2019-08-12T16:49:55-05:00 2018-09-30 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2017-10-01 382146751 MCLAREN NORTHERN MICHIGAN MCLA 2314874094 416 CONNABLE AVENUE PETOSKEY MI 49770 TODD C BURCH CEO 2314874094 2019-08-06 1 DAVID LOWENTHAL CPA P00378651 2483522500 2019-08-06 67.59.56.32 2019-08-06 16:06:54 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 BCD91890B86AB1D1DA69BFC932A0D6ECC2ADE94B 2017 2019-02-21 02:37:17Z TODD C BURCH 416 CONNABLE AVENUE PETOSKEY MI 49770 320760706 0 X WWW.MCLAREN.ORG/NORTHERNMICHIGAN/ X 1977 MI MCLAREN HEALTH CARE, THROUGH ITS SUBSIDIARIES, WILL BE THE BEST VALUE IN HEALTH CARE AS DEFINED BY QUALITY OUTCOMES AND COST. 16 14 1665 59 51102 221341 4840905 5224082 273359375 279860141 2011788 1676031 1376427 1473568 281588495 288233822 78361 87823 0 0 92385814 102815502 0 0 0 156677585 155741170 249141760 258644495 32446735 29589327 191108545 199245986 69775566 62016323 121332979 137229663 X MCLAREN HEALTH CARE, THROUGH ITS SUBSIDIARIES, WILL BE THE BEST VALUE IN HEALTH CARE AS DEFINED BY QUALITY OUTCOMES AND COST. 0 0 15708288 34399669 THE TREATMENT AND DIAGNOSIS OF CARDIAC DISEASE (1,828 CASES). 12950101 29840535 THE TREATMENT AND DIAGNOSIS OF GENERAL MEDICINE (3,343 CASES). 9500369 20624304 THE TREATMENT AND DIAGNOSIS OF GENERAL SURGERY (1,624 CASES). 148615269 87823 195508037 ALL OTHER PROGRAM SERVICES INCLUDING; ONCOLOGY, ORTHOPEDICS, RADIOLOGY, NEUROLOGY, GASTROENTEROLOGY, REHABILITATION, OBSTETRICS, AND NEUROSURGERY. 148615269 87823 195508037 186774027 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 106 0 1 1665 1 1 1 0 0 0 0 0 0 0 0 0 X 16 14 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 1 0 X DAVID BELLAMY 2314874094 416 CONNABLE AVENUE PETOSKEY MI 49770 ERIC BASMAJI MD TRUSTEE/ CHIEF OF STAFF 1.00 0.00 X X 0 0 0 ROBERT FOSTER VICE CHAIRPERSON 2.00 0.00 X X 0 0 0 DAVID ZECHMAN TRUSTEE & PRESIDENT/CEO 35.00 15.00 X X 0 747044 28832 DAVE FRESCOLN CHAIRPERSON 1.30 1.00 X X 0 0 0 HUGH DEERY MD TRUSTEE 5.00 0.00 X 0 0 0 KATHY ERBER SECRETARY 1.00 0.50 X 0 0 0 ROB HOLBEN TRUSTEE 1.00 0.00 X 0 0 0 PHILIP INCARNATI TRUSTEE 1.20 48.80 X 0 6882678 47010 BUD SHEAR TRUSTEE 1.00 0.00 X 0 0 0 JIM SHIRILLA MD VICE CHAIRPERSON 1.00 0.00 X X 0 0 0 BOB WALKER TRUSTEE 0.90 0.00 X 0 0 0 ANN STALLKAMP TRUSTEE 2.00 0.00 X 0 0 0 JULIE FASONE-HOLDER TRUSTEE 1.00 0.00 X 0 0 0 DENNIS HESSELINK TRUSTEE 1.00 0.00 X 0 0 0 CHANDRA DELORENZO MD TRUSTEE 1.00 0.00 X 0 0 0 STEVE BROWN TRUSTEE 1.00 0.00 X 0 0 0 EUGENE KAMINSKI VP OF HUMAN RESOURCES 20.00 25.60 X 257308 0 23070 CAROLINE SEAGREN CHIEF DEV OFFICER 24.00 20.00 X 163994 38771 21335 JENNIFER WOODS VP CHIEF NURSE EXECUTIVE 35.00 15.00 X 193604 0 20100 KIRK LUFKIN VP CHIEF MEDICAL OFFICER 25.00 24.50 X 272240 0 12930 DAVID BELLAMY TREASURER/VP OF FINANCE/CFO 20.00 25.60 X 374598 0 31635 GUY GOLEMBIEWSKI MD CHIEF MED INFO OFFICER 30.00 15.00 X 250142 0 22190 KATHLEEN BEYER CORP COMPLIANCE OFFICER 30.00 9.00 X 154926 0 16535 ELENA COPPOLA PHYSICIAN 40.00 0.00 X 413060 0 21810 KAREN DENBESTEN PHYSICIAN 40.00 0.00 X 373693 0 23767 LISA GALLOWAY PHYSICIAN 40.00 0.00 X 328383 0 13500 JON SANGEORZAN MD PHYSICIAN 40.00 0.00 X 251686 0 21253 SARAH COOKINHAM PHYSICIAN 40.00 0.00 X 234654 0 19473 3268288 7668493 323440 59 0 1 0 AMERICAN HEALTHCARE STAFFING ASSOCIATION PO BOX 1928 EDMOND OK 730831928 PURCHASED LABOR 5046999 REHABCARE PO BOX 502096 ST LOUIS MO 631502096 MANAGEMENT & THERAPY SERVICES 2544326 NORTHERN ANESTHESIA PROVIDERS 602 JACKSON PETOSKEY MI 49770 PHYSICIAN SERVICES 1575500 MORRISON HEALTHCARE PO BOX 102289 ATLANTA GA 303682289 MANAGEMENT & DIETARY SERVICES 1344981 BAY STREET ORTHOPAEDICS 4048 CEDAR BLUFF DRIVE PETOSKEY