GROW, INCREASING THE NEED FOR OUTREACH AND CLINICAL PROGRAMS THAT ADDRESS THE UNIQUE NEEDS OF AN INCREASINGLY DIVERSE POPULATION. PART VI, LINE 5: THE PARENT ORGANIZATION AND EACH OF ITS SUBSIDIARY/AFFILIATE MEMBERS MAINTAIN A LOCAL COMMUNITY-BASED BOARD WITH POWERS, RESPONSIBILITIES AND ACCOUNTABILITIES FOR THE OVERSIGHT OF THE OPERATION OF THEIR RESPECTIVE ORGANIZATIONS. EACH SUBSIDIARY/AFFILIATE ORGANIZATION MAINTAINS AN OPEN MEDICAL STAFF ALLOWING ANY PHYSICIAN OR OTHER CARE PROVIDER WITH PROPER CREDENTIALS TO JOIN THE STAFF AND PROVIDE APPROVED CARE. THE ORGANIZATION FUNDS AND MAINTAINS OVER 500 MEDICAL RESIDENCY AND FELLOWSHIP PROGRAMS TO TRAIN FUTURE GENERATIONS OF PHYSICIANS; ORGANIZATION FUNDS, OPERATES AND MAINTAINS NUMEROUS HEALTH CARE EDUCATION PROGRAMS AT THE HIGH SCHOOL, COMMUNITY COLLEGE, UNIVERSITY AND POST-GRADUATE LEVELS OF EDUCATION. ORGANIZATION PROVIDES SPONSORSHIP (FINANCIAL AND IN-KIND RESOURCES) SUPPORT TO COMMUNITY-LEVEL ACTIVITIES (HEALTH WALKS AND RACES, FITNESS TRAINING, DISEASE AWARENESS EVENTS, CULTURAL EVENTS AND OTHER HEALTH-RELATED NON-PROFIT ACTIVITIES, EVENTS AND ORGANIZATIONS). ORGANIZATION ALSO DIRECTS, FUNDS, SUPPORTS AND PARTICIPATES IN FUNDRAISING ACTIVITIES THAT SUPPORT HEALTH PREVENTION/EDUCATION, DIAGNOSIS AND TREATMENT PROVIDED BY OTHER NON-PROFIT COMMUNITY ORGANIZATIONS. PART VI, LINE 6: THE ROLE OF THE PARENT ORGANIZATION IS TO SET THE VISION AND STRATEGIC DIRECTION FOR THE ORGANIZATION AS A WHOLE. THIS INCLUDES THE DEVELOPMENT OF THE ANNUAL STRATEGIC PLAN WHICH DEFINES THE STRATEGIC PRIORITIES FOR THE ORGANIZATION AND ITS MEMBERS, THE METRICS TO BE MEASURED FOR EACH STRATEGIC PROGRAMS AND THE BENCHMARK OR TARGET/GOALS FOR EACH METRIC. STRATEGIC PRIORITIES DIRECTLY ADDRESS AND MEASURE (AT A SUBSIDIARY LEVEL) CLINICAL QUALITY AND CLINICAL OUTCOMES; PATIENT, PHYSICIAN, EMPLOYEE AND COMMUNITY SATISFACTION WITH THE ORGANIZATION AND ITS SUBSIDIARY/AFFILIATE MEMBERS; AND DEVELOPMENT OF NEW SERVICES TO IMPROVE ACCESS TO, QUALITY OF, AND COST OF HEALTH SERVICES.THE ROLE OF THE ORGANIZATION'S SUBSIDIARIES/AFFILIATES IS THE DEVELOPMENT AND IMPLEMENTATION OF ANNUAL STRATEGIC AND OPERATIONAL PLANS THAT SUPPORT AND ADVANCE THE STRATEGIC PLAN OF THE PARENT ORGANIZATION. ALL LOCAL PLANS ARE DEVELOPED AND DESIGNED TO REFLECT THE UNIQUE POPULATION-BASED HEALTH CARE NEEDS AND REQUIREMENTS OF THE COMMUNITIES SERVED BY THE SUBSIDIARY/AFFILIATE ORGANIZATION.ALL LOCAL SUBSIDIARIES/AFFILIATES HAVE FULL AUTHORITY AND DECISION-MAKING POWERS TO DEFINE AND EXECUTE THE STRATEGIC AND OPERATIONAL PLANS INTENDED TO IMPROVE THE HEALTH AND WELFARE OF THE COMMUNITIES THEY SERVE. PART VI, LINE 7, REPORTS FILED WITH STATES MI 0 1 0 0 0 0 0 1 0 MARTIN TURSKY PRESIDENT/CEO 0 259615 0 0 0 40872 0 64255 0 11848 0 