2018-08-14T10:53:26-05:00 2017-09-30 381357951 PLANTE & MORAN PLLC 750 Trade Centre Way Ste 300 Portage MI 49002 990 2016-10-01 381420304 MCLAREN CENTRAL MICHIGAN MCLA 9897726720 1221 SOUTH DRIVE MT PLEASANT MI 48858 TARA SOULES CFO 9897726720 2018-08-10 1 Carol LaLonde CPA P00181637 2695674500 2018-08-10 2016 2022-09-23 18:48:47Z MARTIN TURSKY 1221 SOUTH DRIVE MT PLEASANT MI 48858 94194818 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. 15 12 729 110 0 0 49371 14431 88373417 88941311 305086 372957 6180103 4839732 94907977 94168431 0 0 0 0 43513192 45882654 0 22550 22550 48229626 45722698 91742818 91627902 3165159 2540529 74438366 75586457 18423416 15202748 56014950 60383709 McLaren Health Care, through it's subsidiaries, will be the best value in healthcare as defined by quality outcomes and cost 0 0 62774244 92410696 PROVIDED INPATIENT, OUTPATIENT, AND HOME CARE MEDICAL SERVICES. (PATIENT ADMISSIONS - 3,037, PATIENT DAYS - 9,192, TOTAL OUTPATIENT VISITS - 95,527) 62774244 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 1 1 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 89 1 1 729 1 0 0 0 0 0 1 1 0 0 0 0 X 15 12 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 KENT KIRBY DIRECTOR 0.15 40.00 X 0 519971 81751 MAXINE KLUMPP KENT CHAIR/GOVERNANCE (PART YEAR) 0.02 0.00 X 0 0 0 KENNETH BOVEE BOARD CHAIR 0.12 0.00 X 0 0 0 DANIEL BOGE VICE-CHAIR 0.17 1.00 X 0 24000 0 STEVEN W MARTINEAU DIRECTOR 0.15 0.00 X 0 0 0 FRANK CLOUTIER DIRECTOR 0.13 0.00 X 0 0 0 ASHOK VASHISHTA MD DIRECTOR/VPMA 0.15 0.00 X 0 456394 49597 DOUG OULETTE DIRECTOR 0.11 0.00 X 0 0 0 MARK O'HALLA DIRECTOR/COO 0.11 55.00 X 0 1351667 28973 DAVE KEILITZ DIRECTOR - (PART YEAR) 0.02 0.00 X 0 0 0 PAM MYLER DIRECTOR 0.15 0.00 X 0 0 0 JANET STRICKLER DIRECTOR 0.13 0.00 X 0 0 0 NANCY RIDLEY DIRECTOR 0.15 0.00 X 0 0 0 MICHAEL SWIRTZ MD DIRECTOR 0.08 0.00 X 0 0 0 DANIEL WILKERSON MD DIRECTOR 0.13 0.00 X 0 0 0 JAE EVANS CHAIR/GOVERNANCE 0.13 0.00 X 0 0 0 LINDA KAUFMANN DIRECTOR 0.13 0.00 X 0 0 0 STEVEN D PUNG CHAIR/FINANCE - (PART YEAR) 0.02 0.00 X 0 0 0 WILLIAM LAWRENCE PRESIDENT/CEO 40.00 0.30 X 0 559285 28945 SUE LATHROM CHIEF NURSING OFFICER 40.00 0.00 X 130349 0 14852 TARA SOULES CHIEF FINANCIAL OFFICER (REPLACED THERIAC) 40.00 0.00 X 166118 0 16432 DR MICHAEL GROSS ANESTHESIOLOGIST 40.00 0.00 X 542581 0 22914 DR KYLE GILDE ANESTHESIOLOGIST 40.00 0.00 X 420424 0 24867 DR WILLIAM NAILL RADIATION ONCOLOGIST 40.00 0.00 X 388818 0 6290 DR MUWAFFAQ SALAMEH HOSPITALIST 40.00 0.00 X 362116 0 25744 DR SOMDEV ROY MEDICAL ONCOLOGIST 40.00 0.00 X 351982 0 22893 GERAD THERIAC FORMER CHIEF FINANCIAL OFFICER 0.00 0.00 X 101237 0 5875 2463625 2911317 329133 26 1 1 0 MORRISON MANAGEMENT SPECIALISTS INC PO BOX 102289 ATLANTA GA 30368 CAFETERIA SERVICES 936967 MICHIGAN CO-TENANCY LABORATORIES DEPT CH 14271 PALATINE IL 60055 