2017-08-11T13:01:57-05:00 2016-09-30 381357951 PLANTE & MORAN PLLC 750 Trade Centre Way Ste 300 Portage MI 49002 990 2015-10-01 381428164 MCLAREN OAKLAND MCLA 2483385000 50 NORTH PERRY STREET PONTIAC MI 48342 MATT LEGAULT VP AND CFO 2483385000 2017-08-08 1 Carol LaLonde CPA P00181637 2695674500 2017-08-08 2015 2021-01-29 14:40:06Z CHAD GRANT 50 NORTH PERRY STREET PONTIAC MI 48342 211453292 0 X www.mclaren.org/oakland X 1953 MI MCLAREN OAKLAND PROVIDES PRIMARY AND SPECIALTY HEALTH CARE SERVICES GUIDED BY THE PRINCIPLES OF OSTEOPATHIC MEDICINE AND THE VALUES OF INTEGRITY, EXCELLENCE, DIVERSITY, AND INTELLIGENCE. WE ASPIRE TO ENHANCE THE QUALITY OF LIFE AND HEALTH STATUS OF THE PEOPLE WE SERVE. DURING THE YEAR, OAKLAND HAD MORE THAN 56,700 EMERGENCY VISITS, PERFORMED SERVICES FOR SURGERIES, MEDICAL IMAGING, PHYSICIAN REHABILITATION, SUBSTANCE ABUSE, AND MORE. 9 7 1751 88 0 0 380085 5000000 182026043 195497441 -2913041 467784 7268416 10488067 186761503 211453292 0 0 0 0 79303683 86729142 0 0 0 99423046 106400085 178726729 193129227 8034774 18324065 121142492 136880019 73232885 76895412 47909607 59984607 MCLAREN OAKLAND PROVIDES PRIMARY AND SPECIALTY HEALTH CARE SERVICES GUIDED BY THE PRINCIPLES OF OSTEOPATHIC MEDICINE AND THE VALUES OF INTEGRITY, EXCELLENCE, DIVERSITY, AND INTELLIGENCE. WE ASPIRE TO ENHANCE THE QUALITY OF LIFE AND HEALTH STATUS OF THE PEOPLE WE SERVE. 0 0 173410961 0 183368337 MCLAREN OAKLAND PROVIDES PRIMARY AND SPECIALTY HEALTH CARE SERVICES GUIDED BY THE PRINCIPLES OF OSTEOPATHIC MEDICINE AND THE VALUES OF INTEGRITY. 11544897 0 12129104 LAKE ORION NURSING AND REHABILITATION CENTER (LONC) PROVIDES SUPERIOR NURSING, THERAPY, AND PSYCHOLOGICAL SERVICES. LONC IS COMMITTED TO HELP PATIENTS REGAIN THEIR INDEPENDENCE. 184955858 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 209 0 1 1751 1 0 0 0 0 0 0 0 0 0 0 X 9 7 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 1 1 1 X MATT LEGAULT 2483385000 50 NORTH PERRY STREET PONTIAC MI 48342 JUDGE LEO BOWMAN CHAIRMAN 1.00 0.00 X X 0 0 0 JAMES STEPHANSKI DO VICE CHAIR 1.00 0.00 X X 0 0 0 RALPH GILES SECRETARY - PART YEAR 1.00 0.00 X X 0 0 0 WENDY HEMMINGWAY CHAIRMAN, FINANCE COMMITTEE 1.00 0.00 X X 0 0 0 ALLEN PRINCE DO SECRETARY 1.00 0.00 X X 0 0 0 REV DERRICK McDONALD MEMBER 1.00 0.00 X 0 0 0 JEFF LOVE MEMBER - PART YEAR 1.00 0.00 X 0 0 0 JOHN BUENO MEMBER 1.00 0.00 X 0 0 0 TONY HAIN MEMBER 1.00 1.00 X 0 0 0 MARK O'HALLA MEMBER 1.70 47.39 X 0 1634969 30087 CHAD GRANT CEO 50.00 1.00 X X 0 411111 108299 FRED KORTE VP AND CFO - PART YEAR 20.00 25.60 X 220068 29114 33543 MATT LEGAULT VP AND CFO 40.00 1.00 X 0 0 0 STEVEN B CALKIN DO VP AND CHIEF MEDICAL OFFICER 40.00 0.00 X 329470 0 54668 PAUL T PORTER MD PHYSICIAN 40.00 0.00 X 644926 0 39674 MOHAMMAD MUHSIN CHISTI MD PHYSICIAN 40.00 0.00 X 495171 0 33674 SERAPHIM PALLAS MD PHYSICIAN 40.00 0.00 X 447501 0 39674 