MI 49770 PHYSICIAN SERVICES 608123 22 5224082 5224082 PATIENT SERVICE REV 621500 271989931 271989931 FRINGE BENEFIT 900099 5622280 5622280 OTHER RELATED REVENUE 900099 1005069 1005069 CORPORATE ALLOCATION 900099 995655 995655 RELATED-PARTY RENT 531390 247206 247206 279860141 1287348 1287348 185448 191870 -6422 -6422 -6422 32710797 12900 32210955 124059 499842 -111159 388683 388683 CAFETERIA SALES 722210 910062 910062 GIFT SHOP 453220 242672 242672 SALES TO PATIENTS/EMPLOYEES 900099 173489 173489 153767 102665 51102 1479990 288233822 280372545 51102 2586093 X 87823 87823 1370814 1370814 79939299 69382761 10556538 2615287 2615287 13404768 11528100 1876668 5485334 4650138 835196 1945435 1945435 199376 199376 122735 122735 28186583 16911451 11275132 392165 492 391673 6715868 2875323 3840545 520084 355825 164259 5866556 2234761 3631795 743222 68475 674747 185072 92164 92908 822169 822169 6005735 4061241 1944494 1143057 7267 1135790 MEDICAL SUPPLIES/DRUGS 59271792 59060033 211759 CORPORATE ALLOCATION 28379497 28379497 PROVISION FOR BAD DEBT 7145867 6846800 299067 QUALITY ASSURANCE TAXES 5456019 5456019 2639938 540067 2099871 258644495 186774027 71870468 0 3693 6280 22567695 2030112 14353669 24429202 9502187 9036403 870432 790188 138208012 42816235 79227715 95391777 51098187 45584955 109312 418573 13375655 21558496 191108545 199245986 22833021 27158576 296056 416299 46646489 34441448 69775566 62016323 X 117711777 120934550 3621202 16295113 121332979 137229663 191108545 199245986 X 29589327 -304338 -13388305 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 7361 7361 0 PART II-B, LINE 1: A PORTION OF OUR DUES TO MICHIGAN HEALTH AND HOSPITAL ASSOCIATION SUPPORT LOBBYING ACTIVITIES ON BEHALF OF MCLAREN NORTHERN MICHIGAN'S COMMON INTERESTS. 0 14444 287 14731 12979 1465 14444 13235 3090 3346 12979 13552 -317 13235 12507 1045 13552 0.00000 1.00000 0.00000 0 1 1 7037348 7037348 56490820 9888221 46602599 1374709 792654 582055 47446954 32135360 15311594 25858181 25858181 95391777 DUE FROM AFFILIATE 916640 INVESTMENT IN FOUNDATION HELD ASSETS 9676515 DEFERRED EQUIPMENT FEES 10965341 21558496 INTERCOMPANY PAYABLE 22459264 DUE TO AFFILIATE 3761300 ACCRUED PENSION COST 6595468 COST REPORT SETTLEMENT PAYABLE 1625416 34441448 PART V, LINE 4: MCLAREN NORTHERN MICHIGAN FOUNDATION HOLDS ENDOWMENTS ON BEHALF OF THE HOSPITAL. THE INTENDED PURPOSE OF THE ABOVE ENDOWMENT IS TO ASSIST PEDIATRIC PATIENTS. 1 1 X 1 X 1 X 1 1 1 0 1 1 163707 163707 0.00060 33051586 29637028 3414558 0.01350 33215293 29637028 3578265 0.01410 904 61128 401650 401650 0.00160 4 101 36578 36578 0.00010 24230662 13419979 10810683 0.04280 45 100 22236 22236 0.00010 953 61329 24691126 13419979 11271147 0.04460 953 61329 57906419 43057007 14849412 0.05870 55 7368 7368 0.00000 55 7368 7368 0.00000 1 7145867 2826905 99779341 92659308 7120033 X 1 0 1 1 MCLAREN NORTHERN MICHIGAN 416 CONNABLE AVENUE PETOSKEY MI 49770 WWW.MCLAREN.ORG/NORTHERNMICHIGAN/NORTH 1060000053 X X X X MCLAREN NORTHERN MICHIGAN 1 0 0 1 X X X X X X X X X 16 1 1 1 1 X HTTPS://TINYURL.COM/Y2X9HJPY X X 1 16 1 HTTPS://TINYURL.COM/Y2X9HJPY 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 1 X 0 0 MCLAREN NORTHERN MICHIGAN PART V, SECTION B, LINE 5: A COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON THE HOSPITALS WEBSITE LOCATED AT HTTP://WWW.MCLAREN.ORG/NORTHERNMICHIGAN/HEALTH-COMMUNITY-NEEDS.ASPXMCLAREN NORTHERN MICHIGAN IN CONJUNCTION WITH AREA COMMUNITY HOSPITALS AND DISTRICT HEALTH DEPARTMENTS CONDUCTED A NEEDS ASSESSMENT. IN ADDITION, MORE THAN 40 SECTORS OF THE COMMUNITY PARTICPATED IN COLLECTING DATA, COMMUNITY STATUS, PUBLIC HEALTH SYSTEM ACCESS AND COMMUNITY STRENGTHS ASSESSMENTS. CONDUCTED 