2017-08-11T14:31:24-05:00 2016-09-30 381357951 PLANTE & MORAN PLLC 750 Trade Centre Way Ste 300 Portage MI 49002 990 2015-10-01 381976271 MCLAREN BAY REGION MCLA 9898943000 1900 COLUMBUS AVENUE BAY CITY MI 48708 DAMON SORENSEN CFO 9898943000 2017-08-10 1 David Lowenthal P00378651 2695674500 2017-08-10 2015 2021-01-29 14:40:06Z CLARENCE SEVILLIAN 1900 COLUMBUS AVENUE BAY CITY MI 48708 314160067 0 X www.bayregional.org X 1972 MI TO PROVIDE GENERAL ACUTE CARE PATIENT SERVICES TO THE COMMUNITY WE SERVE AND TO BE MICHIGAN'S BEST VALUE IN HEALTHCARE AS DEFINED BY QUALITY OUTCOMES AND COST. 17 14 2290 165 0 0 717267 1081499 288355257 307591339 2026407 4054700 7625901 869994 298724832 313597532 28341 63597 0 0 145916069 146812273 0 0 0 140516031 151813299 286460441 298689169 12264391 14908363 342084643 370410054 125317895 134385404 216766748 236024650 MCLAREN HEALTH CARE, THROUGH ITS SUBSIDIARIES, WILL BE THE BEST VALUE IN HEALTHCARE AS DEFINED BY QUALITY OUTCOMES AND COST. 0 0 250545783 63597 307163190 MCLAREN BAY REGION TREATED 14,979 IN-PATIENTS & 312,755 OUT-PATIENTS FOR THE 2015/2016 FISCAL YEAR AND PROVIDED DISEASE DETECTION, PREVENTION AND COMMUNITY EDUCATIONAL SERVICES. THESE SERVICES WERE PROVIDED WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY FOR THE SERVICES. MCLAREN BAY REGION PROVIDED CHARITY CARE TO THOSE PATIENTS IN OUR COMMUNITY WHO DID NOT HAVE THE ABILITY TO PAY IN THE AMOUNT OF $1,087,691 FOR THE 2015/2016 FISCAL YEAR.CARDIOLOGY, BEING A SIGNIFICANT PRODUCT LINE, PERFORMED 445 OPEN HEART SURGERIES, 1,531 HEART ARTERY STENTS AND 4,987 CARDIAC CATHERIZATIONS IN FISCAL YEAR 2016. 250545783 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 107 0 1 2290 1 0 0 0 0 0 0 0 0 0 0 X 17 14 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 1 0 X DAMON SORENSON 9898943000 1900 COLUMBUS AVENUE BAY CITY MI 48708 GARY BOSCO CHAIRPERSON 10.00 0.00 X X 0 0 0 MARK M JAFFE VICE CHAIRMAN 3.00 0.00 X X 0 0 0 CLARENCE SEVILLIAN PRESIDENT / CEO 40.00 7.30 X X 0 562479 160575 DAVID MIKOLAJCAK SECRETARY 3.00 0.00 X X 0 0 0 JONATHAN ABRAMSON MD CHIEF OF STAFF 3.00 40.00 X 0 478175 15009 SCOTT VANDENBELT MD VICE CHIEF OF STAFF 3.00 0.00 X 0 0 0 TERRANCE CHERWIN DO DIRECTOR 3.00 0.00 X 0 0 0 KATHLEEN A CZERWINSKI DIRECTOR 3.00 0.00 X 0 0 0 EILEEN CURTIS DIRECTOR 3.00 3.00 X 0 0 0 WILLIAM R BOWEN DIRECTOR 3.00 0.00 X 0 0 0 DOUGLAS J SAYLOR MD DIRECTOR 3.00 0.00 X 0 0 0 MARK O'HALLA DIRECTOR 3.00 46.09 X 0 1634969 30087 DOMINIC MONASTIERE DIRECTOR 3.00 1.00 X 0 0 0 DEBRA K LUTZ DIRECTOR 3.00 0.00 X 0 0 0 AMY L RODRIGUEZ DIRECTOR 3.00 0.00 X 0 0 0 MITZI M DIMITROFF DIRECTOR 3.00 0.00 X 0 0 0 RAJESH DANDAMUDI MD DIRECTOR 3.00 0.00 X 0 0 0 CAROLYN POTTER VP HUMAN RESOURCES 40.00 0.00 X 168186 0 21399 DAMON SORENSEN VP & CFO 40.00 6.00 X 161297 172796 24976 ELLEN E TALBOTT VP PATIENT CARE SERVICES 20.00 20.00 X 273793 12510 30199 JAY SUMMER MD VP MEDICAL AFFAIRS-PART YEAR 40.00 0.00 X 316901 0 26799 JASON WHITE MD CHIEF MEDICAL OFFICER AS OF 4/16 20.00 25.00 X 0 0 0 MAGEN SAMYN VP MARKETING/PUBLIC RELATIONS 40.00 0.00 X 122635 0 18148 RAMESH CHERUKURI MD