376590 0 0 MARK O'HALLA DIRECTOR/COO (PART YEAR) 0 943916 0 291971 0 486754 0 13750 0 19001 0 1755392 0 0 CLARENCE SEVILLIAN REGIONAL CEO 0 491825 0 224377 0 256055 0 13750 0 18861 0 1004868 0 0 MICHAEL TERWILLIGER VP FACILITIES 142933 0 21448 0 0 0 8168 0 10829 0 183378 0 0 0 TARA SOULES CHIEF FINANCIAL OFFICER 172666 0 31247 0 0 0 10196 0 9470 0 223579 0 0 0 CAROLYN POTTER VP HR 0 194513 0 42227 0 2358 0 11088 0 436 0 250622 0 0 DR MICHAEL GROSS ANESTHESIOLOGIST 519856 0 0 0 0 0 13750 0 10984 0 544590 0 0 0 DR KYLE GILDE ANESTHESIOLOGIST 440127 0 0 0 0 0 13750 0 13214 0 467091 0 0 0 DR PREM KUNDI ANESTHESIOLOGIST 394776 0 0 0 0 0 335 0 1549 0 396660 0 0 0 DR IMAN ZEIDAN HOSPITALIST 328787 0 0 0 0 0 13750 0 1979 0 344516 0 0 0 DR ROBERT SEALS HOSPITALIST 156228 0 0 0 0 0 0 0 12801 0 169029 0 0 0 WILLIAM LAWRENCE PRESIDENT/CEO-FORMER 0 211657 0 44294 0 126431 0 10444 0 9080 0 401906 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. SPAN PROPERTIES ASHOK VASHISHTA IS A BOARD MEMBER AND 50% OWNER OF SPAN PROPERTIES 150490 SPAN PROPERTIES LEASES A BUILDING AND X-RAY EQUIPMENT TO MCLAREN CENTRAL MICHIGAN COMMUNITY HOSPITAL. 0 SHIVAM PROPERTIES ASHOK VASHISHTA IS A BOARD MEMBER AND 50% OWNER OF SHIVAM PROPERTIES 85399 SHIVAM PROPERTIES LEASES A BUILDING TO MCLAREN CENTRAL MICHIGAN. 0 FORM 990, PART VI, SECTION A, LINE 2 DANIEL BOGE HAS BUSINESS RELATIONSHIPS WITH STEVEN MARTINEAU, JANET STRICKLER, AND PAM MYLER. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THIS ORGANIZATION IS MCLAREN HEALTH CARE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER SHALL HAVE THE EXCLUSIVE RIGHT TO ELECT OR APPOINT THE DIRECTORS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS BY THE GOVERNING BODY ARE SUBJECT TO THE POWERS OF THE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 DATA IS PREPARED INTERNALLY AND SUBMITTED TO OUR AUDITING FIRM FOR RETURN PREPARATION. ONCE THE RETURNS HAVE BEEN COMPLETED, THE FORMS ARE REVIEWED BY ENTITY CFO AND THE FINANCE LEADERSHIP OF MCLAREN HEALTH CARE (MHC). COPIES OF DRAFT RETURNS ARE MADE AVAILABLE TO THE MHC BOARD MEMBERS, WHO SERVE AS THE OVERALL GOVERNING BOARD. RETURNS ARE AVAILABLE FOR ALL CORPORATIONS OF WHICH MHC IS THE SOLE MEMBER AS WELL AS OTHER RELATED ENTITIES OF THOSE CORPORATIONS FOR REVIEW RATHER THAN HAVING THE LOCAL BOARDS REVIEW THE RETURNS. THE BOARD OF MHC IS THE ULTIMATE ACCOUNTABLE ORGANIZATION FOR THE SYSTEM; AS SUCH IT IS THE OVERALL GOVERNING BOARD OF THE SYSTEM, WHOSE RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: APPROVING ALL SUBSIDIARY BOARD MEMBERS, FINANCIAL BUDGETS, AND ISSUANCE OF DEBT. FORM 990, PART VI, SECTION B, LINE 12C THE CORPORATE COMPLIANCE DEPARTMENT, IN ACCORDANCE WITH THE MCLAREN HEALTH CARE (MHC) BOARD CONFLICT OF INTEREST POLICY, ANNUALLY