22 FOCUS GROUPS (INCLUDING SPECIAL POPULATIONS, SENIORS, PERSONS/FAMILIES WITH PHYSICAL AND MENTAL DEVELOPMENTAL DISABILITIES, AND YOUNG CHILDREN 0 - 5 YRS, AND OTHERS), AND COMMUNITY FORUMS, AND SURVEYED COMMUNITY AND HEALTH CARE PROVIDERS. MCLAREN NORTHERN MICHIGAN PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN CONJUNCTION WITH MUNSON HEALTHCARE CHARLEVOIX HOSPITAL, MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL, HEALTH DEPARTMENT OF NORTHWEST MICHIGAN, DISTRICT NO 4 HEALTH DEPARTMENT, AND NORTHERN HEALTH PLAN. MUNSON HEALTHCARE CHARLEVOIX HOSPITAL AND OTSEGO MEMORIAL HOSPITAL ARE UNRELATED HOSPITAL FACILITIES. MCLAREN NORTHERN MICHIGAN PART V, SECTION B, LINE 7D: HOSPITAL REPRESENTATIVES PRESENTED THE COMMUNITY HEALTH NEEDS ASSESSMENT RESULTS AND IMPLEMENTATION STRATEGY TO COMMUNITY ADVISORY COUNCILS, BUSINESS LEADERS, AND VARIOUS COMMUNITY GROUPS.A COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON THE HOSPITALS WEBSITE LOCATED AT HTTP://WWW.MCLAREN.ORG/NORTHERNMICHIGAN/HEALTH-COMMUNITY-NEEDS.ASPX MCLAREN NORTHERN MICHIGAN PART V, SECTION B, LINE 11: THREE MAJOR FOCUS AREAS WERE IDENTIFIED THROUGH THE ASSESSMENT PROCESS: OBESITY AND CHRONIC DISEASE PREVENTION, ACCESS TO HEALTH CARE, AND SUBSTANCE ABUSE. AN IMPLEMENTATION STRATEGY WAS DEVELOPED TO ADDRESS THESE ISSUES. THE HOSPITAL AND OTHER COMMUNITY PARTNERS REVIEWED NINE COMMUNITY THEMES THAT RESULTED FROM THE ASSESSMENT: ABUSE AND NEGLECT, ACCESS TO HEALTHCARE, ALCOHOL AND DRUG ABUSE, CHRONIC DISEASE, MATERNAL AND CHILD HEALTH, MENTAL HEALTH, OBESITY, SUBSTANCE ABUSE, AND TOBACCO USE. THREE PRIORITIES WERE IDENTIFIED: OBESITY AND CHRONIC DISEASE PREVENTION, ACCESS TO HEALTHCARE INCLUDING MATERNAL HEALTH AND MENTAL HEALTH, AND SUBSTANCE ABUSE/TOBACCO USE. THE HOSPITAL DID NOT ADDRESS ABUSE AND NEGLECT IN THIS PLAN DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES ON THE THREE PRIORITY NEEDS IDENTIFIED ABOVE.A COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON THE HOSPITALS WEBSITE LOCATED AT HTTP://WWW.MCLAREN.ORG/NORTHERNMICHIGAN/HEALTH-COMMUNITY-NEEDS.ASPX PART I, LINE 7: A COST TO CHARGE RATIO WAS USED TO COMPLETE THE CHARITY CARE (LINE 7A) AND MEANS-TESTED GOVERNMENT PROGRAMS (LINE 7B). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 THAT ACCOMPANIES THE INSTRUCTIONS TO THIS SCHEDULE. THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO COMPLETE THE COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, AND CASH CONTRIBUTIONS (LINES 7E, 7F, 7G, AND 7I). PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDE: ACUTE REHAB, PSYCHIATRY, NEWBORNS, OB, WOMEN'S SERVICES, ACUTE INPATIENT, OUTPATIENT FIXED AND HEMODIALYSIS. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24E - BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE SCHEDULE H, PART I, COLUMN F PERCENTAGE EQUALS $7,145,867. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIES SUPPORT IDENTIFIED COMMUNITY NEEDS AND COMMUNITY COLLABORATIVES SUCH AS TRANSPORTATION, WORKFORCE DEVELOPMENT AND COMMUNITY HEALTH, BY PROVIDING IN-KIND SERVICES, FINANCIAL RESOURCES AND STAFF EXPERTISE FROM THE HOSPITAL. 