LAB SERVICES 313149 SENTRY DATA SYSTEMS INC PO BOX 505353 ST LOUIS MO 63150 SOFTWARE SERVICES 266303 STT SECURITY 1600 N MISSION RD MT PLEASANT MI 48858 SECURITY 240344 BERGMANN ASSOCIATES 280 E BROAD ST STE 200 ROCHESTER NY 14604 ENGINEERING SERVICES 234292 7 14431 14431 PATIENT SERVICE REVENUE 624100 88941311 88941311 88941311 350096 350096 344997 0 344997 344997 344997 22861 0 22861 22861 22861 45890 26387 19503 19503 RETAIL PHARMACY 446110 2676017 2676017 ISABELLA CITIZENS FOR HEALTH 900099 589052 589052 FOOD/NUTRITIONAL SERVICES 900099 204316 204316 1005847 1005847 4475232 94168431 92410696 0 1743304 X 399242 399242 38191437 29130630 9060807 1092669 836367 256302 3944866 477460 3467406 2254440 1755792 498648 87736 87736 33469 33469 2502 2502 22550 22550 12549226 4559742 7989484 227537 227537 567008 229480 337528 415875 312332 103543 1935510 1529902 405608 120424 69369 51055 235111 235111 4586436 2856130 1730306 263294 87260 176034 Supplies 13718633 13093362 625271 bad debts 5008194 5008194 QAAP 2393403 2393403 UTILITIES 1120204 1120204 2458136 434821 2023315 91627902 62774244 28831108 22550 4095 3595 18795418 11958327 84601 80235 5775419 7923774 2405142 1452239 2452225 2303728 402629 540569 103743242 73973640 25034976 29769602 19110363 21180890 340000 340000 33498 33498 74438366 75586457 8362158 8921481 7051275 5819356 3009983 461911 18423416 15202748 X 55171483 59473685 690430 749748 153037 160276 56014950 60383709 74438366 75586457 2540529 1828230 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 2502 2502 0 Part II-B, Line 1: A PORTION OF OUR DUES TO MICHIGAN HEALTH AND HOSPITAL ASSOCIATION SUPPORT LOBBYING ACTIVITIES. 843467 69822 6843 34108 886024 853477 91994 -33002 69002 843467 932119 1365 -6305 73702 853477 913076 151016 9110 141083 932119 860480 245541 -15388 177557 913076 0.00000 0.18090 0.81910 1 0 458125 458125 52602477 34118859 18483618 3310094 2578961 731133 47355574 37275820 10079754 16972 16972 29769602 THIRD PARTY PAYOR SETTLEMENTS 461911 461911 Part V, Line 4: TO ASSIST IN FUTURE CAPITAL NEEDS SUCH AS AN EMERGENCY ROOM RENOVATION 1 Goettler Associates 580 S HIGH ST 160 COLUMBUS OH 43215 PROFESSIONAL FUNDRAISING ON CAPITAL CAMPAIGN 0 0 22550 -22550 22550 -22550 ZIPPER OPEN FUNDRAISER 45890 45890 3680 9228 13479 45890 45890 3680 9228 13479 26387 19503 1 1 X 1 X 1 X 1 1 0 1 1 51288 51288 0.00060 15308922 13136836 2172086 0.02510 15360210 13136836 2223374 0.02570 20775 20775 0.00020 31835 31835 0.00040 89192 89192 0.00100 141802 141802 0.00160 15502012 13136836 2365176 0.02730 152338 152338 0.00180 152338 152338 0.00180 5008194 21403625 26114502 -4710877 X 1 1 1 1 Central Michigan Community Hospital 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 16 1 0 1 1 X FULL WEBSITE LISTED IN PART V SECTION C X X 1 16 1 FULL WEBSITE LISTED IN PART V SECTION C 