DISTRIBUTES THE CONFLICT OF INTEREST DISCLOSURE SURVEY TO ALL MHC CORPORATE AND SUBSIDIARY ORGANIZATION BOARD MEMBERS, EXECUTIVES AND OTHER LEADERSHIP EMPLOYEES. THE CORPORATE COMPLIANCE DEPARTMENT THROUGH THE GOVERNANCE COMMITTEE, COMPILES AND ANALYZES SURVEY DATA BY ORGANIZATION, INVESTIGATES AND REVIEWS POTENTIAL CONFLICTS WITH THE ORGANIZATION'S CEO AND BOARD CHAIR, AND WHEN NECESSARY, RECOMMENDS ACTIONS TO BE TAKEN TO RESOLVE IDENTIFIED CONFLICTS. A COMPLETE REPORT OF ALL CORPORATE AND SUBSIDIARY BOARD MEMBER AND EXECUTIVE DISCLOSURES, CONFLICTS IDENTIFIED AND ACTIONS TAKEN IS REVIEWED BY THE MHC GOVERNANCE COMMITTEE AND EACH SUBSIDIARY CEO AND BOARD CHAIR RECEIVES A REPORT SPECIFIC TO THEIR ORGANIZATION'S BOARD MEMBERS AND EXECUTIVES. CONFLICTS ARE DISCLOSED TO THE FULL BOARD AND BOARD COMMITTEES SO APPROPRIATE ACTIONS CAN BE TAKEN. ACTIONS MAY INCLUDE PROHIBITING A BOARD MEMBER FROM PARTICIPATING IN DELIBERATIONS INVOLVING TRANSACTIONS WITH A COMPANY WITH WHICH THEY CONDUCT FINANCIAL TRANSACTIONS; BOARD MEMBERS FAILING TO COMPLETE A DISCLOSURE SURVEY OR INTENTIONALLY FAILING TO REPORT A KNOWN CONFLICT OF INTEREST ARE RELIEVED OF THEIR SERVICE TO MHC. FORM 990, PART VI, SECTION B, LINE 15B THE COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS TO REVIEW THE PERFORMANCE AND RECOMMEND THE TOTAL COMPENSATION PACKAGE OF THE MCLAREN HEALTHCARE CORPORATION'S CEO TO THE BOARD. FURTHER THE COMMITTEE ESTABLISHES THE SALARY RANGES AND PERQUISITES OF THE OTHER MOST HIGHLY COMPENSATED OFFICERS (MHC EXECUTIVE & SENIOR VICE-PRESIDENTS AND CEOS OF MHC SUBSIDIARY ORGANIZATIONS) TO THE BOARD. THE MEMBERS OF THE COMMITTEE MUST MEET THE INDEPENDENCE REQUIREMENTS OF THE APPLICABLE PROVISIONS OF SECTION 4958 OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED AND FINAL TREASURY REGULATIONS SECTION 53.4958-6(C)(1)(III). THE COMMITTEE RETAINS THE SERVICES ANNUALLY OF AN INDEPENDENT FIRM WITH SIGNIFICANT QUALIFICATIONS AND EXPERIENCE TO CONDUCT A REVIEW OF THE CORPORATION'S EXECUTIVE COMPENSATION PROGRAM. THE RETAINED FIRM UTILIZES APPROPRIATE COMPENSATION COMPARABILITY DATA. THE RETAINED FIRM CONDUCTS ANALYSIS OF THE COMPETITIVENESS OF THESE PROGRAMS AND EXPRESSES AN OPINION TO THE REASONABLENESS OF THESE COMPENSATION PROGRAMS. ALL DATA UTILIZED BY THE COMMITTEE, DELIBERATIONS OF THE COMMITTEE, AND FINAL COMPENSATION DECISIONS BY THE COMMITTEE ARE DOCUMENTED IN FORMAL REPORTS AND MINUTES. THE CORPORATE COMPENSATION COMMITTEE WORKS UNDER AND PERIODICALLY RENEWS THE MCLAREN HEALTH CARE CORPORATION COMPENSATION COMMITTEE CHARTER. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS FISCAL YEAR 2019. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CORPORATE ALLOCATION: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,450,682. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,450,682. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 482,037. MANAGEMENT AND GENERAL EXPENSES 539,060. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,021,097. OTHER FEES: PROGRAM SERVICE EXPENSES 2,773,124. MANAGEMENT AND GENERAL EXPENSES 2,018,845. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,791,969. FORM 990, PART XI, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MERIDIAN VENTURE DBA CENTRAL MICHIGAN VENTURES 1221 SOUTH DRIVE MOUNT PLEASANT MI 48858 383226022 HEALTH CARE SERVICES MI -25 33323 MCLAREN CENTRAL MCLAREN BAY MEDICAL FOUNDATION 1900 COLUMBUS AVE BAY CITY MI 48708 382156534 FOUNDATION MI 501(C)(3) LINE 12A, I MCLAREN BAY REGION 1 MCLAREN BAY REGION 1900 COLUMBUS AVE BAY CITY MI 48708 381976271 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 BAY REGIONAL MEDICAL CENTER AUXILIARY 1908 COLUMBUS AVENUE BAY CITY MI 48708 386081235 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12A, I MCLAREN BAY REGION 1 MCLAREN BAY SPECIAL CARE 3250 E MIDLAND ROAD STE 1 BAY CITY MI 48706 383161753 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN BAY REGION 1 CHARLEVOIX NURSING HOME CORPORATION DBA BOULDER PARK TERRACE 14676 WEST UPRIGHT CHARLEVOIX MI 49720 383038683 SKILLED NURSING FACILITY MI 501(C)(3) LINE 10 MCLAREN NORTHERN MICHIGAN 1 KARMANOS CANCER FOUNDATION 4100 JOHN R ST DETROIT MI 48201 383584572 CANCER CARE CENTER MI 501(C)(3) LINE 7 BARBARA ANN KARMANOS CANCER INSTITUTE 1 MCLAREN GREATER LANSING FOUNDATION 401 W GREENLAWN AVE LANSING MI 48910 382463637 FOUNDATION MI 501(C)(3) LINE 7 MCLAREN GREATER LANSING 1 MCLAREN GREATER LANSING 401 W GREENLAWN AVE LANSING MI 48910 381434090 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 BARBARA ANN KARMANOS CANCER HOSPITAL 4100 JOHN R ST DETROIT MI 48201 201649466 HOSPITAL MI 501(C)(3) LINE 3 BARBARA ANN KARMANOS CANCER INSTITUTE 1 BARBARA ANN KARMANOS CANCER INSTITUTE 4100 JOHN R ST DETROIT MI 48201 381613280 CANCER RESEARCH & CARE CENTER MI 501(C)(3) LINE 7 MCLAREN HEALTH CARE CORPORATION 1 MCLAREN LAPEER REGION 1375 N MAIN ST LAPEER MI 48446 382689033 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 MCLAREN LAPEER REGION FOUNDATION 1375 N MAIN ST LAPEER MI 48446 382689603 FOUNDATION MI 501(C)(3) LINE 12A, I MCLAREN LAPEER REGION 1 MARWOOD MANOR NURSING HOME PO BOX 5011 PORT HURON MI 48060 382683251 NURSING HOME MI 501(C)(3) LINE 10 MCLAREN PORT HURON 1 MCLAREN HEALTH CARE CORPORATION ONE MCLAREN PARKWAY GRAND BLANC MI 48439 382397643 SUPPORTING ORG MI 501(C)(3) LINE 12A, I N/A 0 MCLAREN HEALTH CARE VILLAGE FOUNDATION 401 S BALLENGER HIGHWAY FLINT MI 48532 262693350 SUPPORTING ORG MI 501(C)(3) LINE 12A, I MCLAREN HEALTH CARE CORPORATION 1 MCLAREN HEALTH PLAN