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: TO DETERMINE THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY, ADMINISTRATION ESTIMATED A PERCENTAGE OF INDIVIDUALS WHO DID NOT COMPLETE THE CHARITY CARE APPLICATION PROCESS, OR DID NOT TAKE THE TIME TO APPLY - WHICH AMOUNTS TO $2,826,905. PART III, LINE 4: ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. IN ADDITION, ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE CORPORATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY).FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES 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 A SIGNIFICANT PROVISION FOR BAD DEBTS 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. THE DIFFERENCE BETWEEN THE DISCOUNTED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. PART III, LINE 8: THE AMOUNTS REPORTED FOR MEDICARE ARE FROM THE MEDICARE COST REPORT, WHICH DO NOT SHOW A SHORTFALL. THIS IS BASED ON THE METHODOLOGY REQUIRED FOR COMPLETING THE MEDICARE COST REPORT. PART III, LINE 9B: THE ORGANIZATION'S WRITTEN DEBT COLLECTION POLICY DOES NOT CONTAIN PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE BECAUSE IF POSSIBLE WE TRY TO IDENTIFY AND DETERMINE ELIGIBILITY FOR CHARITY CARE BEFORE SERVICES ARE PROVIDED. ALSO, IT IS STATED IN OUR CHARITY CARE POLICY THAT ONCE ELIGIBLE, NO COLLECTION AGENCIES OR OTHER COLLECTION PROCESSES WILL BE FOLLOWED UNLESS THE PATIENT'S FINANCIAL CIRCUMSTANCES MATERIALLY CHANGE. PART VI, LINE 2: MCLAREN NORTHERN MICHIGAN ASSESSES THE NEEDS AND ASSETS OF THE COMMUNITY BY COLLABORATING WITH COMMUNITY AND STRATEGIC PARTNERS TO REVIEW DEMOGRAHICS, HEALTH INDICATORS, MORBIDITY AND MORTALITY DATA, ANALYZING COST DRIVERS, AND CONDUCTING FOCUS GROUPS, SURVEYS, AND COMMUNITY FORUMS. PART VI, LINE 3: AS PATIENTS ARE REGISTERED EITHER IN PERSON OR OVER THE PHONE THEY ARE GIVEN CONTACT INFORMATION FOR PATIENT FINANCIAL SERVICES REPRESENTATIVES IF THEY HAVE NO INSURANCE, ARE UNDER INSURED OR HAVE HIGH CO-PAY'S. THERE ARE PATIENT FINANCIAL SERVICES BROCHURES DISPLAYED AT ALL REGISTRATION AREAS THAT DESCRIBE THE VARIOUS FINANCIAL ASSISTANCE PROGRAMS AVAILABLE. THROUGH OUR CARE COORDINATION PROGRAM ALL PATIENTS WITH NO INSURANCE ARE SEEN TO ASSIST WITH FINANCIAL ASSISTANCE PROGRAMS. PART VI, LINE 4: MCLAREN NORTHERN MICHIGAN, A SUBSIDIARY OF MCLAREN HEALTH CARE, IS A 202-BED REGIONAL REFERRAL CENTER LOCATED IN PETOSKEY, SERVING RESIDENTS IN 22 COUNTIES ACROSS NORTHERN LOWER MICHIGAN AND THE EASTERN PART OF THE UPPER PENINSULA. A MEDICAL STAFF OF MORE THAN 230 PHYSICIANS REPRESENTS NEARLY ALL MEDICAL AND SURGICAL SPECIALTIES, ENABLING FULL-SERVICE CARE WITH AN EMPHASIS ON HEART, CANCER, ORTHOPEDICS, AND NEUROSCIENCE SERVICES. PREDICATED ON A VISION TO PROVIDE PATIENT-CENTERED CARE, EXTENSIVE EFFORTS IN TARGETING REGIONAL HEALTH CONCERNS HAS LED TO COLLABORATIVE PROGRAMS AND SERVICES IN PRIMARY CARE, HEART, CANCER AND DIAGNOSTICS. THIS APPROACH TO HIGH QUALITY, COST EFFECTIVE HEALTHCARE DELIVERY IN THIS RURAL AND REMOTE AREA HAS BEEN STRENGTHENED BY A LONG STANDING PRACTICE OF SPECIALTY PHYSICIANS HOSTING ON-SITE CLINIC VISITS TO OUTLYING COMMUNITIES. MCLAREN NORTHERN MICHIGAN IS WORKING TO INFLUENCE BEHAVIOR THROUGH EDUCATION, PREVENTION THROUGH SCREENING, AND PROVIDING ACCESSIBLE TREATMENT THROUGH PHYSICIAN CLINICS AND HEALTH CENTERS THROUGHOUT THE REGION. PART VI, LINE 5: THE HOSPITAL HAS AN ESTABLISHED REGIONAL COMMUNITY ADVISORY BOARD WHICH MEETS TO ACTIVELY ADDRESS HEALTHCARE ISSUES IN THE REGION. THE HOSPITAL PROVIDES COMMUNITY BENEFIT ACTIVITIES INCLUDING COMMUNITY HEALTH IMPROVEMENT AND HEALTH EDUCATION PROGRAMS AND SERVICES TO IMPROVE ACCESS TO HEALTHCARE, PROMOTE HEALTH AND WELLNESS, AND MANAGE CHRONIC DISEASE. PART VI, LINE 6: AFFILIATES OF MCLAREN NORTHERN MICHIGAN INCLUDE THE FOLLOWING ORGANIZATIONS, EACH OF WHICH CONTRIBUTE TO HEALTH PROMOTION IN THE MANNER INDICATED: * MCLAREN NORTHERN MICHIGAN FOUNDATION - RAISES, MANAGES, AND DISPENSES FUNDS TO SUPPORT THE MISSION OF MCLAREN NORTHERN MICHIGAN AND PROVIDE PROGRAMS THAT ENHANCE THE WELL-BEING OF THE COMMUNITY. * BOULDER PARK TERRACE - PROVIDES SKILLED NURSING AND SUB-ACUTE REHABILITATION SERVICES. * VITALCARE - PROVIDES HOME HEALTH SERVICES, HOME MEDICAL EQUIPMENT AND SUPPLIES, HOSPICE SERVICES, PRIVATE DUTY SERVICES, AND ADULT DAY SERVICES.