NORTHERN MICHIGAN MEDICALMANAGEMENT: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- NORTHERN MICHIGAN MEDICALMANAGEMENT (EIN 20-8458840)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-08-11
- IRS object ID
- 201712239349300981
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-08-11T15:57:15-05:00 | ReturnTs |
| Tax Period End | 2016-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 750 TRADE CENTRE WAY STE 300 | AddressLine1Txt |
| City | PORTAGE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49002 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 208458840 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHERN MICHIGAN MEDICAL MANAGEMENT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 2314874094 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 416 CONNABLE AVENUE | AddressLine1Txt |
| City | PETOSKEY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49770 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID BELLAMY | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2314874094 | PhoneNum |
| Signature | 2017-08-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID LOWENTHAL CPA | PreparerPersonNm |
| PTIN | P00378651 | PTIN |
| Phone | 2319477800 | PhoneNum |
| Preparation | 2017-08-10 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAVID BELLAMY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 416 CONNABLE AVENUE | AddressLine1Txt |
| City | PETOSKEY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49770 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $16,310,291 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MCLAREN.ORG/NORTHERNMICHIGAN/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2007 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE PROFESSIONAL SERVICES FOR THE DIAGNOSIS AND TREATMENT OF CARDIOLOGY, CARDIOTHORACIC SURGERY, NEUROSURGERY AND RELATED CONDITIONS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 129 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $123,069 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $15,413,396 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $16,286,023 | CYProgramServiceRevenueAmt |
| PY Investment Income | $12 | PYInvestmentIncomeAmt |
| CY Investment Income | $22 | CYInvestmentIncomeAmt |
| PY Other Revenue | $40,497 | PYOtherRevenueAmt |
| CY Other Revenue | $18,337 | CYOtherRevenueAmt |
| PY Total Revenue | $15,576,974 | PYTotalRevenueAmt |
| CY Total Revenue | $16,304,382 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,166,754 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,921,070 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $14,858,018 | PYOtherExpensesAmt |
| CY Other Expenses | $14,719,570 | CYOtherExpensesAmt |
| PY Total Expenses | $24,024,772 | PYTotalExpensesAmt |
| CY Total Expenses | $24,640,640 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$8,447,798 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$8,336,258 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,117,453 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,921,444 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,084,826 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,663,862 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $32,627 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $257,582 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PROVIDE PROFESSIONAL SERVICES FOR THE DIAGNOSIS AND TREATMENT OF CARDIOLOGY, CARDIOTHORACIC SURGERY, NEUROSURGERY AND RELATED CONDITIONS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $1,859,974 | ExpenseAmt |
| Revenue | $962,730 | RevenueAmt |
| Desc | PROVIDE PROFESSIONAL SERVICES FOR THE DIAGNOSIS AND TREATMENT OF CARDIOTHORACIC SURGERY PATIENTS (30,585 PHYSICIAN WORK RVU'S - RELATIVE VALUE UNITS). | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,696,135 | ExpenseAmt |
| Revenue | $1,348,131 | RevenueAmt |
