MCLAREN BAY REGION: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- MCLAREN BAY REGION (EIN 38-1976271)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-08-15
- IRS object ID
- 201632289349305563
- Schema version
- 2014v6.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-08-15T10:35:40-05:00 | ReturnTs |
| Tax Period End | 2015-09-30 | 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 | 2014-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381976271 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAY REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BAYR | BusinessNameControlTxt |
| Phone | 9898943000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 COLUMBUS AVENUE | AddressLine1Txt |
| City | BAY CITY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48708 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAMON SORENSEN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9898943000 | PhoneNum |
| Signature | 2016-08-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID LOWENTHAL | PreparerPersonNm |
| PTIN | P00378651 | PTIN |
| Phone | 2695674500 | PhoneNum |
| Preparation | 2016-08-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCLAREN BAY REGION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CLARENCE SEVILLIAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 COLUMBUS AVENUE | AddressLine1Txt |
| City | BAY CITY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48708 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $301,345,879 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BAYREGIONAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 2252 | TotalEmployeeCnt |
| Total Volunteers | 160 | TotalVolunteersCnt |
| Total Gross UBI | $153,393 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,213,676 | PYContributionsGrantsAmt |
| CY Contributions Grants | $717,267 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $280,362,406 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $288,355,257 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,818,036 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,026,407 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,382,949 | PYOtherRevenueAmt |
| CY Other Revenue | $7,625,901 | CYOtherRevenueAmt |
| PY Total Revenue | $293,777,067 | PYTotalRevenueAmt |
| CY Total Revenue | $298,724,832 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,556,052 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $28,341 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $147,965,144 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $145,916,069 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $132,911,251 | PYOtherExpensesAmt |
| CY Other Expenses | $140,516,031 | CYOtherExpensesAmt |
| PY Total Expenses | $284,432,447 | PYTotalExpensesAmt |
| CY Total Expenses | $286,460,441 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,344,620 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $12,264,391 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $368,078,718 | TotalAssetsBOYAmt |
| Total Assets EOY | $342,084,643 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $130,180,712 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $125,317,895 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $237,898,006 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $216,766,748 | NetAssetsOrFundBalancesEOYAmt |
| Mission | MCLAREN HEALTH CARE, THROUGH ITS SUBSIDIARIES, WILL BE THE BEST VALUE IN HEALTHCARE AS DEFINED BY QUALITY OUTCOMES AND COST. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $203,973,323 | ExpenseAmt |
| Grant | $28,341 | GrantAmt |
| Revenue | $293,180,881 | RevenueAmt |
| Desc | BAY REGIONAL MEDICAL CENTER TREATED 15,236 IN-PATIENTS & 304,146 OUT-PATIENTS FOR THE 2014/2015 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. BAY REGIONAL MEDICAL CENTER PROVIDED CHARITY CARE TO THOSE PATIENTS IN OUR COMMUNITY WHO DID NOT HAVE THE ABILITY TO PAY IN THE AMOUNT OF $2,712,628 FOR THE 2014/2015 FISCAL YEAR.CARDIOLOGY, BEING A SIGNIFICANT PRODUCT LINE, PERFORMED 450 OPEN HEART SURGERIES, 1,510 HEART ARTERY STENTS AND 4,940 CARDIAC CATHERIZATIONS IN FISCAL YEAR 2015. | Desc |
| Total Program Service Expenses | $203,973,323 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | 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 | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | 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 | 123 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2252 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | 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 | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAMON SORENSON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9898943000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 COLUMBUS AVENUE | AddressLine1Txt |