* PHYSICIAN PRACTICES - OFFER THE OPPORTUNITY FOR SEAMLESS PATIENT CARE WITHIN THE REGION THROUGH A SYSTEM OF WHOLLY-OWNED SPECIALTY MEDICINE PRACTICES: MICHIGAN HEART & VASCULAR SPECIALISTS,NORTHERN MICHIGAN INFECTIOUS DISEASES, NORTHERN MICHIGAN HEMATOLOGY/ONCOLOGY, MCLAREN NORTHERN MICHIGAN NEUROSCIENCES, MCLAREN NORTHERN MICHIGAN NEPHROLOGY, MCLAREN NORTHERN MICHIGAN DIGESTIVE HEALTH AND PRIMARY CARE PRACTICES IN PETOSKEY, CHEBOYGAN, CHARLEVOIX, GAYLORD, INDIAN RIVER AND ROGERS CITY. * PRESCRIPTION SERVICES PHARMACY - OFFERS RETAIL PHARMACY SERVICES. PART VI, LINE 7, REPORTS FILED WITH STATES MI 1 MCLAREN NORTHERN MICHIGAN FOUNDATION 360 CONNABLE AVENUE PETOSKEY MI 49770 382445611 501(C)(3) 87323 N/A N/A RENT/GENERAL OPERATIONS 1 0 PART I, LINE 2: GRANTS MADE TO RELATED ORGANIZATIONS ARE MONITORED THROUGH THE MONTHLY ACCOUNTING PROCESSES. 0 1 0 0 0 0 0 0 0 DAVID ZECHMAN TRUSTEE & PRESIDENT/CEO 0 473077 0 46100 0 227867 0 13500 0 15332 0 775876 0 0 PHILIP INCARNATI TRUSTEE 0 1827318 0 1413530 0 3641830 0 38431 0 8579 0 6929688 0 0 EUGENE KAMINSKI VP OF HUMAN RESOURCES 201763 0 30687 0 24858 0 12401 0 10669 0 280378 0 0 0 CAROLINE SEAGREN CHIEF DEV OFFICER 116312 38771 27360 0 20322 0 8623 0 12712 0 185329 38771 0 0 JENNIFER WOODS VP CHIEF NURSE EXECUTIVE 168580 0 24216 0 808 0 9837 0 10263 0 213704 0 0 0 KIRK LUFKIN VP CHIEF MEDICAL OFFICER 222938 0 48945 0 357 0 4994 0 7936 0 285170 0 0 0 DAVID BELLAMY TREASURER/VP OF FINANCE/CFO 310829 0 48197 0 15572 0 13500 0 18135 0 406233 0 0 0 GUY GOLEMBIEWSKI MD CHIEF MED INFO OFFICER 190357 0 37121 0 22664 0 11927 0 10263 0 272332 0 0 0 KATHLEEN BEYER CORP COMPLIANCE OFFICER 125402 0 29524 0 0 0 7921 0 8614 0 171461 0 0 0 ELENA COPPOLA PHYSICIAN 349635 0 45000 0 18425 0 13500 0 8310 0 434870 0 0 0 KAREN DENBESTEN PHYSICIAN 281196 0 73807 0 18690 0 11055 0 12712 0 397460 0 0 0 LISA GALLOWAY PHYSICIAN 293540 0 20000 0 14843 0 13500 0 0 0 341883 0 0 0 JON SANGEORZAN MD PHYSICIAN 234623 0 15083 0 1980 0 12359 0 8894 0 272939 0 0 0 SARAH COOKINHAM PHYSICIAN 226021 0 8333 0 300 0 12039 0 7434 0 254127 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 6 MCLAREN HEALTH CARE (MHC) HAS A LEADERSHIP INCENTIVE PROGRAM FOR LEADERS OF THE CORPORATION, SUBSIDIARY EXECUTIVES AND DIRECTORS, MANAGERS AND SUPERVISORS. THE PURPOSE OF THE PLAN IS TO ENHANCE THE ORGANIZATION'S ABILITY TO ACHIEVE ITS GOALS BY PROVIDING TOP OFFICIALS AND THE BOARD OF DIRECTORS WITH A TOOL FOR (A) CLEARLY COMMUNICATING PERFORMANCE ON THE PART OF KEY LEADERS, (B) STIMULATING AND REWARDING SUPERIOR LEVELS OF PERFORMANCE ON THE PART OF KEY LEADERS WHICH WILL ULTIMATELY BENEFIT THE COMMUNITIES MHC SERVES, AND (C) PROTECTING MHC'S ABILITY TO COMPETE WITH OTHER EMPLOYERS FOR HIGH-TALENT LEADERS. FORM 990, PART VI, SECTION A, LINE 6 MCLAREN HEALTH CARE CORPORATION IS THE SOLE MEMBER OF MCLAREN NORTHERN MICHIGAN. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER SHALL HAVE THE EXCLUSIVE RIGHT TO ELECT OR APPOINT THE DIRECTORS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER MUST APPROVE THE FOLLOWING ACTIONS AUTHORIZED BY THE BOARD BEFORE THE ACTIONS CAN BECOME EFFECTIVE: (1) ANY AMENDMENT, MODIFICATION OR REPEAL OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; (2) THE ACQUISITION OR CREATION OF ALL WHOLLY-OWNED OR CONTROLLED CORPORATIONS AND ANY MERGER, CONSOLIDATION OR AFFILIATION OF THE CORPORATION WITH ANOTHER ENTITY; (3) ANY VOLUNTARY DISSOLUTION OF THE CORPORATION; (4) ANY NEW OR ADDITIONAL MEMBERS OF THE CORPORATION; (5) ANY CHANGE IN THE VOTING POWERS OF MCLAREN AS THE SOLE MEMBER; (6) ANY