COMMUNITY G-3245 BEECHER ROAD FLINT MI 48532 272204037 INSURANCE MI 501(C)(4) MCLAREN HEALTH PLAN 1 MCLAREN HEALTH PLAN INC G-3245 BEECHER ROAD FLINT MI 48532 383252216 HEALTH CARE SERVICES MI 501(C)(4) MCLAREN INTEGRTAED HMO GROUP 1 MCLAREN HOSPICE & HOME CARE FOUNDATION 1515 CAL DR DAVISON MI 48423 463643089 FOUNDATION MI 501(C)(3) LINE 12A, I MCLAREN HEALTH MANAGEMENT GROUP 1 MCLAREN MEDICAL GROUP 401 S BALLENGER HWY FLINT MI 48532 382988086 MANAGEMENT COMPANY MI 501(C)(3) LINE 12A, I MCLAREN HEALTH CARE CORPORATION 1 MCLAREN NORTHERN MICHIGAN 416 CONNABLE AVENUE PETOSKEY MI 49770 382146751 ACUTE CARE HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 MCLAREN NORTHERN MICHIGAN FOUNDATION 360 CONNABLE AVENUE PETOSKEY MI 49770 382445611 FOUNDATION MI 501(C)(3) LINE 7 MCLAREN NORTHERN MICHIGAN 1 MCLAREN PORT HURON 1221 PINE GROVE AVENUE PORT HURON MI 48060 381369611 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 MCLAREN FLINT 401 S BALLENGER HWY FLINT MI 48532 382383119 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 MICHIGAN CANCER SOCIETY 4100 JOHN R ST DETROIT MI 48201 382823451 CANCER RESEARCH MI 501(C)(3) LINE 7 BARBARA ANN KARMANOS CANCER INSTITUTE 1 MOUNT CLEMENS REGIONAL HEALTHCARE FOUNDATION PO BOX 326 MOUNT CLEMENS MI 48046 382578873 FOUNDATION MI 501(C)(3) LINE 10 MCLAREN MACOMB 1 MCLAREN MACOMB 1000 HARRINGTON MOUNT CLEMENS MI 48043 381218516 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 NORTH OAKLAND NORTH MACOMB IMAGING INC 50 NORTH PERRY STREET PONTIAC MI 48342 382807040 MRI IMAGING MI 501(C)(3) LINE 3 MCLAREN OAKLAND 1 NORTHERN MICHIGAN HEMATOLOGY AND ONCOLOGY 416 CONNABLE AVENUE PETOSKEY MI 49770 320020293 PHYSICIAN PRACTICE MI 501(C)(3) LINE 3 MCLAREN NORTHERN MICHIGAN 1 NORTHERN MICHIGAN MEDICAL MANAGEMENT 416 CONNABLE AVENUE PETOSKEY MI 49770 208458840 PHYSICIAN PRACTICE MI 501(C)(3) LINE 3 MCLAREN NORTHERN MICHIGAN 1 MCLAREN OAKLAND FOUNDATION 50 NORTH PERRY STREET PONTIAC MI 48342 200442217 FOUNDATION MI 501(C)(3) LINE 12C, III-FI MCLAREN OAKLAND 1 MCLAREN OAKLAND 50 NORTH PERRY STREET PONTIAC MI 48342 381428164 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 PORT HURON HOSPITAL FOUNDATION PO BOX 5011 PORT HURON MI 48060 382777750 FOUNDATION MI 501(C)(3) LINE 12A, I MCLAREN PORT HURON 1 REGIONAL EMERGENCY MEDICAL SERVICE INC 25400 W 8 MILE ROAD SOUTHFIELD MI 48034 383255499 AMBULANCE SERVICE MI 501(C)(3) LINE 10 MCLAREN MEDICAL MANAGEMENT INC 1 THE CARDIAC INSTITUTE DBA MICHIGAN HEART & VASCULAR SPECIALISTS 416 CONNABLE AVENUE PETOSKEY MI 49770 262774689 PHYSICIAN PRACTICE MI 501(C)(3) LINE 3 MCLAREN NORTHERN MICHIGAN 1 MCLAREN HEALTH MANAGEMENT GROUP 1515 CAL DRIVE DAVISON MI 48423 383491714 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 MCLAREN HEALTH CARE