HASSAN ALMAAT MD PHYSICIAN 40.00 0.00 X 403760 0 57674 SALMAN FATEH DO PHYSICIAN 40.00 0.00 X 380674 0 33674 2921570 2075194 430967 38 0 1 0 DEGARA PLLC 2370 SILVERPOINTE DR WATERFORD MI 48328 PHYSICIAN SERVICES - ED 1234037 ICOMM 24600 N INDUSTRIAL AVE FARMINGTON MI 48335 HEALTHCARE COMMUNICATION SYSTEMS 550147 MARY FREE BED REHAB HOSPITAL 235 WEALTHY ST SE GRAND RAPIDS MI 49503 HEALTHCARE 467403 OAKLAND ANESTHESIA CARE ASSOC PLLC PO BOX 210339 AUBURN HILLS MI 48321 PHYSICIAN SERVICES - ANESTHESIA 466408 COMPLETE TEXTILE SERVICE 2596 IVY HILL DRIVE COMMERCE MI 48382 HEALTHCARE 437727 18 5000000 5000000 NET PATIENT REVENUE 621110 195434247 195434247 RELATED-PARTY RENT 531390 63194 63194 195497441 467784 467784 1228984 0 1228984 1228984 1228984 MISCELLANEOUS 900099 8710570 8710570 CAFETERIA SALES 722210 548513 548513 9259083 211453292 195497441 0 10955851 X 858986 858986 71014971 64950761 6064210 792514 792514 9517296 9517296 4545375 4545375 122902 122902 135069 135069 5360 5360 23993477 23290704 702773 851936 839565 12371 2265991 2185926 80065 7152414 7152414 3957356 3957356 283082 262477 20605 283082 262478 20604 1199862 1199862 6718598 6718598 796371 796371 Medical Supplies 31219706 31165436 54270 Bad Debts 13159079 13159079 FOOD COST 1537617 1441463 96154 Equipment Rent & Maint. 464162 464162 12254021 12254021 193129227 184955858 8173369 0 32260067 40821762 5641107 6133083 225000 0 2085892 2369428 554937 1040877 169180476 136370158 31514758 32810318 18763649 20587684 12019879 11703669 18077203 21413198 121142492 136880019 13490519 15744612 35461764 34385288 24280602 26765512 73232885 76895412 X 46233607 59984607 1676000 0 47909607 59984607 121142492 136880019 X 18324065 1389369 -7638434 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 5360 5360 0 Part II-B, Line 1: A PORTION OF OUR DUES TO MICHIGAN HEALTH AND HOSPITAL ASSOCIATION SUPPORT LOBBYING ACTIVITIES. 1849890 1849890 69838317 51342254 18496063 3429915 1234582 2195333 90114594 81469628 8644966 3947760 2323694 1624066 32810318 HOSPITAL HEALTH CARE 10277289 C INVESTMENT IN MRI 1088305 F INVESTMENT IN OFF SHORE CAPTIVE 24000 C INVESTMENT IN NORTHOAKS HEALTH SYSTEM 314075 F 11703669 Other Assets 13581279 DEFERRED INFORMATION TECHNOLOGY 6687655 DEFERRED CORPORATE LAB 1144264 21413198 Accrued Pension Costs 18170977 CLAIMS LIABILITY 3221326 ESTIMATED THIRD PARTY PAYMENTS 3269644 OTHER LIABILITIES 2103565 26765512 1 1 X 1 X 1 X 1 1 1 0 1 1 179204 179204 0.00100 39023248 37086259 1936989 0.01080 39202452 37086259 2116193 0.01180 469517 469517 0.00260 10700481 7579859 3120622 0.01730 156740 156740 0.00090 11326738 7579859 3746879 0.02080 50529190 44666118 5863072 0.03260 2230 2230 0.00000 2230 2230 0 13159079 328977 54014422 46919298 7095124 X 1 1 1 1 MCLAREN OAKLAND 50 N PERRY ST PONTIAC MI 48342 WWW.MCLAREN.ORG/OAKLAND 1060000084 X X X X REHABILITATIVE & PSYCHIATRIC SERVICES AND DIAGNOSTIC CENTER MCLAREN OAKLAND 1 0 0 1 X X X X X X X X X 15 1 0 0 1 X FULL WEBSITE LISTED IN PART V, SECTION C X 1 15 1 FULL WEBSITE LISTED IN PART V, SECTION C 0 0 1 X 200.000000000000 400.000000000000 1 1 X X X X 1 X HTTP://WWW.MCLAREN.ORG/OAKLAND/FINANCIAL-SERVICES.ASPX X HTTP://WWW.MCLAREN.ORG/OAKLAND/FINANCIAL-SERVICES.ASPX X HTTP://WWW.MCLAREN.ORG/OAKLAND/FINANCIAL-SERVICES.ASPX X X X X X 1 X 0 X X X 1 X 0 0 MCLAREN OAKLAND Part V, Section B, Line 5: A COMMITTEE REPRESENTING VARIOUS DEPARTMENTS (COMMUNITY, FINANCE, CANCER SERVICES AND INFECTION CONTROL) WITHIN MCLAREN OAKLAND MET TO DEVELOP THE 4 PAGE SURVEY TOOL. A TOTAL OF 318 SURVEYS WERE COLLECTED AND ANALYZED. THE METHOD OF DISTRIBUTION INCLUDED: COMMUNITY HEALTH FAIRS, MCLAREN OAKLAND CANCER SCREENING PROGRAMS, MAILINGS TO SENIOR PERKS MEMBERS, REQUESTS FOR VOLUNTARY PARTICIPATION FROM THE MCLAREN OAKLAND WEBSITE, PERSONAL DISTRIBUTION AT CHURCH GROUPS, AND VARIOUS MCLAREN OAKLAND FACILITIES - OXFORD FAMILY PRACTICE, BALDWIN CLINIC, BAYBROOKE CLINIC, CHILDREN'S CLINIC, CARDIOLOGY, SURGICAL WAITING ROOM, ORTONVILLE FAMILY PRACTICE, CLARKSTON ED, OXFORD CONVENIENT CARE AND OUTPATIENT PHYSICAL THERAPY. MCLAREN OAKLAND Part V, Section B, Line 7d: CHNA AND IMPLEMENTATION POLICY CAN BE ACCESSED AT:HTTP://WWW.MCLAREN.ORG/OAKLAND/MCLAREN-COMMUNITY-ASSESSMENT.ASPX MCLAREN OAKLAND Part V, Section B, Line 11: THE COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE IDENTIFIED THE FOLLOWING MAJOR HEALTH NEEDS OF THE COMMUNITY: 1) IMPROVED HEALTHY EATING AND PHYSICAL ACTIVITY FOR CARDIOVASCULAR DISEASE PREVENTION, 2) INCREASED REGULAR SCREENINGS, INCLUDING CANCER SCREENINGS TO PREVENT LATE-STAGE DIAGNOSES, 3) EXPANDED ACCESS TO HEALTH CARE THROUGH CONVENIENT SCHEDULING, BETTER TRANSPORTATION, NAVIGATION SERVICES, AND AFFORDABILITY, AND 4) REDUCED DISPARITIES IN HEALTH OUTCOMES DUE TO HIGH POVERTY LEVELS IN ZIP CODES 48341, 48342, AND 48343. WE WILL CONTINUE INVOLVEMENT WITH "HEALTHY PONTIAC, WE CAN!" TO INCREASE PHYSICAL ACTIVITY AND FRUIT / VEGETABLE CONSUMPTION AMONG PONTIAC RESIDENTS. WE WILL CONTINUE HEALTH SCREENINGS AT VARIOUS HEALTH FAIRS THROUGHOUT NORTH OAKLAND COUNTY. THESE HEALTH SCREENINGS INCLUDE BLOOD PRESSURE, TOTAL CHOLESTEROL NUMBER, TOTAL GLUCOSE NUMBER AND BMI. WE WILL PROMOTE THE MICHIGAN HEALTH AND WELLNESS 4 X 4 WELLNESS PLAN. THE GOAL OF THIS PLAN IS TO REDUCE OBESITY AND OVERWEIGHT ADULTS AND CHILDREN, VIA: MAINTAINING A HEALTHY DIET, ENGAGING IN REGULAR EXERCISE, PARTICIPATING IN AN ANNUAL PHYSICAL EXAMINATION AND AVOIDING ALL TOBACCO USE. THE 4 HEALTHY GOALS OF THE MICHIGAN HEALTH AND WELLNESS 4 X 4 PLAN ARE: BODY MASS INDEX (BMI), BLOOD PRESSURE, CHOLESTEROL LEVEL AND BLOOD SUGAR LEVEL (GLUCOSE). WE WILL ALIGN STROKE CENTER ACCREDITATION COMMUNITY OUTREACH ACTIVITIES WITH INITIATIVES IDENTIFIED BY THE CHNA. WE