SALE, LEASE, OR OTHER TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; (7) THE DISCONTINUANCE OR MATERIAL MODIFICATION OF A MAJOR ACTIVITY, PROGRAM, OR SERVICE OF THE CORPORATION; (8) 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 THE MEMBER WILL NOT UNREASONABLY DENY; (9) THE CREATION OF ANY LONG-TERM OBLIGATION OF THE CORPORATION (OTHER THAN INDEBTEDNESS AS DESCRIBED BELOW), IF THE PRINCIPAL AMOUNT EXCEEDS 25% OF THE VALUE OF THE CORPORATION'S NET ASSETS (TOTAL ASSETS MINUS TOTAL LIABILITIES), EXCEPT THAT APPROVAL OF THE MEMBER IS NOT REQUIRED FOR ANY OBLIGATION INCURRED IN THE ORDINARY COURSE OF BUSINESS THAT IS PAYABLE ON DEMAND OR MATURES WITHIN 12 MONTHS FROM THE DATE OF ITS CREATION; (10) THE CORPORATION'S ISSUANCE OF NOTES, BONDS, OR OTHER EVIDENCE OF INDEBTEDNESS; (11) THE SALE, CONVEYANCE, ASSIGNMENT, TRANSFER, ALIENATION, PLEDGE, OR ENCUMBRANCE OF THE CORPORATION'S REAL PROPERTY WITH AN ANNUAL AGGREGATE VALUE IN EXCESS OF $250,000; (12) THE CORPORATION'S PURCHASE OR ACQUISITION OF ADDITIONAL REAL PROPERTY WITH AN ANNUAL AGGREGATE VALUE IN EXCESS OF $250,000; AND (13) APPROVE UNBUDGETED CAPITAL EXPENDITURES IN EXCESS OF $250,000 IN THE ANNUAL AGGREGATE. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 DATA IS PREPARED INTERNALLY AND SUBMITTED TO OUR AUDITING FIRM FOR RETURN PREPARATION. ONCE THE RETURNS HAVE BEEN COMPLETED, THE FORMS ARE REVIEWED BY ENTITY CFO AND THE FINANCE LEADERSHIP OF MCLAREN HEALTH CARE (MHC). COPIES OF DRAFT RETURNS ARE MADE AVAILABLE TO THE MHC BOARD MEMBERS, WHO SERVE AS THE OVERALL GOVERNING BOARD. RETURNS ARE AVAILABLE FOR ALL CORPORATIONS OF WHICH MHC IS THE SOLE MEMBER AS WELL AS OTHER RELATED ENTITIES OF THOSE CORPORATIONS FOR REVIEW RATHER THAN HAVING THE LOCAL BOARDS REVIEW THE RETURNS. THE BOARD OF MHC IS THE ULTIMATE ACCOUNTABLE ORGANIZATION FOR THE SYSTEM; AS SUCH IT IS THE OVERALL GOVERNING BOARD OF THE SYSTEM, WHOSE RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: APPROVING ALL SUBSIDIARY BOARD MEMBERS, FINANCIAL BUDGETS, AND ISSUANCE OF DEBT. FORM 990, PART VI, SECTION B, LINE 12C THE CORPORATE COMPLIANCE DEPARTMENT, IN ACCORDANCE WITH THE MCLAREN HEALTH CARE (MHC) BOARD CONFLICT OF INTEREST POLICY, ANNUALLY DISTRIBUTES THE CONFLICT OF INTEREST DISCLOSURE SURVEY TO ALL MHC CORPORATE AND SUBSIDIARY ORGANIZATION BOARD MEMBERS, EXECUTIVES AND OTHER LEADERSHIP EMPLOYEES. THE CORPORATE COMPLIANCE DEPARTMENT THROUGH THE GOVERNANCE COMMITTEE, COMPILES AND ANALYZES SURVEY DATA BY ORGANIZATION, INVESTIGATES AND REVIEWS POTENTIAL CONFLICTS WITH THE ORGANIZATION'S CEO AND BOARD CHAIR, AND WHEN NECESSARY, RECOMMENDS ACTIONS TO BE TAKEN TO RESOLVE IDENTIFIED CONFLICTS. A COMPLETE REPORT OF ALL CORPORATE AND SUBSIDIARY BOARD MEMBER AND EXECUTIVE DISCLOSURES, CONFLICTS IDENTIFIED AND ACTIONS TAKEN IS REVIEWED BY THE MHC GOVERNANCE COMMITTEE AND EACH SUBSIDIARY CEO AND BOARD CHAIR RECEIVES A REPORT SPECIFIC TO THEIR ORGANIZATION'S BOARD MEMBERS AND EXECUTIVES. CONFLICTS ARE DISCLOSED TO THE FULL BOARD AND BOARD COMMITTEES SO APPROPRIATE ACTIONS CAN BE TAKEN. ACTIONS MAY INCLUDE PROHIBITING A BOARD MEMBER FROM PARTICIPATING IN DELIBERATIONS INVOLVING TRANSACTIONS WITH A COMPANY WITH WHICH THEY CONDUCT FINANCIAL TRANSACTIONS; BOARD MEMBERS FAILING TO COMPLETE A DISCLOSURE SURVEY OR INTENTIONALLY FAILING TO REPORT A KNOWN CONFLICT OF INTEREST ARE RELIEVED OF THEIR SERVICE TO MHC. FORM 990, PART VI, SECTION B, LINE 15B THE COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS TO REVIEW THE PERFORMANCE AND RECOMMEND THE TOTAL COMPENSATION PACKAGE OF THE MCLAREN HEALTHCARE CORPORATION'S CEO TO THE BOARD. FURTHER THE COMMITTEE ESTABLISHES THE SALARY RANGES AND