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X 1 X HTTP://WWW.MCLAREN.ORG/CENTRALMICHIGAN/FINANCIAL-SERVICES.ASPX X HTTP://WWW.MCLAREN.ORG/CENTRALMICHIGAN/FINANCIAL-SERVICES.ASPX X HTTP://WWW.MCLAREN.ORG/CENTRALMICHIGAN/FINANCIAL-SERVICES.ASPX X X X X X X 1 X 0 X X X 1 X 0 0 MCLAREN CENTRAL MICHIGAN Part V, Section B, Line 5: KEY GROUPS WERE IDENTIFIED BY MCM AND THOMPSON REUTERS. GROUP INTERVIEWS WERE CONDUCTED TO COLLECT INPUT FROM THESE STAKEHOLDERS. INFORMATION FROM THESE INTERVIEWS WAS INSTRUMENTAL IN IDENTIFYING NEEDS ACROSS ALL CONTINUUMS FOR THE COMMUNITY. THE KEY GROUPS INCLUDE CENTRAL MICHIGAN DISTRICT HEALTH DEPT, CENTRAL MICHIGAN UNIVERSITY, SAGINAW CHIPPEWA INDIAN TRIBE, CMU MEDICAL SCHOOL, ISABELLA CITIZENS FOR HEALTH, PHYSICIANS (OB, IM, CARDIOLOGY, FP, ORTHOPEDICS, AND GENERAL SURGERY. MCLAREN CENTRAL MICHIGAN Part V, Section B, Line 6b: THOMPSON REUTERS MCLAREN CENTRAL MICHIGAN Part V, Section B, Line 7d: CHNA AND IMPLEMENTATION POLICY CAN BE ACCESSED AT: HTTP://WWW.MCLAREN.ORG/CENTRALMICHIGAN/HEALTH-COMMUNITY-NEEDS.ASPX MCLAREN CENTRAL MICHIGAN Part V, Section B, Line 11: MENTAL HEALTH AND OBESITY & NUTRITION WERE NOT ADDRESSED. WHILE WE CONSIDER THESE PRIORITY NEEDS AND WILL CONTINUE TO PARTICIPATE IN THE SERVICE AREA WITH INITIATIVES TO ADDRESS THESE CONCERNS, AN ANALYSIS OF OUR DATA SPECIFIC TO THESE PRIORITIES DID NOT DEMONSTRATE A SIGNIFICANT NEED AT THIS TIME. WE WILL CONTINUE TO MONITOR THESE TRENDS AND RESPOND ACCORDINGLY SHOULD THEY BECOME A NOTABLE CONCERN IN MCM'S SERVICE AREA. 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. 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 $5,008,194. 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. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS. 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 COST TO CHARGE RATIO WAS USED IN THE CALCUATION, WHICH RESULTED IN A SHORTFALL OF $4,710,877. ADDITIONAL COSTS ASSOCIATED WITH MEDICARE BUT NOT INCLUDED ON THE COST REPORT INCLUDE THE MEDICARE ADVANTAGE PROGRAM. THE ORGANIZATION INCURRED GROSS CHARGES OF $28,214,791. AFTER APPLYING THE SAME COST TO CHARGE RATIO USED THROUGHOUT SCHEDULE H THE ESTIMATED COST INCURRED FOR THE MEDICARE ADVANTAGE PROGRAMS WAS $8,308,430. THE ORGANIZATION RECEIVED A TOTAL OF $7,342,173 IN REIMBURSEMENT. THE NET MEDICARE SHORTFALL FOR THE MEDICARE ADVANTAGE PROGRAM TOTALED APPROXIMATELY $966,257 FOR THE YEAR. THE ORGANIZATION FEELS THAT THE ENTIRE AMOUNT OF THE SHORTFALL, $5,677,134, 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: PRIMARY AND SECONDARY MARKET RESEARCH IS CONDUCTED BY AND THROUGH COMMUNITY-BASED HEALTH COALITIONS, ACADEMIC INSTITUTIONS, THIRD PARTY DATA ANALYTICS ORGANIZATIONS, HEALTH NEEDS ASSESSMENTS AND SURVEYS, HISTORIC HEALTH SERVICES UTILIZATION PATTERNS, DEMOGRAPHIC ANALYSIS AND POPULATION-BASED HEALTH CARE SERVICES UTILIZATION FORECASTS. Part VI, Line 3: AVAILABILITY OF FINANCIAL ASSISTANCE INFORMATION AND EDUCATION IS PROVIDED AT ALL INPATIENT AND OUTPATIENT REGISTRATION POINTS-OF-SERVICE. INFORMATION AND EDUCATION IS ALSO AVAILABLE THROUGH THE ORGANIZATION'S WEBSITE. 