| City | BAY CITY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48708 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| CLARENCE SEVILLIAN | |||||||||
| PRESIDENT / CEO | 1.70 | 53.30 | Yes (X) | Yes (X) | $0 | $556,343 | $195,530 | ||
| ALICE GERARD | |||||||||
| PRESIDENT / CEO | 50.00 | 5.00 | Yes (X) | Yes (X) | $0 | $1,174,110 | $27,175 | ||
| WILLIAM R BOWEN | |||||||||
| CHAIRMAN | 10.00 | 1.00 | Yes (X) | Yes (X) | $0 | $8,500 | $0 | ||
| MARK M JAFFE | |||||||||
| VICE CHAIRMAN | 7.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GARY BOSCO | |||||||||
| SECRETARY | 3.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JONATHAN ABRAMSON MD | |||||||||
| CHIEF OF STAFF | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| TERRANCE CHERWIN DO | |||||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| EILEEN CURTIS | |||||||||
| DIRECTOR | 3.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| KATHLEEN A CZERWINSKI | |||||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MITZI M DIMITROFF | |||||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MARK O'HALLA | |||||||||
| DIRECTOR | 3.00 | 52.00 | Yes (X) | $0 | $1,533,287 | $122,545 | |||
| MARK KOMOROWSKI MD | |||||||||
| CHIEF OF STAFF | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DEBRA K LUTZ | |||||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID MIKOLAJCAK | |||||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DOMINIC MONASTIERE | |||||||||
| DIRECTOR | 3.00 | 1.00 | Yes (X) | $0 | $14,000 | $0 | |||
| AMY L RODRIGUEZ | |||||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DOUGLAS J SAYLOR MD | |||||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DAMON SORENSEN | |||||||||
| VP & CFO - PART YEAR | 0.00 | 40.50 | Yes (X) | $0 | $309,430 | $26,070 | |||
| STEPHEN J SCANNELL | |||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 5.00 | Yes (X) | $364,635 | $0 | $0 | |||
| JAY SUMMER MD | |||||||||
| VP MEDICAL AFFAIRS | 40.00 | 0.00 | Yes (X) | $297,503 | $0 | $0 | |||
| ELLEN E TALBOTT | |||||||||
| VP PATIENT CARE SERVICES | 40.00 | 0.00 | Yes (X) | $255,484 | $0 | $0 | |||
| MAGEN SAMYN | |||||||||
| VP MARKETING/PUBLIC RELATIONS | 40.00 | 0.00 | Yes (X) | $99,155 | $0 | $0 | |||
| CAROLYN POTTER | |||||||||
| VP HUMAN RESOURCES | 40.00 | 0.00 | Yes (X) | $86,428 | $0 | $0 | |||
| KELLEY ZWINGMAN | |||||||||
| INTERIM CFO | 38.00 | 5.00 | Yes (X) | $122,532 | $0 | $20,843 | |||
| RAMESH CHERUKURI MD | |||||||||
| CARDIO SURGEON | 40.00 | 0.00 | $2,077,248 | $0 | $20,417 | Yes (X) | |||
| DANIEL LEE MD | |||||||||
| CARDIOLOGIST | 40.00 | 0.00 | $1,207,431 | $0 | $28,217 | Yes (X) | |||
| SUDEEP MOHAN MD | |||||||||
| CARDIOLOGIST | 40.00 | 0.00 | $1,113,179 | $0 | $28,217 | Yes (X) | |||
| ABRAHAM KREPOSTMAN MD | |||||||||
| CARDIOLOGIST | 40.00 | 0.00 | $910,803 | $0 | $20,417 | Yes (X) | |||
| TIMOTHY GATES MD | |||||||||
| NEUROLOGICAL SURGEON | 40.00 | 0.00 | $873,737 | $0 | $11,149 | Yes (X) | |||
| DAVID CLAYTON | |||||||||
| VP PRACTICE MANAGEMENT | 40.00 | 0.00 | $168,566 | $0 | $19,103 | Yes (X) | |||
| JOHN WAY MD | |||||||||
| ASSOC VP MEDICAL AFFAIRS | 36.00 | 0.00 | $104,626 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,681,327 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,595,670 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $519,683 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 140 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | 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 |
|---|---|---|---|---|---|
| MICHIGAN ANESTHESIA CARE ONE PC | |||||
| 7032 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | ANESTHESIA SERVICES | $2,198,333 |
| EAST CENTRAL RADIATION ONCOLOGY ASSOC | |||||
| 2101 RAMBLE LANE | MIDLAND | MI | 48640 | RADIATION ONCOLOGY SERVICES | $633,298 |
| CLIENT FINANCIAL SERVICES | |||||
| PO BOX 350 | FENTON | MI | 484300350 | COLLECTION SERVICES | $568,063 |
| TOTAL RENAL CARE | |||||
| PO BOX 781607 | PHILADELPHIA | PA | 191781607 | DIALYSIS SERVICES | $365,801 |
| BIOTRONIC GREAT LAKES LLC | |||||
| 812 AVIS DRIVE | ANN ARBOR | MI | 48108 | INTEROPERTIVE NEURO MONITORING | $351,886 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 14 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $584,586 | RelatedOrganizationsAmt |
| Government Grants | $132,681 | GovernmentGrantsAmt |
| Total Contributions | $717,267 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICES | 622110 | $273,967,318 | $273,967,318 |
| MEDICAID QAAP TAX PAYMENTS | 622110 | $11,754,745 | $11,754,745 |