| Desc | PROVIDE PROFESSIONAL SERVICES FOR THE DIAGNOSIS AND TREATMENT OF GASTROENTEROLOGY PATIENTS (23,294 RVU'S - RELATIVE VALUE UNITS). | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $8,028,206 | ExpenseAmt |
| Revenue | $8,054,482 | RevenueAmt |
| Desc | PROVIDE PROFESSIONAL SERVICES FOR AN ADULT HOSPITALIST PROGRAM IN THE HOSPITAL (78,456 PHYSICIAN WORK RVU'S - RELATIVE VALUE UNITS). | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,551,089 | ExpenseAmt |
| Revenue | $5,924,660 | RevenueAmt |
| Desc | OTHER PROGRAM SERVICES ARE, INCLUDING BUT NOT LIMITED TO, CHEBOYGAN EMERGENCY DEPARTMENT PHYSICIANS, CARDIOTHORACIC SURGERY, PEDIATRIC HOSPITALISTS, AND NEPHROLOGY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $9,551,089 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $5,924,660 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $22,135,404 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 36 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 129 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID BELLAMY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2314874094 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 416 CONNABLE AVENUE | AddressLine1Txt |
| City | PETOSKEY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49770 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| DAVID ZECHMAN | |||||||||
| CHAIRMAN & PRESIDENT/CEO | 1.00 | 50.00 | Yes (X) | Yes (X) | $0 | $612,630 | $179,940 | ||
| DAVID BELLAMY | |||||||||
| TREASURER/VP OF FINANCE/CFO | 2.80 | 37.20 | Yes (X) | Yes (X) | $0 | $405,200 | $9,913 | ||
| JENNIFER WOODS | |||||||||
| SECRETARY & VP PATIENT CARE | 2.80 | 37.70 | Yes (X) | Yes (X) | $0 | $175,371 | $18,399 | ||
| MARY-ANNE PONTI | |||||||||
| SECRETARY & COO | 2.80 | 37.20 | Yes (X) | $0 | $339,880 | $53,136 | |||
| EUGENE KAMINSKI | |||||||||
| VP OF HUMAN RESOURCES | 2.80 | 39.40 | Yes (X) | $0 | $241,953 | $37,029 | |||
| CAROLINE SEAGREN | |||||||||
| CHIEF DEV OFFICER | 1.00 | 27.00 | Yes (X) | $0 | $213,969 | $33,993 | |||
| KIRK LUFKIN | |||||||||
| VP CHIEF MEDICAL OFFICER | 5.50 | 34.50 | Yes (X) | $0 | $379,761 | $15,495 | |||
| GUY GOLEMBIEWSKI MD | |||||||||
| CHIEF MED INFO OFFICER | 2.50 | 37.50 | $0 | $229,413 | $27,447 | Yes (X) | |||
| CHRIS AKINS | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $564,851 | $0 | $23,445 | Yes (X) | |||
| JOHN TALBOTT | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $570,363 | $0 | $22,726 | Yes (X) | |||
| GARY SHAW | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $324,658 | $0 | $15,134 | Yes (X) | |||
| ALFRED AJISE | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $332,244 | $0 | $23,445 | Yes (X) | |||
| DARRIN BENZING | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $331,587 | $0 | $12,616 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,123,703 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,598,177 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $472,718 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 17 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| INDIGO HOSPITAL MEDICINE PETOSKEY PLC | |||||
| 10850 E TRAVERSE HWY STE 4400 | TRAVERSE CITY | MI | 49684 | PHYSICIAN AND MGMT SERVICES | $7,261,236 |
| AMERICAN HEALTHCARE SERVICE LLC | |||||
| 151 NORTH EAST 5TH AVE STE 406 | DELRAY BEACH | FL | 33473 | PHYSICIAN SERVICES | $1,425,450 |
| LINDE HEALTHCARE STAFFING INC | |||||
| PO BOX 915241 | DALLAS | TX | 753915241 | PHYSICIAN SERVICES | $528,144 |
| HONOR MEDICAL STAFFING | |||||
| 26261 EVERGREEN RD STE 450 | SOUTHFIELD | MI | 48076 | PHYSICIAN SERVICES | $493,177 |
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 753972633 | PHYSICIAN SERVICES | $421,869 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| REVENUE FOR OPERATIONS | 541900 | $6,603,246 | $6,603,246 |
| PHYSICIAN PRACTICE | 621110 | $5,892,336 | $5,892,336 |