PERQUISITES OF THE OTHER MOST HIGHLY COMPENSATED OFFICERS (MHC EXECUTIVE & SENIOR VICE-PRESIDENTS AND CEOS OF MHC SUBSIDIARY ORGANIZATIONS) TO THE BOARD. THE MEMBERS OF THE COMMITTEE MUST MEET THE INDEPENDENCE REQUIREMENTS OF THE APPLICABLE PROVISIONS OF SECTION 4958 OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED AND FINAL TREASURY REGULATIONS SECTION 53.4958-6(C)(1)(III). THE COMMITTEE RETAINS THE SERVICES ANNUALLY OF AN INDEPENDENT FIRM WITH SIGNIFICANT QUALIFICATIONS AND EXPERIENCE TO CONDUCT A REVIEW OF THE CORPORATION'S EXECUTIVE COMPENSATION PROGRAM. THE RETAINED FIRM UTILIZES APPROPRIATE COMPENSATION COMPARABILITY DATA. THE RETAINED FIRM CONDUCTS ANALYSIS OF THE COMPETITIVENESS OF THESE PROGRAMS AND EXPRESSES AN OPINION TO THE REASONABLENESS OF THESE COMPENSATION PROGRAMS. ALL DATA UTILIZED BY THE COMMITTEE, DELIBERATIONS OF THE COMMITTEE, AND FINAL COMPENSATION DECISIONS BY THE COMMITTEE ARE DOCUMENTED IN FORMAL REPORTS AND MINUTES. THE CORPORATE COMPENSATION COMMITTEE WORKS UNDER AND PERIODICALLY RENEWS THE MCLAREN HEALTH CARE CORPORATION COMPENSATION COMMITTEE CHARTER. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS FISCAL YEAR 2018. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASED PHYSICIAN: PROGRAM SERVICE EXPENSES 5,349,804. MANAGEMENT AND GENERAL EXPENSES 8,124,519. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,474,323. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 11,090,303. MANAGEMENT AND GENERAL EXPENSES 684,082. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,774,385. CONSULTING FEES: PROGRAM SERVICE EXPENSES 41,629. MANAGEMENT AND GENERAL EXPENSES 222,805. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 264,434. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 421,633. MANAGEMENT AND GENERAL EXPENSES 1,655,220. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,076,853. OTHER FEES: PROGRAM SERVICE EXPENSES 7,961. MANAGEMENT AND GENERAL EXPENSES 3,057. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,018. COLLECTION FEES: PROGRAM SERVICE EXPENSES 121. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 121. RECRUITMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 585,449. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 585,449. FORM 990, PART XI, LINE 9: CHANGE IN FOUNDATION HELD ASSETS 6,618,598. PENSION RELATED CHANGES 8,208,874. EQUITY TRANSFER TO AFFILIATES -28,215,777. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FORM THE PRIOR YEAR. MCLAREN BAY MEDICAL FOUNDATION 1900 COLUMBUS AVE BAY CITY MI 48708 382156534 FOUNDATION MI 501(C)(3) LINE 12A, I MCLAREN BAY REGION 1 MCLAREN BAY REGION 1900 COLUMBUS AVE BAY CITY MI 48708 381976271 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 BAY REGIONAL MEDICAL CENTER AUXILIARY 1908 COLUMBUS AVENUE BAY CITY MI 48708 386081235 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12A, I MCLAREN BAY REGION 1 MCLAREN BAY SPECIAL CARE 3250 E MIDLAND ROAD STE 1 BAY CITY MI 48706 383161753 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN BAY REGION 1 MCLAREN CENTRAL MICHIGAN 1221 SOUTH DRIVE MT PLEASANT MI 48858 381420304 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 CHARLEVOIX NURSING HOME CORPORATION DBA BOULDER PARK TERRACE 14676 WEST UPRIGHT CHARLEVOIX MI 49720 383038683 SKILLED NURSING FACILITY MI 501(C)(3) LINE 10 MCLAREN NORTHERN MICHIGAN 1 KARMANOS CANCER FOUNDATION 4100 JOHN R ST DETROIT MI 48201 383584572 CANCER CARE CENTER MI 501(C)(3) LINE 7 BARBARA ANN KARMANOS CANCER INSTITUTE 1 MCLAREN GREATER LANSING FOUNDATION 401 S GREENLAWN AVE LANSING MI 48910 382463637 FOUNDATION MI 501(C)(3) LINE 7 MCLAREN GREATER LANSING 1 MCLAREN GREATER LANSING 401 S 