CARDIAC SURGEON 40.00 0.00 X 2465002 0 19226 ABRAHAM KREPOSTMAN MD CARDIOLOGIST 40.00 0.00 X 819625 0 24401 SUDEEP MOHAN MD CARDIOLOGIST 40.00 0.00 X 1094091 0 27176 RAMY M KURDI DO ORTHOPEDIC SURGEON 40.00 0.00 X 989506 0 27176 DANIEL T LEE MD CARDIOLOGIST 40.00 0.00 X 1237506 0 27176 ALICE GERARD FORMER CEO 0.00 0.00 X 0 369524 11984 7648542 3230453 464331 122 1 1 0 MICHIGAN ANESTHESIA CARE ONE PC 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 ANESTHESIA SERVICES 1331146 CLIENT FINANCIAL SERVICES PO BOX 350 FENTON MI 484300350 COLLECTION SERVICES 545396 TOTAL RENAL CARE PO BOX 781607 PHILADELPHIA PA 191781607 DIALYSIS SERVICES 413729 EAST CENTRAL RADIATION ONCOLOGY ASSOC 2101 RAMBLE LANE MIDLAND MI 48640 RADIATION ONCOLOGY SERVICES 274790 BIOTRONIC GREAT LAKES LLC 812 AVIS DRIVE ANN ARBOR MI 48108 INTEROPERTIVE NEURO MONITORING 260858 13 583575 126600 371324 1081499 PATIENT SERVICES 622110 288186836 288186836 MEDICAID QAAP TAX PAYMENTS 622110 13540474 13540474 OTHER PROGRAM SERVICE REVENUE 900099 4337946 4337946 RELATED-PARTY RENT 531390 1526083 1526083 307591339 4033340 4033340 583895 562535 21360 21360 21360 CAFETERIA 722210 1298143 1298143 INCOME FROM JOINT VENTURES 900099 -428149 -428149 869994 313597532 307163190 0 5352843 63597 63597 1441436 1441436 121270548 121194649 75899 3345103 2433683 911420 13069534 9401028 3668506 7685652 5502927 2182725 2955237 2955237 187791 187791 98700 98700 22471643 16089696 6381947 596099 426807 169292 2134939 1528616 606323 5605002 4013181 1591821 175895 125941 49954 331760 237540 94220 1834862 1313761 521101 11323272 8107463 3215809 604161 432579 171582 MEDICAL SUPPLIES & DRUG 66049961 47291772 18758189 BAD DEBT EXPENSE 12004365 12004365 OTHER PURCHASED SERVICE 8078418 5784147 2294271 LAUNDRY 1317884 943605 374279 16043310 13650426 2392884 298689169 250545783 48143386 0 11777136 13911843 22299318 22289655 2426402 2518437 6769652 8049359 1132157 809557 235088549 138544672 98410455 96543877 183562197 206189964 4852268 5551519 10855058 14545843 342084643 370410054 30100254 36546809 95217641 97838595 125317895 134385404 X 216257932 235514659 37254 38429 471562 471562 216766748 236024650 342084643 370410054 X 14908363 13797499 -9447960 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 8968 8968 0 Part II-B, Line 1: A PORTION OF DUES PAID TO MICHIGAN HEALTH AND HOSPITAL ASSOCIATION SUPPORT LOBBYING ACTIVITIES. 471562 471562 471562 471562 471562 471562 471562 471562 471562 471562 0.00000 1.00000 0.00000 0 0 10371957 10371957 115731852 52742870 62988982 1413290 3861799 -2448509 106726919 81940003 24786916 844531 844531 96543877 PROFESSIONAL LIABILITY RESERVE 4516577 ACCRUED PENSION 26330652 COST REPORT SETTLEMENT PAYABLE 7290928 POST RETIREMENT BENEFIT COST 6300100 OTHER LONG-TERM LIABILITIES 3600593 INTERCOMPANY PAYABLE 49799745 97838595 Part V, Line 4: THE INTENDED USE OF THE FUNDS IS AS DETERMINED BY THE DONOR. 