WILL CONTINUE THE PURSUIT OF THE CHEST PAIN CENTER ACCREDITATION AND ALIGN THE COMMUNITY OUTREACH EFFORTS WITH INITIATIVES TO COINCIDE WITH THE CHNA. WE WILL CONTINUE TO OFFER THE MONTHLY DIABETES EDUCATION AND NUTRITION MANAGEMENT PROGRAMS. WE WILL EXPAND THE STANFORD CHRONIC DISEASE SELF MANAGEMENT PROGRAM TO THOSE SUFFERING FROM DIABETES AND / OR HEART DISEASE, AND EXPLORE THE POSSIBILITY OF OFFERING THE PROGRAM TO THOSE SUFFERING FROM CHRONIC DEPRESSION. WE WILL CREATE A COMMUNITY LIBRARY IN THE MCLAREN OAKLAND HOSPITAL LOBBY WITH BROCHURES ON PROGRAMS AVAILABLE. IN THE FUTURE, WE WILL EXPLORE THE POSSIBILITY OF EXPANDING THIS "LIBRARY" TO INCLUDE A WEB STATION MANNED BY VOLUNTEERS SHOWING RESOURCES AVAILABLE TO THE COMMUNITY. OTHER TOPICS OF LITERATURE PROVIDED INCLUDED: GRIEF MANAGEMENT, BALANCING FAMILY / CAREER, SUICIDE PREVENTION, AND MORE. WE WILL OFFER SCREENING PROGRAMS FOR DEPRESSION. WE WILL EXPLORE THE POSSIBILITY OF EXPANSION OF MENTAL HEALTH SERVICES TO INCLUDE OUTPATIENT PSYCHIATRIC PROGRAMS. ARTHRITIS WAS NOT ADDRESSED SINCE IT WAS DECIDED THAT ENCOURAGING INCREASED PHYSICAL ACTIVITY AND APPROPRIATE WEIGHT MANAGEMENT WOULD HAVE POSITIVE IMPACTS ON THE NEGATIVE EFFECTS OF ARTHRITIS.THE CHNA AND IMPLEMENTATION STRATEGY WERE COMPLETED AND APPROVED IN FISCAL YEAR 2016. DUE TO A SOFTWARE LIMITATION, A DATE OF 2015 HAS BEEN USED AS THE CHNA COMPLETION DATE AND DATE THE IMPLEMENTATION STRATEGY WAS LAST ADOPTED. MCLAREN OAKLAND Part V, Section B, Line 22d: THE MAXIMUM PATIENT RESPONSIBILITY WILL BE THE MHC "AMOUNT GENERALLY BILLED," WHICH IS AN AVERAGE CONTRACTUALLY ALLOWED AMOUNT THAT MEDICARE, COMMERCIAL, AND MANAGED CARE PATIENTS RECEIVE THROUGH THEIR INSURANCE. PART V, LINE 10A HTTP://WWW.MCLAREN.ORG/UPLOADS/PUBLIC/DOCUMENTS/OAKLAND/DOCUMENTS/OAKLANDNEWS/CHNAREPORT-FINAL.PDF 4 1 - LAKE ORION NURSING CENTER 585 E FLINT ST LAKE ORION MI 48326 NURSING CENTER 2 - CLARKSTON HEALTH CENTER 5625 WATER TOWER PLACE SUITE 220 CLARKSTON MI 48346 ER - 24 HOURS 3 - MCLAREN CLARKSTON EMERGENCY CENTER 5701 BOW POINT DRIVE SUITE 120 CLARKSTON MI 48346 ER - 24 HOURS 4 - MCLAREN OAKLAND OXFORD CONVENIENT CARE 385 NORTH LAPEER ROAD OXFORD MI 48371 URGENT CARE Part I, Line 3c: INCOME CRITERIA IS BASED ON A 200% FEDERAL POVERTY GUIDELINES PER THE FEDERAL REGISTER. COLLECTIONS MAY BE CONSIDERED IF THE PATIENT HAS SUFFICIENT LIQUID ASSETS. Part I, Line 6a: OUR PARENT, MCLAREN HEALTH CARE CORPORATION, PREPARES AN ANNUAL REPORT OF ITS MEMBER HOSPITALS. THIS ANNUAL REPORT IS AVAILABLE ON OUR WEBSITE. Part I, Line 7: COST TO CHARGE RATIO BASED ON WORKSHEET 2 OF THE INSTRUCTIONS Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 13,159,079. Part II, Community Building Activities: COMMUNITY-BUILDING ACTIVITIES ARE DESIGNED AND IMPLEMENTED BASED ON THE COMMUNITY NEEDS ASSESSMENTS AND INPUT FROM THE 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 