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: THE SERVICE AREA OF MCLAREN CENTRAL MICHIGAN IS COMPOSED OF 11 ZIP CODES AND IS CENTERED PRINCIPALLY ON THE CITY OF MOUNT PLEASANT, MI IN THE COUNTY OF ISABELLA. THE PRIMARY SERVICE AREA, ACCOUNTING FOR 90% OF THE ANNUAL INPATIENT DISCHARGES, IS COMPOSED OF 7 ZIP CODES AND CAN BE CHARACTERIZED AS LARGELY URBAN IN NATURE. THE SECONDARY SERVICE AREA, ACCOUNTING FOR 10% OF THE ANNUAL INPATIENT DISCHARGES, IS COMPOSED OF 4 ZIP CODES AND CAN BE CHARACTERIZED AS LARGELY RURAL IN NATURE. 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 0 0 KENT KIRBY DIRECTOR 0 519971 0 0 0 0 0 36900 0 44851 0 601722 0 0 ASHOK VASHISHTA MD DIRECTOR/VPMA 0 456394 0 0 0 0 0 36522 0 13075 0 505991 0 0 MARK O'HALLA DIRECTOR/COO 0 829429 0 94063 0 428175 0 13250 0 15723 0 1380640 0 0 WILLIAM LAWRENCE PRESIDENT/CEO 0 357128 0 0 0 202157 0 13250 0 15695 0 588230 0 0 TARA SOULES CHIEF FINANCIAL OFFICER (REPLACED TH 154393 0 11725 0 0 0 8306 0 8126 0 182550 0 0 0 DR MICHAEL GROSS ANESTHESIOLOGIST 539581 0 3000 0 0 0 13250 0 9664 0 565495 0 0 0 DR KYLE GILDE ANESTHESIOLOGIST 420424 0 0 0 0 0 13250 0 11617 0 445291 0 0 0 DR WILLIAM NAILL RADIATION ONCOLOGIST 388818 0 0 0 0 0 5300 0 990 0 395108 0 0 0 DR MUWAFFAQ SALAMEH HOSPITALIST 362116 0 0 0 0 0 13250 0 12494 0 387860 0 0 0 DR SOMDEV ROY MEDICAL ONCOLOGIST 351982 0 0 0 0 0 13250 0 9643 0 374875 0 0 0 GERAD THERIAC FORMER CHIEF FINANCIAL OFFICER 69245 0 31992 0 0 0 5062 0 813 0 107112 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 CORPORATION (MHCC) 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 MHCC SERVES, AND (C) PROTECTING MHCC'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 123540 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 85510 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 CORPORATION (MHCC). COPIES OF DRAFT RETURNS ARE MADE AVAILABLE TO THE MHCC BOARD MEMBERS, WHO SERVE AS THE OVERALL GOVERNING BOARD. RETURNS ARE AVAILABLE FOR ALL CORPORATIONS OF WHICH MHCC 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 MHCC 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 2017. Form 990, Part VI, Section C, line 19 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. Form 990, Part IX, line 11g CONTRACT LABOR: Program service expenses 1,286,592. Management and general expenses 628,114. Fundraising expenses 0. Total expenses 1,914,706. CORPORATE ALLOCATION: Program service expenses 0. Management and general expenses 5,517,182. Fundraising expenses 0. Total expenses 5,517,182. PHYSICIAN