1 1 X 1 X 1 X 1 1 0 1 1 317722 0 317722 0.00110 42086177 38312801 3773376 0.01320 42403899 38312801 4091098 0.01430 131437 131437 0.00050 1384247 530592 853655 0.00300 291531 291531 0.00100 181019 181019 0.00060 1988234 530592 1457642 0.00510 44392133 38843393 5548740 0.01940 22822 22822 0.00010 16402 16402 0.00010 29888 3795 26093 0.00010 9924 9924 0.00000 25778 2290 23488 0.00010 104814 6085 98729 0.00040 0 12004365 1200436 111057632 107120352 3937280 X 1 1 1 1 BAY REGIONAL MEDICAL CENTER 1900 COLUMBUS AVE BAY CITY MI 48708 WWW.MCLAREN.ORG/BAYREGION 1060000023 X X X X REHAB, PSYCH SERVICES AND DIAGNOSTIC CENTER MCLAREN BAY REGION 1 0 0 1 X X X X X X X X 15 1 1 0 1 X FULL WEBSITE LISTED IN PART V SECTION C X X 1 15 1 SEE PART V, SECTION B, LINE 7D DISCLOSURE 0 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X 1 X HTTP://WWW.MCLAREN.ORG/BAYREGION/FINANCIAL-SERVICES.ASPX X HTTP://WWW.MCLAREN.ORG/BAYREGION/FINANCIAL-SERVICES.ASPX X HTTP://WWW.MCLAREN.ORG/BAYREGION/FINANCIAL-SERVICES.ASPX X X X X X 1 X 0 X X X 1 X 0 0 MCLAREN BAY REGION Part V, Section B, Line 5: MCLAREN BAY REGION WAS IN CONSULTATION WITH: BAY HEALTH PLAN - A GROUP THAT SERVES THE NEEDS OF THE INDIGENT POPULATION IN BAY CITY; BAY AREA BEHAVIORAL HEALTH - A MENTAL HEALTH OUTPATIENT ORGANIZATION; BAY SPECIAL CARE HOSPITAL - A LONG TERM ACUTE CARE FACILITY; AND BAY COUNTY HEALTH DEPARTMENT. MANY MEETINGS AND FOCUS GROUPS WERE FORMED TO DISCUSS THE ISSUES AND WORK ON PREPARATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE HEALTH IMPROVEMENT PLANS AND THE CHNA IMPLEMENTATION AND TIME LINE PLANNING. MCLAREN BAY REGION Part V, Section B, Line 6a: MCLAREN BAY SPECIAL CARE MCLAREN BAY REGION Part V, Section B, Line 7d: PLEASE FIND A COPY OF THE CHNA AND IMPLEMENTATION PLAN AT:HTTP://WWW.MCLAREN.ORG/BAYREGION/HEALTH-COMMUNITY-NEEDS.ASPX MCLAREN BAY REGION Part V, Section B, Line 11: PLEASE SEE THE CHNA AND IMPLEMENTATION POLICY FOR THE NEEDS THAT WERE IDENTIFIED AT: HTTP://WWW.MCLAREN.ORG/BAYREGION/HEALTH-COMMUNITY-NEEDS.ASPXTHE ORGANIZATION HAS FOCUSED ITS EFFORTS ON THOSE NEEDS THAT IT CAN IMPACT THE MOST. THE OTHER NEEDS IDENTIFIED WILL BE ADDRESSED BY OTHER COMMUNITY SERVICE PROVIDERS. 2 1 - JEPPESEN RADIATION ONCOLOGY CENTER 3180 E MIDLAND RD BAY CITY MI 48706 ONCOLOGY JOINT VENTURE 2 - HURON VASCULAR SERVICES 1100 S VAN DYKE RD STE 700 BAD AXE MI 48413 CARDIOVASCULAR JOINT VENTURE Part I, Line 3c: INCOME CRITERIA IS BASED UPON 200% OF THE 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: A COST-TO-CHARGE RATIO WAS USED TO COMPLETE THE CHARITY CARE (LINE 7A) AND MEANS-TESTED GOVERNMENT PROGRAMS (LINE 7B). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 THAT ACCOMPANIES THE INSTRUCTIONS TO THIS SCHEDULE. ACTUAL COSTS FROM THE PROVIDERS RECORDS WERE USED FOR LINES 7E THROUGH 7I. Part I, Ln 7 Col(f): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE SCHEDULE H, PART I, COLUMN F PERCENTAGE EQUALS $12,004,365. 