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 FOUNDATION 360 CONNABLE AVENUE PETOSKEY MI 49770 382445611 FOUNDATION MI 501(C)(3) LINE 12A, I 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 355 BARCLAY CIR STE A ROCHESTER HILLS MI 48307 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 1200 MADISON AVE STE 400 INDIANAPOLIS IN 46225 351931354 HEALTH MAINTENANCE ORGANIZATION IN 501(C)(4) MCLAREN INTEGRTAED HMO GROUP 1 MDWISE MEDICAID NETWORK INC 1200 MADISON AVE STE 400 INDIANAPOLIS IN 46225 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 HEALTHCARE CORP 1100 S VAN DYKE ROAD BAD AXE MI 48413 382717146 SUPPORTING ORG MI 501(C)(3) LINE 12B, II HURON MEMORIAL HOSPITAL 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 0 HEALTH ADVANTAGE INC G3245 BEECHER ROAD FLINT MI 48532 912141720 INSURANCE MI N/A C 0 HOSPITAL HEALTH CARE INC 50 NORTH PERRY STREET PONTIAC MI 48342 382643070 HEALTH CARE MI N/A C 0 MCLAREN INSURANCE COMPANY LTD 10 MAIN ST GRAND CAYMAN CJ INSURANCE CJ N/A C 0 MID-MICHIGAN PHYSICIANS PC 2510 KERRY STREET SUITE 200 LANSING MI 48912 383267121 PHYSICIAN PRACTICE MI N/A C 0 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 MCLAREN NORTHERN MICHIGAN C 1.00000 1 VITALCARE HOME MEDICAL EQUIPMENT INC 761 LAFAYETTE AVENUE CHEBOYGAN MI 49721 382662954 SALE AND RENTAL OF DURABLE MEDICAL EQUIPMENT MI N/A C 0 HURON CLINIC CONDOMINIUMS OWNERS 125 N HANSELMAN ST BAD AXE MI 48413 412144341 VARIOUS HEALTHCARE ACTIVITIES MI N/A C 0 1 1 1 0 0 0 0 1 0 1 1 0 1 1 1 1 1 1 1 VITALCARE HOME MEDICAL EQUIPMENT INC A 7260 ALLOCATION OF ACTUAL COST VITALCARE HOME MEDICAL EQUIPMENT INC Q 407151 ALLOCATION OF ACTUAL COST RAPIN & RAPIN INC DBA PRESCRIPTION SERVICES PHARMACY Q 109277 ALLOCATION OF ACTUAL COST NORTHERN MICHIGAN MEDICAL MANAGEMENT A 6282 ALLOCATION OF ACTUAL COST NORTHERN MICHIGAN MEDICAL MANAGEMENT P 8801780 ALLOCATION OF ACTUAL COST NORTHERN MICHIGAN MEDICAL MANAGEMENT Q 5969841 ALLOCATION OF ACTUAL COST NORTHERN MICHIGAN MEDICAL MANAGEMENT R 13438878 CASH CHARLEVOIX NURSING HOME CORPORATION DBA BOULDER PARK TERRACE P 117688 ALLOCATION OF ACTUAL COST CHARLEVOIX NURSING HOME CORPORATION DBA BOULDER PARK TERRACE Q 4497950 ALLOCATION OF ACTUAL COST VITALCARE INC A 105413 ALLOCATION OF ACTUAL COST VITALCARE INC O 56119 ALLOCATION OF ACTUAL COST VITALCARE INC P 308058 ALLOCATION OF ACTUAL COST VITALCARE INC Q 2527921 ALLOCATION OF ACTUAL COST MCLAREN NORTHERN MICHIGAN FOUNDATION B 548029 OTHER MCLAREN NORTHERN MICHIGAN FOUNDATION C 5303934 OTHER MCLAREN NORTHERN MICHIGAN FOUNDATION Q 1981134 ALLOCATION OF ACTUAL COST NORTHERN MICHIGAN HEMATOLOGY AND ONCOLOGY Q 648443 ALLOCATION OF ACTUAL COST NORTHERN MICHIGAN HEMATOLOGY AND ONCOLOGY R 1645429 CASH THE CARDIAC INSTITUTE DBA MICHIGAN HEART & VASCULAR SPECIALISTS A 12983 ALLOCATION OF ACTUAL COST THE CARDIAC INSTITUTE DBA MICHIGAN HEART & VASCULAR SPECIALISTS P 351535 ALLOCATION OF ACTUAL COST THE CARDIAC INSTITUTE DBA MICHIGAN HEART & VASCULAR SPECIALISTS Q 1564038 ALLOCATION OF ACTUAL COST THE CARDIAC INSTITUTE DBA MICHIGAN HEART & VASCULAR SPECIALISTS R 6884449 CASH THE CARDIAC INSTITUTE DBA MICHIGAN HEART & VASCULAR SPECIALISTS S 200000 CASH BARBARA ANN KARMANOS CANCER INSTITUTE P 954362 ALLOCATION OF ACTUAL COST MCLAREN MEDICAL GROUP A 553524 ALLOCATION OF ACTUAL COST MCLAREN MEDICAL GROUP P 19102652 ALLOCATION OF ACTUAL COST MCLAREN MEDICAL GROUP Q 8499054 ALLOCATION OF ACTUAL COST MCLAREN MEDICAL GROUP R 11760042 CASH MCLAREN MEDICAL GROUP S 5913376 OTHER MCLAREN FLINT K 286500 ALLOCATION OF ACTUAL COST MCLAREN HEALTH MANAGEMENT GROUP (FKA MCLAREN HOME GROUP) P 219434 ALLOCATION OF ACTUAL COST HEALTH ADVANTAGE INC P 11307349 ALLOCATION OF ACTUAL COST