| ADULT HOSPITALIST REV. | 541900 | $3,100,000 | $3,100,000 |
| OTHER RELATED REVENUE | 541900 | $620,419 | $620,419 |
| ELECTRONIC HEALTH RECORDS REVENUE | 900099 | $65,464 | $65,464 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,558 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,558 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $16,286,023 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22 | TotalRevenueColumnAmt |
| Exclusion | $22 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $9,889 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,909 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,980 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,980 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,980 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FOOD REVENUE | Desc |
| Business | 722210 | BusinessCd |
| Total Revenue Column | $14,357 | TotalRevenueColumnAmt |
| Exclusion | $14,357 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $14,357 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,304,382 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,290,003 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $14,379 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,625,401 | TotalAmt |
| Program Services | $7,165,413 | ProgramServicesAmt |
| Management And General | $1,459,988 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $828,790 | TotalAmt |
| Program Services | $439,286 | ProgramServicesAmt |
| Management And General | $389,504 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $466,879 | TotalAmt |
| Program Services | $355,374 | ProgramServicesAmt |
| Management And General | $111,505 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,015,071 | TotalAmt |
| Program Services | $1,015,071 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,661 | TotalAmt |
| Management And General | $7,661 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,354,578 | TotalAmt |
| Program Services | $11,208,247 | ProgramServicesAmt |
| Management And General | $146,331 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,247 | TotalAmt |
| Program Services | $1,247 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,696 | TotalAmt |
| Program Services | $111,469 | ProgramServicesAmt |
| Management And General | $16,227 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,373 | TotalAmt |
| Program Services | $20,259 | ProgramServicesAmt |
| Management And General | $1,114 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $473,333 | TotalAmt |
| Program Services | $452,583 | ProgramServicesAmt |
| Management And General | $20,750 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,424 | TotalAmt |
| Program Services | $37,291 | ProgramServicesAmt |
| Management And General | $2,133 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,436 | TotalAmt |
| Program Services | $75,272 | ProgramServicesAmt |
| Management And General | $1,164 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,885 | TotalAmt |
| Program Services | $31,696 | ProgramServicesAmt |
| Management And General | $87,189 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,809 | TotalAmt |
| Program Services | $64,713 | ProgramServicesAmt |
| Management And General | $43,096 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CORPORATE ALLOCATION | $917,852 | $803,996 | $113,856 |
| MEDICAL SUPPLIES & DRUG | $210,292 | $210,268 | $24 |
| PROVISION FOR BAD DEBTS | $130,880 | $130,880 | |
| HOME OFFICE EXPENSES | $48,709 | $48,709 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,324 | TotalAmt |
| Program Services | $12,339 | ProgramServicesAmt |
| Management And General | $55,985 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,640,640 | TotalAmt |
| Program Services | $22,135,404 | ProgramServicesAmt |
| Management And General | $2,505,236 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $600 | BOYAmt |