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 4: ACCOUNTS RECEIVABLE FINANCIAL STATEMENT FOOTNOTE (FROM CONSOLIDATED STATEMENTS):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 COLLECTIBILITY 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. Part III, Line 8: THE MEDICARE SURPLUS (SHORTFALL), FROM THE MEDICARE COST REPORT, WAS CALCULATED BY UTILIZING COST ACCOUNTING ACCOUNTING WHEN APPROPRIATE AND AVAILABLE. IN SOME AREAS A COST TO CHARGE METHODOLOGY WAS REQUIRED. SHORTFALLS ARE CONSIDERED TO BE COMMUNITY BENEFIT. Part III, Line 9b: A FORMAL WRITTEN DEBT COLLECTION POLICY IS IN PLACE. THE COLLECTION POLICY WILL ASSESS A PATIENT'S ABILITY TO PAY FOR SERVICES INCLUDING METHODS OF PAYMENTS, ENTITLEMENT PROGRAMS, CHARITY CARE POLICIES, DISCOUNT POLICIES, INQUIRIES OF CREDIT REPORT AND OTHER AVAILABLE INFORMATION RELATIVE TO THE PATIENT'S FINANCIAL SITUATION. THE COLLECTION PROCESS BEGINS AT THE POINT OF SERVICE AND IS COMPLETED WHEN THE BALANCE IS RECONCILED AND MAY INCLUDE USE OF EXTERNAL COLLECTION AGENCIES AND OR ATTORNEY'S. 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 AND APPLICATION FORMS ARE AVAILABLE AT ALL INPATIENT AND OUTPATIENT POINTS-OF-SERVICE, INCLUDING PROVIDING ASSISTANCE IN COMPLETING THE APPLICATION. THE 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 BAY REGION IS COMPOSED OF 76 ZIP CODES AND IS CENTERED PRINCIPALLY ON THE CITY OF BAY CITY, MICHIGAN IN THE COUNTY OF BAY. THE PRIMARY SERVICE AREA, ACCOUNTING FOR 75% OF ANNUAL INPATIENT DISCHARGES, IS COMPOSED OF 8 ZIP CODES AND CAN BE CHARACTERIZED AS LARGELY URBAN IN NATURE. THE SECONDARY SERVICE AREA, ACCOUNTING FOR 25% OF ANNUAL INPATIENT DISCHARGES, IS COMPOSED OF 68 ZIP CODES AND CAN BE CHARACTERIZED AS LARGELY RURAL IN NATURE. PRIMARY SERVICE AREA DEMOGRAPHIC DISTRIBUTIONS:AGE DISTRIBUTION0 - 14 17.6%15 - 17 4.0%18 - 24 8.7%25 - 34 12.4%35 - 54 27.5%55 - 64 13.5%65+ 16.3%EDUCATION LEVELLESS THAN HIGH SCHOOL 3.3%SOME HIGH SCHOOL 8.8%HIGH SCHOOL DEGREE 35.2%SOME COLLEGE/ASSOC. DEGREE 33.2 %BACHELOR'S DEGREE OR GREATER 19.5%HOUSEHOLD INCOME DISTRIBUTION<$15K 14.3%$15 - 25K 12.9%$25 - 50K 29.5%$50 - 75K 19.1%$75 - 100K 11.2%OVER $100K 13.0%RACE/ETHNICITYWHITE NON-HISPANIC 91.7%BLACK NON-HISPANIC 1.5%HISPANIC 4.1%ASIAN & PACIFIC IS. NON-HISPANIC 0.5%ALL OTHERS 2.1% 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. THE 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). THE 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 PROGRAM 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 1 BAY COUNTY HEALTH DEPARTMENT 1200 WASHINGTON AVENUE BAY CITY MI 48708 386004837 N/A 25000 COMMUNITY HEALTH NEEDS ASSESSMENT BAY FUTURES 721 WASHINGTON AVE SUITE 309 BAY CITY MI 48708 300274225 501(C)(3) 5000 COMMUNITY ECONOMIC DEVELOPMENT GREAT LAKES BAY REGIONAL ALLIANCE 300 RODD ST STE 101 MIDLAND MI 48708 264192780 501(C)(6) 5000 REGIONAL ECONOMIC DEVELOPMENT TALL SHIP CELEBRATION 107 5TH STREET BAY CITY MI 48708 352184140 501(C)(3) 17000 COMMUNITY BUSINESS & EDUCATION DOW BAY CITY FAMILY YMCA 225 WASHINGTON AVENUE BAY CITY MI 48708 381358415 501(C)(3) 5000 COMMUNITY ECONOMIC DEVELOPMENT 4 1 Part I, Line 2: CLIENT REVIEWS TAX-EXEMPT STATUS AND MONITORS OVERALL STANDING OF ORGANIZATION IN DETERMINING GRANTS. 