DESCRIBED ABOVE. Part III, Line 4: ACCOUNTS RECEIVABLE FROM 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 INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE CORPORATION RECORDS 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 STANDARD RATES (OR THE DISCOUNTED RATES, IF NEGOTIATED) 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. WE USED OUR BAD DEBT EXPENSE PER OUR FINANCIAL STATEMENTS. LINE 3 WAS ESTIMATED BASED ON SAMPLES OF ACCOUNTS. Part III, Line 9b: OUR PROCESS INCLUDES SELF AND PRIVATE PAY PATIENT ACTIVITY IS SENT TO A VENDOR FOR ASSISTANCE. SELF PAY PATIENTS REQUESTING FINANCIAL ASSISTANCE AT REGISTRATION ARE GIVEN A FINANCIAL ASSISTANCE APPLICATION WHICH IS EVALUATED TO DETERMINE IF CHARITY CARE IS APPLICABLE AND AN ATTEMPT IS ALSO MADE TO ASSESS PATIENTS FOR MEDICAID ELIGIBILITY. 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(S). FINANCIAL AID APPLICATION FORMS ARE AVAILABLE AT ALL INPATIENT AND OUTPATIENT POINTS-OF-SERVICE, INCLUDING PROVIDING ASSISTANCE IN COMPLETING THE APPLICATION. ORGANIZATION AND ITS SUBSIDIARIES/AFFILIATES ALSO PROVIDE SPECIALLY-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 OAKLAND IS COMPOSED OF 29 ZIP CODES AND IS CENTER PRINCIPALLY ON THE CITY OF PONTIAC, MI IN THE COUNTY OF OAKLAND. THE PRIMARY SERVICE AREA, ACCOUNTING FOR 82% OF ANNUAL INPATIENT DISCHARGES, IS COMPOSED OF 13 ZIP CODES AND CAN BE CHARACTERIZED AS LARGELY URBAN IN NATURE. THE SECONDARY SERVICE AREA, ACCOUNTING FOR 18% OF ANNUAL INPATIENT DISCHARGES, IS COMPOSED OF 16 ZIP CODES AND CAN BE CHARACTERIZED AS LARGELY URBAN IN NATURE. AGE DISTRIBUTION0 - 14 21.2%15 - 17 4.4%18 - 24 8.4%25 - 34 12.3%35 - 54 31.1%55 - 64 11.7%65+ 10.8%EDUCATION LEVELLESS THAN HIGH SCHOOL 3.2%SOME HIGH SCHOOL 8.5%HIGH SCHOOL DEGREE 27.8%SOME COLLEGE/ASSOC. DEGREE 32.5%BACHELOR'S DEGREE OR GREATER 28.0%HOUSEHOLD INCOME DISTRIBUTION<$15K 9.1%$15 - 25K 8.5%$25 - 50K 20.2%$50 - 75K 17.3%$75 - 100K 13.1%OVER $100K 31.7%RACE/ETHNICITYWHITE NON-HISPANIC 74%BLACK NON-HISPANIC 13.7%HISPANIC 3.6%ASIAN & PACIFIC IS. NON-HISPANIC 6%ALL OTHERS 2.7% 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 MARK O'HALLA MEMBER 0 820096 0 414750 0 400123 0 13250 0 16837 0 1665056 0 0 CHAD GRANT CEO 0 321923 0 0 0 89188 0 92051 0 16248 0 519410 0 0 FRED KORTE VP AND CFO - PART YEAR 195331 29114 22594 0 2143 0 19344 1456 11593 1150 251005 31720 0 0 STEVEN B CALKIN DO VP AND CHIEF MEDICAL OFFICER 296896 0 30163 0 2411 0 42000 0 12668 0 384138 0 0 0 PAUL T PORTER MD PHYSICIAN 643586 0 0 0 1340 0 24000 0 15674 0 684600 0 0 0 MOHAMMAD MUHSIN CHISTI MD PHYSICIAN 300000 0 194891 0 280 0 18000 0 15674 0 528845 0 0 0 SERAPHIM PALLAS MD PHYSICIAN 340000 0 106784 0 717 0 24000 0 15674 0 487175 0 0 0 HASSAN ALMAAT MD PHYSICIAN 300000 0 103043 0 717 0 42000 0 15674 0 461434 0 0 0 SALMAN FATEH DO PHYSICIAN 261538 0 118856 0 280 0 18000 0 15674 0 414348 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 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. 