| EOY | $500 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,000 | BOYAmt |
| EOY | $70,814 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,042,347 | BOYAmt |
| EOY | $731,291 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,830 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,035 | BOYAmt |
| EOY | $193,355 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $750,628 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $492,651 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $187,310 | BOYAmt |
| EOY | $257,977 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $714,331 | BOYAmt |
| EOY | $667,507 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,117,453 | BOYAmt |
| EOY | $1,921,444 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,766,478 | BOYAmt |
| EOY | $1,475,595 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,028 | BOYAmt |
| EOY | $184,931 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $220,320 | BOYAmt |
| EOY | $3,336 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,084,826 | BOYAmt |
| EOY | $1,663,862 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,627 | BOYAmt |
| EOY | $257,582 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,627 | BOYAmt |
| EOY | $257,582 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,117,453 | BOYAmt |
| EOY | $1,921,444 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$8,336,258 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $8,561,213 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,425 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,425 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $720,692 | OtherCostOrOtherBasisAmt |
| Depreciation | $489,226 | DepreciationAmt |
| Book Value | $231,466 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $26,511 | OtherCostOrOtherBasisAmt |
| Book Value | $26,511 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $257,977 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED EQUIPMENT FEES | Desc |
| Book Value | $667,507 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $667,507 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATES | Desc |
| Amt | $3,336 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,336 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID ZECHMAN | ||||||||||||||
| CHAIRMAN & PRESIDENT/CEO | $0 | $396,442 | $0 | $170,000 | $0 | $46,188 | $0 | $165,819 | $0 | $14,121 | $0 | $792,570 | $0 | $0 |
| DAVID BELLAMY | ||||||||||||||
| TREASURER/VP OF FINANCE/CFO | $0 | $404,483 | $0 | $0 | $0 | $717 | $0 | $0 | $0 | $9,913 | $0 | $415,113 | $0 | $0 |
| JENNIFER WOODS | ||||||||||||||
| SECRETARY & VP PATIENT CARE | $0 | $148,435 | $0 | $26,208 | $0 | $728 | $0 | $8,923 | $0 | $9,476 | $0 | $193,770 | $0 | $0 |
| MARY-ANNE PONTI | ||||||||||||||
| SECRETARY & COO | $0 | $291,061 | $0 | $46,586 | $0 | $2,233 | $0 | $45,258 | $0 | $7,878 | $0 | $393,016 | $0 | $0 |
| EUGENE KAMINSKI | ||||||||||||||
| VP OF HUMAN RESOURCES | $0 | $201,740 | $0 | $36,512 | $0 | $3,701 | $0 | $28,787 | $0 | $8,242 | $0 | $278,982 | $0 | $0 |
| CAROLINE SEAGREN | ||||||||||||||
| CHIEF DEV OFFICER | $0 | $175,785 | $0 | $36,894 | $0 | $1,290 | $0 | $23,798 | $0 | $10,195 | $0 | $247,962 | $0 | $0 |
| KIRK LUFKIN | ||||||||||||||
| VP CHIEF MEDICAL OFFICER | $0 | $325,327 | $0 | $52,023 | $0 | $2,411 | $0 | $5,300 | $0 | $10,195 | $0 | $395,256 | $0 | $0 |
| GUY GOLEMBIEWSKI MD | ||||||||||||||
| CHIEF MED INFO OFFICER | $0 | $205,865 | $0 | $19,847 | $0 | $3,701 | $0 | $17,971 | $0 | $9,476 | $0 | $256,860 | $0 | $0 |
| CHRIS AKINS | ||||||||||||||
| PHYSICIAN | $564,134 | $0 | $0 | $0 | $717 | $0 | $13,250 | $0 | $10,195 | $0 | $588,296 | $0 | $0 | $0 |
| JOHN TALBOTT | ||||||||||||||
| PHYSICIAN | $569,023 | $0 | $0 | $0 | $1,340 | $0 | $13,250 | $0 | $9,476 | $0 | $593,089 | $0 | $0 | $0 |
| GARY SHAW | ||||||||||||||