0 1 0 0 0 0 0 0 0 CLARENCE SEVILLIAN PRESIDENT / CEO 0 407214 0 112500 0 42765 0 156729 0 3846 0 723054 0 0 JONATHAN ABRAMSON MD CHIEF OF STAFF 0 403218 0 74957 0 0 0 0 0 15009 0 493184 0 0 MARK O'HALLA DIRECTOR 0 820096 0 414750 0 400123 0 13250 0 16837 0 1665056 0 0 CAROLYN POTTER VP HUMAN RESOURCES 153787 0 11793 0 2606 0 7473 0 13926 0 189585 0 0 0 DAMON SORENSEN VP & CFO 158654 119378 0 52346 2643 1072 6644 6765 6213 5354 174154 184915 0 0 ELLEN E TALBOTT VP PATIENT CARE SERVICES 240927 12510 24566 0 8300 0 12620 0 14451 3128 300864 15638 0 0 JAY SUMMER MD VP MEDICAL AFFAIRS-PART YEAR 270155 0 27138 0 19608 0 13021 0 13778 0 343700 0 0 0 RAMESH CHERUKURI MD CARDIAC SURGEON 1561847 0 767580 0 135575 0 5300 0 13926 0 2484228 0 0 0 ABRAHAM KREPOSTMAN MD CARDIOLOGIST 545206 0 0 0 274419 0 10475 0 13926 0 844026 0 0 0 SUDEEP MOHAN MD CARDIOLOGIST 726926 0 0 0 367165 0 13250 0 13926 0 1121267 0 0 0 RAMY M KURDI DO ORTHOPEDIC SURGEON 960577 0 0 0 28929 0 13250 0 13926 0 1016682 0 0 0 DANIEL T LEE MD CARDIOLOGIST 1197309 0 0 0 40197 0 13250 0 13926 0 1264682 0 0 0 ALICE GERARD FORMER CEO 0 53656 0 158106 0 157762 0 10588 0 1396 0 381508 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 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 2 DAVID MIKOLAJCZAK HAS A BUSINESS RELATIONSHIP WITH DEBRA LUTZ AND DOMINIC MONASTIERE 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 THE CORPORATION'S BOARD OF DIRECTORS WILL HAVE FULL AUTHORITY TO GOVERN THE AFFAIRS OF THE CORPORATION EXCEPT FOR POWERS WHICH ARE RESERVED TO MHCC AS THE SOLE MEMBER OF THE CORPORATION BY MICHIGAN LAW AND THE FOLLOWING ACTIONS, THE APPROVAL OF WHICH IS RESERVED TO MHCC AND WHICH WILL NOT BECOME EFFECTIVE WITHOUT THE ADVANCE APPROVAL OF MHCC: A) ANY AMENDMENT, MODIFICATION OR REPEAL OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; B) ANY MERGER, CONSOLIDATION OR AFFILIATION OF THE CORPORATION WITH ANOTHER ENTITY; C) ANY VOLUNTARY DISSOLUTION OF THE CORPORATION; D) NEW OR ADDITIONAL MEMBERS TO THE MEMBERSHIP OF THE CORPORATION; E) ANY CHANGES IN THE VOTING POWERS OF MHCC AS THE SOLE MEMBER OF THE CORPORATION F) ANY SALES, LEASE OR OTHER TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; G) THE DISCONTINUANCE OR MATERIAL MODIFICATION OF A MAJOR ACTIVITY, PROGRAM OR SERVICE OF THE CORPORATION; H) THE STRATEGIC AND LONG-RANGE PLANS AND THE ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS OF THE CORPORATION, WHICH APPROVAL WILL NOT BE UNREASONABLY DENIED BY MHCC; I) THE CREATION OF ANY LONG-TERM OBLIGATION OF THE CORPORATION, THE PRINCIPAL AMOUNT OF WHICH EXCEEDS 25% OF THE VALUE OF THE NET ASSETS OF THE CORPORATION; PROVIDED, HOWEVER, APPROVAL OF MHCC AS THE SOLE MEMBER OF THE CORPORATION WILL NOT BE REQUIRED FOR ANY SUCH OBLIGATION INCURRED IN THE ORDINARY COURSE OF BUSINESS THAT IS PAYABLE ON DEMAND OR MATURES WITHIN 12 MONTHS FROM THE DATE OF ITS CREATION; J) THE ISSUANCE OF BONDS OR OTHER EVIDENCE OF INDEBTEDNESS; K) SELL, CONVEY, ASSIGN, TRANSFER, ALIENATE, PLEDGE OR ENCUMBER REAL PROPERTY IN EXCESS OF $250,000; L) PURCHASE OR ACQUIRE ADDITIONAL REAL PROPERTY IN EXCESS OF $250,000; AND M) THE APPROVAL OF UNBUDGETED 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 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 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. Form 990, Part XI, line 9: MINIMUM PENSION LIABILITY ADJUSTMENT -9,447,960. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MCLAREN BAY MEDICAL FOUNDATION 1900 COLUMBUS AVE BAY CITY MI 48708 382156534 FOUNDATION MI 501(c)(3) Line 11a, I MCLAREN BAY REGION 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 1 MCLAREN BAY SPECIAL CARE 1900 COLUMBUS AVE BAY CITY MI 48708 383161753 HOSPITAL MI 501(c)(3) Line 3 MCLAREN BAY REGION 1 MCLAREN CENTRAL MICHIGAN 1221 SOUTH DRIVE MT PLEASANT MI 48858 381420304 HOSPITAL MI 501(c)(3) Line 3 MCLAREN HEALTH CARE CORPORATION 1 CHARLEVOIX NURSING HOME CORPORATION DBA BOULDER PARK TERRACE 14676 WEST UPRIGHT CHARLEVOIX MI 49720 383038683 SKILLED NURSING FACILITY MI 501(c)(3) Line 9 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 11a, I MCLAREN LAPEER REGION 1 MARWOOD MANOR NURSING HOME PO BOX 5011 PORT HURON MI 48060 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 COMPANY MI 501(c)(3) Line 11a, 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 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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 9 MCLAREN HEALTH CARE CORPORATION 1 VITALCARE INC 761 LAFAYETTE AVENUE CHEBOYGAN MI 49721 382527255 HOSPICE CARE/HOME HEALTH SERVICES MI 501(c)(3) Line 9 MCLAREN NORTHERN MICHIGAN 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 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 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CORPORATION M 17287389 Allocation of actual cost MCLAREN HEALTH CARE CORPORATION P 20599356 Allocation of actual cost MCLAREN HEALTH CARE CORPORATION S 392933 Allocation of actual cost MCLAREN HEALTH CARE CORPORATION R 186744 Allocation of actual cost MICHIGAN MOBILE PET LLC N 364500 Allocation of actual cost MCLAREN BAY MEDICAL FOUNDATION C 549075 Cash MCLAREN FLINT P 98157 Allocation of actual cost MCLAREN GREATER LANSING O 53811 Cost of compensation MCLAREN GREATER LANSING Q 1823 Allocation of actual cost KARMANOS CANCER INSTITUTE P 387506 Allocation of actual cost VISITING NURSE SERVICE OF MICHIGAN J 232789 Allocation of actual cost VISITING NURSE SERVICE OF MICHIGAN K 80720 Allocation of actual cost VISITING NURSE SERVICE OF MICHIGAN O 166288 Cost of compensation VISITING NURSE SERVICE OF MICHIGAN P 3606203 Allocation of actual cost VISITING NURSE SERVICE OF MICHIGAN Q 4288550 Allocation of actual cost MCLAREN BAY MEDICAL FOUNDATION P 332480 Allocation of actual cost MCLAREN BAY SPECIAL CARE J 440104 Allocation of actual cost MCLAREN BAY SPECIAL CARE O 90820 Cost of compensation MCLAREN BAY SPECIAL CARE P 739359 Allocation of actual cost MCLAREN BAY SPECIAL CARE Q 2572880 Allocation of actual cost MCLAREN BAY SPECIAL CARE R 139748 Allocation of actual cost MCLAREN CENTRAL MICHIGAN H 131511 Allocation of actual cost MCLAREN CENTRAL MICHIGAN O 798014 Cost of compensation MCLAREN MEDICAL GROUP O 2154839 Cost of compensation MCLAREN MEDICAL GROUP P 2294731 Allocation of actual cost MCLAREN MEDICAL GROUP R 4889905 Allocation of actual cost MCLAREN MEDICAL GROUP S 2502041 Allocation of actual cost