| EHR PAYMENTS | 622110 | $2,633,194 | $2,633,194 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $288,355,257 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,491,918 | TotalRevenueColumnAmt |
| Exclusion | $4,491,918 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,301,694 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,301,694 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,301,694 | TotalRevenueColumnAmt |
| Exclusion | $1,301,694 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $155,536 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,621,047 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$2,465,511 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,465,511 | TotalRevenueColumnAmt |
| Exclusion | -$2,465,511 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| MISCELLANEOUS | 900099 | $2,705,197 | $2,705,197 | |
| INCOME FROM JOINT VENTURES | 900099 | $2,120,427 | $2,120,427 | |
| CAFETERIA | 722210 | $1,345,190 | $1,345,190 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $153,393 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $153,393 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $6,324,207 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $298,724,832 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $293,180,881 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $153,393 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,673,291 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,341 | TotalAmt |
| Program Services | $28,341 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,376,823 | TotalAmt |
| Management And General | $1,376,823 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,757,974 | TotalAmt |
| Program Services | $96,719,332 | ProgramServicesAmt |
| Management And General | $26,038,642 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,055,241 | TotalAmt |
| Program Services | $3,283,119 | ProgramServicesAmt |
| Management And General | $772,122 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,934,145 | TotalAmt |
| Program Services | $7,816,490 | ProgramServicesAmt |
| Management And General | $2,117,655 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,791,886 | TotalAmt |
| Program Services | $6,077,671 | ProgramServicesAmt |
| Management And General | $1,714,215 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $192,825 | TotalAmt |
| Management And General | $192,825 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,030 | TotalAmt |
| Management And General | $82,030 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,972,675 | TotalAmt |
| Program Services | $5,927,586 | ProgramServicesAmt |
| Management And General | $19,045,089 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $555,966 | TotalAmt |
| Program Services | $55,597 | ProgramServicesAmt |
| Management And General | $500,369 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,068,491 | TotalAmt |
| Program Services | $124,109 | ProgramServicesAmt |
| Management And General | $1,944,382 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,295,709 | TotalAmt |
| Program Services | $4,532,910 | ProgramServicesAmt |
| Management And General | $1,762,799 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,961 | TotalAmt |
| Program Services | $112,392 | ProgramServicesAmt |
| Management And General | $41,569 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $223,332 | TotalAmt |
| Program Services | $96,033 | ProgramServicesAmt |
| Management And General | $127,299 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,042,093 | TotalAmt |
| Program Services | $2,042,093 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,855,598 | TotalAmt |
| Program Services | $6,513,359 | ProgramServicesAmt |
| Management And General | $4,342,239 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,652,680 | TotalAmt |
| Program Services | $1,421,305 | ProgramServicesAmt |
| Management And General | $231,375 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUG | $59,194,916 | $41,436,438 | $17,758,478 |
| BAD DEBT EXPENSE | $9,489,697 | $9,489,697 | |
| OTHER PURCHASED SERVICE | $8,181,687 | $6,545,349 | $1,636,338 |
| LAUNDRY | $1,327,954 | $1,327,954 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,226,417 | TotalAmt |
| Program Services | $10,423,548 | ProgramServicesAmt |
| Management And General | $2,802,869 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $286,460,441 | TotalAmt |
| Program Services | $203,973,323 | ProgramServicesAmt |
| Management And General | $82,487,118 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,164,447 | BOYAmt |