| PHYSICIAN | $320,701 | $0 | $0 | $0 | $3,957 | $0 | $7,473 | $0 | $7,661 | $0 | $339,792 | $0 | $0 | $0 |
| ALFRED AJISE | ||||||||||||||
| PHYSICIAN | $296,577 | $0 | $35,200 | $0 | $467 | $0 | $13,250 | $0 | $10,195 | $0 | $355,689 | $0 | $0 | $0 |
| DARRIN BENZING | ||||||||||||||
| PHYSICIAN | $322,915 | $0 | $7,955 | $0 | $717 | $0 | $3,140 | $0 | $9,476 | $0 | $344,203 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | THE CEO/EXECUTIVE DIRECTOR WAS COMPENSATED BY A RELATED ORGANIZATION, AND THEREFORE NONE OF THE LINE 1 BOXES HAVE BEEN CHECKED. THE CORPORATE CEO, SUBSIDIARY CEOS AND CORPORATE 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, AND MANAGERS. 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, line 3 | WEIGHT MANAGEMENT PROGRAM CEASED FEBRUARY 2016. ENDOCRINOLOGIST LEFT PRACTICE IN DECEMBER 2015. |
| Form 990, Part VI, Section A, line 6 | MCLAREN NORTHERN MICHIGAN SHALL BE THE SOLE MEMBER OF THE ENTITY. |
| 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 | ACTIONS REQUIRING MEMBER APPROVAL INCLUDE: [A] AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; [B] DISSOLUTION, MERGER, CONSOLIDATION, REORGANIZATION OR OTHER CHANGE IN THE CORPORATE STRUCTURE OF THE CORPORATION; [C] SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; [D] ACQUISITION OF ANY OTHER ENTITY OR ESTABLISHMENT OF ANY SUBSIDIARY OR AFFILIATE; [E] ADOPTION OF THE ANNUAL OPERATING BUDGET OF THE CORPORATION; AND [F] ANY LENDING OR BORROWING OF MONEY BY THE CORPORATION, THE GRANTING OF ANY MORTGAGE, SECURITY INTEREST OR LIEN IN ANY PROPERTY OF THE CORPORATION AND THE GUARANTEE BY THE CORPORATION OF ANY DEBT OR OBLIGATION OF ANY ENTITY OTHER THAN THE MEMBER. IN ADDITION, THE MNM BOARD OF TRUSTEES AND EACH MNM SUBSIDIARY OR AFFILIATE WILL NOT DO THE FOLLOWING WITHOUT MCLAREN (ACTING THROUGH ITS BOARD) APPROVAL: [G] ISSUE NOTES, BONDS OR OTHER EVIDENCE OF INDEBTEDNESS [H] SELL,COVEY, ASSIGN, TRANSFER, ALIENATE, PLEDGE OR ENCUMBER REAL PROPERTY WITH AN ANNUAL AGGREGATE VALUE IN EXCESS OF $250,000 [I] PURCHASE OR ACQUIRE ADDITIONAL REAL PROPERTYWITH AN ANNUAL AGGREGATE VALUE IN EXCESS OF $250,000 [J] APPROVE UNBUDGETED CAPITAL EXPENDITURES IN EXCESS OF $250,000 IN THE ANNUAL AGGREGATE |
| Form 990, Part VI, Section B, line 11 | 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 CORPORATE 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 15 | THE COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS TO REVIEW THE PERFORMANCE AND RECOMMEND THE TOTAL COMPENSATION PACKAGE OF THE MCLAREN HEALTHCARE CORPORATION'S CEO TO THE BOARD. FURTHER THE COMMITTEE ESTABLISHES THE SALARY RANGES AND PREREQUISITES OF THE OTHER MOST HIGHLY COMPENSATED OFFICERS (MHC VICE-PRESIDENTS AND MHC HOSPICE/SUBSIDIARIES CEO'S) 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 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 AND MCLAREN HEALTH CARE CORPORATION COMPENSATION PHILOSOPHY. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS FISCAL YEAR 2016. |
| Form 990, Part VI, Section C, line 19 | ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| Form 990, Part IX, line 11g | OTHER PURCHASED SERVICES: Program service expenses 223,037. Management and general expenses 146,331. Fundraising expenses 0. Total expenses 369,368. PURCHASED PHYSICIAN FEES: Program service expenses 10,985,210. Management and general expenses 0. Fundraising expenses 0. Total expenses 10,985,210. |
| Form 990, Part XI, line 9: | EQUITY TRANSFER - MCLAREN NORTHERN MICHIGAN 8,561,213. |
| FORM 990, PART XII, LINE 2C: | THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (39 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MCLAREN BAY MEDICAL FOUNDATION | |||||||||||
| 1900 COLUMBUS AVE | BAY CITY | MI | 48708 | 382156534 | FOUNDATION | MI | 501(c)(3) | Line 11a, I | MCLAREN BAY REGION | Yes (1) | |
| MCLAREN BAY REGION | |||||||||||