FEES: Program service expenses 240,989. Management and general expenses 643,307. Fundraising expenses 0. Total expenses 884,296. OTHER FEES: Program service expenses 3,032,161. Management and general expenses 1,200,881. Fundraising expenses 0. Total expenses 4,233,042. FORM 990, PART XI, LINE 2C: THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. MERIDIAN VENTURE DBA CENTRAL MICHIGAN VENTURES 1221 SOUTH DRIVE MOUNT PLEASANT MI 48858 383226022 HEALTH CARE SERVICES MI 0 33498 MCLAREN CENTRAL MICHIGAN 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 GREAT LAKES CANCER INSTITUTE 401 S BALLENGER HWY FLINT MI 48532 383584572 CANCER CARE CENTER MI 501(c)(3) Line 7 MCLAREN HEALTH CARE CORPORATION 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 KARMANOS CANCER CENTER 4100 JOHN R ST DETROIT MI 48201 201649466 HOSPITAL MI 501(c)(3) Line 3 KARMANOS CANCER INSTITUTE 1 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 SUITE 200 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 & HOME CARE FOUNDATION 1515 CAL DR DAVISON MI 48423 463643089 FOUNDATION MI 501(c)(3) Line 12a, I VISITING NURSE SERVICES OF MICHIGAN 1 MCLAREN HOSPITALITY HOUSE 401 S BALLENGER HIGHWAY FLINT MI 48532 455567669 HOSPITALITY HOUSE MI 501(c)(3) Line 7 MCLAREN FLINT FOUNDATION 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 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 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 PARKVIEW PROPERTY MANAGEMENT CORPORATION PO BOX 5011 PORT HURON MI 48060 382467310 MANAGEMENT CORP MI 501(c)(3) Line 12a, I MCLAREN PORT HURON 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 VISITING NURSE SERVICE OF MICHIGAN 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 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 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 N/A C 0 VITALCARE HOME MEDICAL EQUIPMENT INC 761 LAFAYETTE AVENUE CHEBOYGAN MI 49721 382662954 SALE AND RENTAL OF DURABLE MEDICAL EQUIPMENT MI N/A C 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 MCLAREN HEALTH CARE CORPORATION M 8541010 Allocation of actual cost MCLAREN HEALTH CARE CORPORATION P 5514131 Allocation of actual cost MCLAREN HEALTH CARE CORPORATION S 291418 Allocation of actual cost VISITING NURSE SERVICE OF MICHIGAN P 1223593 Allocation of actual cost VISITING NURSE SERVICE OF MICHIGAN O 65215 Cost of compensation MCLAREN FLINT O 78212 Cost of compensation KARMANOS CANCER INSTITUTE P 197404 Allocation of actual cost MCLAREN BAY REGION H 122118 Allocation of actual cost MCLAREN MEDICAL GROUP M 97097 Allocation of actual cost MCLAREN MEDICAL GROUP Q 92093 Allocation of actual cost MCLAREN MEDICAL GROUP P 3614617 Allocation of actual cost MCLAREN MEDICAL GROUP S 699304 Cash MCLAREN OREATER LANSING S 735472 Cash MCLAREN HEALTH CARE CORPORATION N 136500 Fair Market Value