| EOY | $11,777,136 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,698,833 | BOYAmt |
| EOY | $22,299,318 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,267,332 | BOYAmt |
| EOY | $2,426,402 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,362,422 | BOYAmt |
| EOY | $6,769,652 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $785,329 | BOYAmt |
| EOY | $1,132,157 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $228,682,484 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $130,272,029 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,761,090 | BOYAmt |
| EOY | $98,410,455 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $184,540,218 | BOYAmt |
| EOY | $183,562,197 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,917,311 | BOYAmt |
| EOY | $4,852,268 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,581,736 | BOYAmt |
| EOY | $10,855,058 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $368,078,718 | BOYAmt |
| EOY | $342,084,643 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,072,157 | BOYAmt |
| EOY | $30,100,254 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,108,555 | BOYAmt |
| EOY | $95,217,641 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,180,712 | BOYAmt |
| EOY | $125,317,895 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $237,385,823 | BOYAmt |
| EOY | $216,257,932 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,621 | BOYAmt |
| EOY | $37,254 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $471,562 | BOYAmt |
| EOY | $471,562 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $237,898,006 | BOYAmt |
| EOY | $216,766,748 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $368,078,718 | BOYAmt |
| EOY | $342,084,643 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $12,264,391 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$13,490,634 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$19,905,015 | 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 B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $8,430 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $8,430 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | A PORTION OF DUES PAID TO MICHIGAN HEALTH AND HOSPITAL ASSOCIATION SUPPORT LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $471,562 | BeginningYearBalanceAmt |
| End Year Balance | $471,562 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $471,562 | BeginningYearBalanceAmt |
| End Year Balance | $471,562 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $471,562 | BeginningYearBalanceAmt |
| End Year Balance | $471,562 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $471,562 | BeginningYearBalanceAmt |
| End Year Balance | $471,562 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $471,562 | BeginningYearBalanceAmt |
| End Year Balance | $471,562 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,999,002 | OtherCostOrOtherBasisAmt |
| Book Value | $5,999,002 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $115,443,755 | OtherCostOrOtherBasisAmt |
| Depreciation | $49,632,680 | DepreciationAmt |
| Book Value | $65,811,075 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,429,956 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,701,479 | DepreciationAmt |
| Book Value | $728,477 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $102,477,132 | OtherCostOrOtherBasisAmt |
| Depreciation | $76,937,870 | DepreciationAmt |
| Book Value | $25,539,262 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $332,639 | OtherCostOrOtherBasisAmt |
| Book Value | $332,639 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $98,410,455 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| PROFESSIONAL LIABILITY RESERVE | $4,488,526 |
| ACCRUED PENSION | $20,714,478 |
| COST REPORT SETTLEMENT PAYABLE | $9,546,604 |
| POST RETIREMENT BENEFIT COST | $7,291,081 |
| OTHER LONG-TERM LIABILITIES | $1,621,002 |
| INTERCOMPANY PAYABLE | $51,555,950 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $95,217,641 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE INTENDED USE OF THE FUNDS IS AS DETERMINED BY THE DONOR. |