CORPORATION 1 VITALCARE INC 761 LAFAYETTE AVENUE CHEBOYGAN MI 49721 382527255 HOSPICE CARE/HOME HEALTH SERVICES MI 501(C)(3) LINE 10 MCLAREN NORTHERN MICHIGAN 1 MCLAREN FLINT FOUNDATION 401 S BALLENGER HIGHWAY FLINT MI 48532 381358053 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12A, I MCLAREN FLINT 1 CARO COMMUNITY HOSPITAL 410 N HOOPER ST CARO MI 48723 383426063 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 CARO COMMUNITY HOSPITAL ENDOWMENT FOUNDATION 410 N HOOPER ST CARO MI 48724 382422995 FOUNDATION MI 501(C)(3) LINE 12C, III-FI CARO COMMUNITY HOSPITAL 1 MDWISE INC 2955 N MERIDIAN STREET SUITE 201 INDIANAPOLIS IN 46208 351931354 HEALTH MAINTENANCE ORGANIZATION IN 501(C)(4) MCLAREN INTEGRTAED HMO GROUP 1 MDWISE MEDICAID NETWORK INC 2955 N MERIDIAN STREET SUITE 201 INDIANAPOLIS IN 46208 473192307 INSURANCE IN 501(C)(4) MCLAREN INTEGRTAED HMO GROUP 1 HURON MEMORIAL HOSPITAL 1100 S VAN DYKE ROAD BAD AXE MI 48413 381474929 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 HURON MEMORIAL FOUNDATION 1100 S VAN DYKE ROAD BAD AXE MI 48413 382717147 FOUNDATION MI 501(C)(3) LINE 7 HURON MEMORIAL HOSPITAL 1 MCLAREN INTEGRATED HMO GROUP G-3245 BEECHER ROAD FLINT MI 48532 824449304 HEALTH CARE SERVICES MI 501(C)(4) MCLAREN HEALTH CARE CORPORATION 1 MCLAREN - NORTHERN EQUITIES CANCER CENTER PROJECT LLC 39000 COUNTRY CLUB DRIVE FARMINGTON HILLS MI 48331 263112935 RENTAL REAL ESTATE MI N/A MOUNT CLEMENS REGIONAL HEALTH BUILDING HEALTH PARTNERS 1000 HARRINGTON ST MOUNT CLEMENS MI 48043 262524717 BUILDING MANAGEMENT MI N/A SOUTH VAN DYKE MEDICAL COMPLEX-A 125 N HANSELMAN ST BAD AXE MI 48413 383372174 VARIOUS HEALTHCARE ACTIVITIES MI N/A CLARKSTON PROPERTY ASSOCIATES 50 NORTH PERRY STREET PONTIAC MI 48342 432006072 REAL ESTATE MI N/A C 0 DELPHINUS INVESTMENT INC 4100 JOHN R ST DETROIT MI 48075 454758176 HOLD PASSIVE INVESTMENT MI N/A C 1 HEALTH ADVANTAGE INC G3245 BEECHER ROAD FLINT MI 48532 912141720 INSURANCE MI N/A C 1 MCLAREN INSURANCE COMPANY LTD 10 MAIN ST GRAND CAYMAN CJ INSURANCE CJ N/A C 1 MID-MICHIGAN PHYSICIANS PC 2510 KERRY STREET SUITE 200 LANSING MI 48912 383267121 PHYSICIAN PRACTICE MI N/A C 1 MCLAREN PHYSICIAN PARTNERS ONE MCLAREN PARKWAY GRAND BLANC MI 48439 383136458 MANAGED CARE MI N/A C 0 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 N/A C 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 BARBARA ANN KARMANOS CANCER INSTITUTE P 300813 CASH MCLAREN BAY REGION O 71227 ALLOCATION OF ACTUAL COST MCLAREN HEALTH MANAGEMENT GROUP (FKA MCLAREN HOME GROUP) O 67447 ALLOCATION OF ACTUAL COST MCLAREN HEALTH MANAGEMENT GROUP (FKA MCLAREN HOME GROUP) P 1411368 CASH MCLAREN MEDICAL GROUP S 2203884 CASH MCLAREN MEDICAL GROUP R 482223 CASH MCLAREN MEDICAL GROUP P 4944624 CASH MCLAREN MEDICAL GROUP Q 99017 CASH