| 1900 COLUMBUS AVE | BAY CITY | MI | 48708 | 381976271 | HOSPITAL | MI | 501(c)(3) | Line 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| BAY REGIONAL MEDICAL CENTER AUXILIARY | |||||||||||
| 1908 COLUMBUS AVENUE | BAY CITY | MI | 48708 | 386081235 | SUPPORTING ORGANIZATION | MI | 501(c)(3) | Line 11a, I | MCLAREN BAY REGION | Yes (1) | |
| MCLAREN BAY SPECIAL CARE | |||||||||||
| 1900 COLUMBUS AVE | BAY CITY | MI | 48708 | 383161753 | HOSPITAL | MI | 501(c)(3) | Line 3 | MCLAREN BAY REGION | Yes (1) | |
| MCLAREN CENTRAL MICHIGAN | |||||||||||
| 1221 SOUTH DRIVE | MT PLEASANT | MI | 48858 | 381420304 | HOSPITAL | MI | 501(c)(3) | Line 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| CHARLEVOIX NURSING HOME CORPORATION DBA BOULDER PARK TERRACE | |||||||||||
| 14676 WEST UPRIGHT | CHARLEVOIX | MI | 49720 | 383038683 | SKILLED NURSING FACILITY | MI | 501(c)(3) | Line 9 | MCLAREN NORTHERN MICHIGAN | Yes (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 | Yes (1) | |
| MCLAREN GREATER LANSING FOUNDATION | |||||||||||
| 401 S GREENLAWN AVE | LANSING | MI | 48910 | 382463637 | FOUNDATION | MI | 501(c)(3) | Line 7 | MCLAREN GREATER LANSING | Yes (1) | |
| MCLAREN GREATER LANSING | |||||||||||
| 401 S GREENLAWN AVE | LANSING | MI | 48910 | 381434090 | HOSPITAL | MI | 501(c)(3) | Line 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| KARMANOS CANCER CENTER | |||||||||||
| 4100 JOHN R ST | DETROIT | MI | 48201 | 201649466 | HOSPITAL | MI | 501(c)(3) | Line 3 | KARMANOS CANCER INSTITUTE | Yes (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 | Yes (1) | |
| MCLAREN LAPEER REGION | |||||||||||
| 1375 N MAIN ST | LAPEER | MI | 48446 | 382689033 | HOSPITAL | MI | 501(c)(3) | Line 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MCLAREN LAPEER REGION FOUNDATION | |||||||||||
| 1375 N MAIN ST | LAPEER | MI | 48446 | 382689603 | FOUNDATION | MI | 501(c)(3) | Line 11a, I | MCLAREN LAPEER REGION | Yes (1) | |
| MARWOOD MANOR NURSING HOME | |||||||||||
| PO BOX 5011 | PORT HURON | MI | 48060 | 382683251 | NURSING HOME | MI | 501(c)(3) | Line 9 | MCLAREN PORT HURON | Yes (1) | |
| MCLAREN HEALTH CARE CORPORATION | |||||||||||
| G-3235 Beecher Road Suite B | FLINT | MI | 48532 | 382397643 | SUPPORTING ORG | MI | 501(c)(3) | Line 11a, I | 0 | N/A | |
| MCLAREN HEALTH CARE VILLAGE FOUNDATION | |||||||||||
| 401 S BALLENGER HIGHWAY | FLINT | MI | 48532 | 262693350 | SUPPORTING ORG | MI | 501(c)(3) | Line 11a, I | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MCLAREN HEALTH PLAN COMMUNITY | |||||||||||
| G-3245 BEECHER ROAD SUITE 200 | FLINT | MI | 48532 | 272204037 | INSURANCE | MI | 501(c)(4) | MCLAREN HEALTH PLAN | Yes (1) | ||
| MCLAREN HEALTH PLAN INC | |||||||||||
| G-3245 BEECHER ROAD | FLINT | MI | 48532 | 383252216 | HEALTH CARE SERVICES | MI | 501(c)(4) | MCLAREN HEALTH CARE CORPORATION | Yes (1) | ||
| MCLAREN HOSPICE & HOME CARE FOUNDATION | |||||||||||
| 1515 CAL DR | DAVISON | MI | 48423 | 463643089 | FOUNDATION | MI | 501(c)(3) | Line 11a, I | VISITING NURSE SERVICES OF MICHIGAN | Yes (1) | |
| MCLAREN HOSPITALITY HOUSE | |||||||||||
| 401 S BALLENGER HIGHWAY | FLINT | MI | 48532 | 455567669 | HOSPITALITY HOUSE | MI | 501(c)(3) | Line 7 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MCLAREN MEDICAL GROUP | |||||||||||
| 401 S BALLENGER HWY | FLINT | MI | 48532 | 382988086 | MANAGEMENT COMPANY | MI | 501(c)(3) | Line 11a, I | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MCLAREN NORTHERN MICHIGAN | |||||||||||
| 416 CONNABLE AVENUE | PETOSKEY | MI | 49770 | 382146751 | ACUTE CARE HOSPITAL | MI | 501(c)(3) | Line 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MCLAREN NORTHERN MICHIGAN FOUNDATION | |||||||||||
| 360 CONNABLE AVENUE | PETOSKEY | MI | 49770 | 382445611 | FOUNDATION | MI | 501(c)(3) | Line 11a, I | MCLAREN NORTHERN MICHIGAN | Yes (1) | |
| MCLAREN PORT HURON | |||||||||||