| PART X, LINE 2: | THE CORPORATION AND SUBSTANTIALLY ALL OF ITS SUBSIDIARIES ARE NONPROFIT, TAX-EXEMPT ORGANIZATIONS. SOME SUBSIDIARIES ARE FOR-PROFIT CORPORATIONS. INCOME TAX PROVISIONS ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE ACCOUNTING STANDARD THAT REFERS TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ADDRESSES THE DETERMINATION OF HOW TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED ON THE CONSOLIDATED FINANCIAL STATEMENTS. COMPANIES MUST RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE STANDARD ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS, AND REQUIRES INCREASED DISCLOSURES. THE EVALUATED POTENTIAL EXPOSURE RELATED TO UNCERTAIN TAX POSITIONS WAS FOUND TO BE IMMATERIAL. MANAGEMENT BELIEVES THE CORPORATION IS NOT SUBJECT TO FEDERAL TAX EXAMINATIONS FOR YEARS PRIOR TO SEPTEMBER 30, 2012. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $771,066 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $771,066 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00280 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $39,299,104 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $35,400,280 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,898,824 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01410 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,411 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,340 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,071 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,089,581 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $35,412,620 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,676,961 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01690 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $128,500 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $128,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,528,897 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $534,945 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $993,952 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00360 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $302,372 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $302,372 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $222,430 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $222,430 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,182,199 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $534,945 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,647,254 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00600 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $42,271,780 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $35,947,565 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,324,215 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02290 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $51,773 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $51,773 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,641 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $26,641 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,744 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,130 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $33,614 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,065 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $17,065 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $57,215 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,356 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $51,859 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $191,438 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,486 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $180,952 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $9,489,697 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $948,970 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $110,123,617 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $114,279,196 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,155,579 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | 0 | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAY REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 COLUMBUS AVE | AddressLine1Txt |
| City | BAY CITY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48708 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.MCLAREN.ORG/BAYREGION | WebsiteAddressTxt |
| State License | 1060000023 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | REHAB, PSYCH SERVICES AND DIAGNOSTIC CENTER | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAY REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://WWW.BAYCOUNTY-MI.GOV/HEALTH/BAY-COUNTY-COMMUNITY-HEALTH-ASSESSMENT.A | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.BAYCOUNTY-MI.GOV/HEALTH/BAY-COUNTY-COMMUNITY-HEALTH-ASSESSMENT.A | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://MCLAREN.ORG/BAYREGION/FINANCIAL-INSURANCE.ASPX | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://MCLAREN.ORG/BAYREGION/FINANCIAL-INSURANCE.ASPX | FAPAppAvailableOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Legal Judicial Process | Yes (X) | PermitLegalJudicialProcessInd |