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 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 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 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 DOCUMENTS ARE AVAILABLE UPON REQUEST. Form 990, Part IX, line 11g OUTSIDE PURCHASED SERVICES: Program service expenses 23,290,704. Management and general expenses 702,773. Fundraising expenses 0. Total expenses 23,993,477. Form 990, Part XI, line 9: Pension Adjustment -5,142,680. TRANSFER TO CORPORATE/MMG -819,754. MOVE TEMP RESTRICTED ASSETS TO FOUNDATION 990 -1,676,000. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED IN THE LAST YEAR. 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382683251 NURSING HOME MI 501(c)(3) Line 9 MCLAREN PORT HURON 1 MCLAREN HEALTH CARE CORPORATION G-3235 Beecher Road Suite B FLINT MI 48532 382397643 SUPPORTING ORG MI 501(c)(3) Line 11a, I N/A 0 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 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 11a, 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 HEALTH CARE CORPORATION 1 MCLAREN MEDICAL GROUP 401 S BALLENGER HWY FLINT MI 48532 382988086 MANAGEMENT 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382491659 Occupational Health Clinic and Outpatient Pharmacies MI N/A C 0 0 1 1 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 MCLAREN HEALTH CARE CORPORATION K 906064 Allocation of actual cost MCLAREN HEALTH CARE CORPORATION M 11312087 Allocation of actual cost MCLAREN HEALTH CARE CORPORATION P 11305147 Allocation of actual cost MCLAREN HEALTH CARE CORPORATION C 5000000 Cash KARMANOS CANCER INSTITUTE P 259740 Allocation of actual cost KARMANOS CANCER INSTITUTE S 96252 Other MCLAREN LAPEER REGION K 164215 Allocation of actual cost MCLAREN LAPEER REGION Q 93714 Allocation of actual cost MCLAREN MEDICAL GROUP J 58092 Allocation of actual cost MCLAREN MEDICAL GROUP M 94075 Allocation of actual cost MCLAREN MEDICAL GROUP P 3101195 Allocation of actual cost MCLAREN MEDICAL GROUP R 2148085 Allocation of actual cost MCLAREN MEDICAL GROUP S 1901453 Allocation of actual cost MCLAREN FLINT H 104134 Fair market value MCLAREN FLINT O 220070 Cost of compensation MCLAREN FLINT P 54831 Allocation of actual cost MCLAREN MACOMB K 305672 Allocation of actual cost MCLAREN MACOMB O 1075315 Cost of compensation MCLAREN MACOMB P 1304986 Allocation of actual cost MCLAREN MACOMB Q 80615 Allocation of actual cost VISITING NURSE SERVICE OF MICHIGAN Q 1106630 Allocation of actual cost VISITING NURSE SERVICE OF MICHIGAN R 1960322 Allocation of actual cost MCLAREN OAKLAND FOUNDATION O 311709 ACTUAL EXPENSE REIMBURSEMENT MCLAREN OAKLAND FOUNDATION R 1676000 Allocation of actual cost