| 1221 PINE GROVE AVENUE | PORT HURON | MI | 48060 | 381369611 | HOSPITAL | MI | 501(c)(3) | Line 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MCLAREN FLINT | |||||||||||
| 401 S BALLENGER HWY | FLINT | MI | 48532 | 382383119 | HOSPITAL | MI | 501(c)(3) | Line 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MICHIGAN CANCER SOCIETY | |||||||||||
| 4100 JOHN R ST | DETROIT | MI | 48201 | 382823451 | CANCER RESEARCH | MI | 501(c)(3) | Line 7 | KARMANOS CANCER INSTITUTE | Yes (1) | |
| MOUNT CLEMENS REGIONAL HEALTHCARE FOUNDATION | |||||||||||
| PO BOX 326 | MOUNT CLEMENS | MI | 48046 | 382578873 | FOUNDATION | MI | 501(c)(3) | Line 9 | MCLAREN MACOMB | Yes (1) | |
| MCLAREN MACOMB | |||||||||||
| 1000 HARRINGTON | MOUNT CLEMENS | MI | 48043 | 381218516 | HOSPITAL | MI | 501(c)(3) | Line 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| NORTH OAKLAND NORTH MACOMB IMAGING INC | |||||||||||
| 355 BARCLAY CIR STE A | ROCHESTER HILLS | MI | 48307 | 382807040 | MRI IMAGING | MI | 501(c)(3) | Line 3 | MCLAREN OAKLAND | Yes (1) | |
| NORTHERN MICHIGAN HEMATOLOGY AND ONCOLOGY | |||||||||||
| 416 CONNABLE AVENUE | PETOSKEY | MI | 49770 | 320020293 | PHYSICIAN PRACTICE | MI | 501(c)(3) | Line 3 | MCLAREN NORTHERN MICHIGAN | Yes (1) | |
| PARKVIEW PROPERTY MANAGEMENT CORPORATION | |||||||||||
| PO BOX 5011 | PORT HURON | MI | 48060 | 382467310 | MANAGEMENT CORP | MI | 501(c)(3) | Line 11a, I | MCLAREN PORT HURON | Yes (1) | |
| MCLAREN OAKLAND FOUNDATION | |||||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 200442217 | FOUNDATION | MI | 501(c)(3) | Line 11c, III-FI | MCLAREN OAKLAND | Yes (1) | |
| MCLAREN OAKLAND | |||||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 381428164 | HOSPITAL | MI | 501(c)(3) | Line 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| PORT HURON HOSPITAL FOUNDATION | |||||||||||
| PO BOX 5011 | PORT HURON | MI | 48060 | 382777750 | FOUNDATION | MI | 501(c)(3) | Line 11a, I | MCLAREN PORT HURON | Yes (1) | |
| REGIONAL EMERGENCY MEDICAL SERVICE INC | |||||||||||
| 25400 W 8 MILE ROAD | SOUTHFIELD | MI | 48034 | 383255499 | AMBULANCE SERVICE | MI | 501(c)(3) | Line 9 | MCLAREN MEDICAL MANAGEMENT INC | Yes (1) | |
| THE CARDIAC INSTITUTE DBA MICHIGAN HEART & VASCULAR SPECIALISTS | |||||||||||
| 416 CONNABLE AVENUE | PETOSKEY | MI | 49770 | 262774689 | PHYSICIAN PRACTICE | MI | 501(c)(3) | Line 3 | MCLAREN NORTHERN MICHIGAN | Yes (1) | |
| VISITING NURSE SERVICE OF MICHIGAN | |||||||||||
| 1515 Cal Drive | DAVISON | MI | 48423 | 383491714 | HEALTH CARE SERVICES | MI | 501(c)(3) | Line 9 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| VITALCARE INC | |||||||||||
| 761 LAFAYETTE AVENUE | CHEBOYGAN | MI | 49721 | 382527255 | HOSPICE CARE/HOME HEALTH SERVICES | MI | 501(c)(3) | Line 9 | MCLAREN NORTHERN MICHIGAN | Yes (1) | |
| WOMENS HOSPITAL ASSOCIATION OF FLINT MICHIGAN | |||||||||||
| 401 S BALLENGER HIGHWAY | FLINT | MI | 48532 | 381358053 | SUPPORTING ORGANIZATION | MI | 501(c)(3) | Line 11a, I | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| 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 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | |||||||||||||
| INSURANCE | N/A | C | 0 | 10 MAIN ST | GRAND CAYMAN | CJ | CJ | ||||||
| MID-MICHIGAN PHYSICIANS PC | |||||||||||||
| 2510 KERRY STREET SUITE 200 | LANSING | MI | 48912 | 383267121 | PHYSICIAN PRACTICE | MI | N/A | C | 0 | ||||
| MCLAREN PHYSICIAN PARTNERS | |||||||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 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 | ||||
| WILLOW ENTERPRISES | |||||||||||||
| PO BOX 5011 | PORT HURON | MI | 48061 | 382491659 | Occupational Health Clinic and Outpatient Pharmacies | MI | N/A | C | 0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MCLAREN NORTHERN MICHIGAN | ||
| P | $9,374,018 | COST |
| MCLAREN NORTHERN MICHIGAN | ||
| Q | $6,623,483 | COST |
| MCLAREN NORTHERN MICHIGAN | ||
| S | $8,530,848 | CASH |