| Collection Activities | Yes (1) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| Engaged Legal Judicial Process | Yes (X) | EngagedLegalJudicialProcessInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| BAY REGIONAL MEDICAL CENTER | 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. |
| BAY REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 6A: BAY SPECIAL CARE HOSPITAL |
| BAY REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 7D: PLEASE FIND A COPY OF THE CHNA AND IMPLEMENTATION PLAN AT:HTTP://WWW.BAYCOUNTY-MI.GOV/HEALTH/BAY-COUNTY-COMMUNITY-HEALTH-ASSESSMENT.ASPX |
| BAY REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 11: PLEASE SEE THE CHNA AND IMPLEMENTATION POLICY FOR THE NEEDS THAT WERE IDENTIFIED AT: HTTP://WWW.BAYCOUNTY-MI.GOV/HEALTH/BAY-COUNTY-COMMUNITY-HEALTH-ASSESSMENT.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. |
| PART V, SECTION B, LINE 16 | FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY |
| BAY REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 16A WEBSITE: | HTTP://MCLAREN.ORG/BAYREGION/FINANCIAL-INSURANCE.ASPX |
| BAY REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 16B WEBSITE: | HTTP://MCLAREN.ORG/BAYREGION/FINANCIAL-INSURANCE.ASPX |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| JEPPESEN RADIATION ONCOLOGY CENTER | ||||
| 3180 E MIDLAND RD | BAY CITY | MI | 48706 | ONCOLOGY JOINT VENTURE |
| HURON VASCULAR SERVICES | ||||
| 1100 S VAN DYKE RD STE 700 | BAD AXE | MI | 48413 | CARDIOVASCULAR JOINT VENTURE |
| SAGINAW RADIATION ONCOLOGY CENTER | ||||
| 4141 TITTABAWASSEE RD | SAGINAW | MI | 48604 | ONCOLOGY JOINT VENTURE |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 $9,489,697. |
| 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 BAY REGIONAL MEDICAL CENTER 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 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| BAY AREA CHAMBER OF COMMERCE | |||||||
| 901 SAGINAW STREET | BAY CITY | MI | 48708 | 380333135 | 501(C)(3) | $12,341 | COMMUNITY BUSINESS & EDUCATION |
| BAY FUTURES | |||||||
| 721 WASHINGTON AVE SUITE 309 | BAY CITY | MI | 48708 | 300274225 | 501(C)(3) | $6,000 | COMMUNITY ECONOMIC DEVELOPMENT |
| GREAT LAKES BAY REGIONAL ALLIANCE | |||||||
| 300 RODD ST STE 101 | MIDLAND | MI | 48708 | 264192780 | 501(C)(3) | $5,000 | REGIONAL ECONOMIC DEVELOPMENT |
| MICHIGAN HEALTH IMPROVEMENT ALLIANCE | |||||||
| PO BOX 432 | BAY CITY | MI | 48707 | 452133862 | 501(C)(3) | $5,000 | STATE WIDE HEALTH DEVELOPMENT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | CLIENT REVIEWS TAX-EXEMPT STATUS AND MONITORS OVERALL STANDING OF ORGANIZATION IN DETERMINING GRANTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | 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 (14 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CLARENCE SEVILLIAN | ||||||||||||||
| PRESIDENT / CEO | $0 | $385,589 | $0 | $129,089 | $0 | $41,665 | $0 | $191,848 | $0 | $3,682 | $0 | $751,873 | $0 | $0 |
| ALICE GERARD | ||||||||||||||
| PRESIDENT / CEO | $0 | $534,416 | $0 | $151,856 | $0 | $487,838 | $0 | $13,000 | $0 | $14,175 | $0 | $1,201,285 | $0 | $0 |
| MARK O'HALLA | ||||||||||||||
| DIRECTOR | $0 | $695,587 | $0 | $228,074 | $0 | $609,626 | $0 | $105,366 | $0 | $17,179 | $0 | $1,655,832 | $0 | $0 |
| DAMON SORENSEN | ||||||||||||||
| VP & CFO - PART YEAR | $0 | $245,432 | $0 | $62,756 | $0 | $1,242 | $0 | $13,000 | $0 | $13,070 | $0 | $335,500 | $0 | $0 |
| STEPHEN J SCANNELL | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $303,250 | $0 | $34,781 | $0 | $26,604 | $0 | $0 | $0 | $0 | $0 | $364,635 | $0 | $0 | $0 |
| JAY SUMMER MD | ||||||||||||||
| VP MEDICAL AFFAIRS | $269,645 | $0 | $27,858 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $297,503 | $0 | $0 | $0 |
| ELLEN E TALBOTT | ||||||||||||||
| VP PATIENT CARE SERVICES | $231,400 | $0 | $24,084 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $255,484 | $0 | $0 | $0 |
| RAMESH CHERUKURI MD | ||||||||||||||
| CARDIO SURGEON | $2,076,281 | $0 | $0 | $0 | $967 | $0 | $5,200 | $0 | $15,217 | $0 | $2,097,665 | $0 | $0 | $0 |
| DANIEL LEE MD | ||||||||||||||
| CARDIOLOGIST | $1,206,464 | $0 | $0 | $0 | $967 | $0 | $13,000 | $0 | $15,217 | $0 | $1,235,648 | $0 | $0 | $0 |
| SUDEEP MOHAN MD | ||||||||||||||
| CARDIOLOGIST | $1,112,212 | $0 | $0 | $0 | $967 | $0 | $13,000 | $0 | $15,217 | $0 | $1,141,396 | $0 | $0 | $0 |
| ABRAHAM KREPOSTMAN MD | ||||||||||||||
| CARDIOLOGIST | $909,836 | $0 | $0 | $0 | $967 | $0 | $5,200 | $0 | $15,217 | $0 | $931,220 | $0 | $0 | $0 |
| TIMOTHY GATES MD | ||||||||||||||
| NEUROLOGICAL SURGEON | $872,770 | $0 | $0 | $0 | $967 | $0 | $5,200 | $0 | $5,949 | $0 | $884,886 | $0 | $0 | $0 |
| DAVID CLAYTON | ||||||||||||||
| VP PRACTICE MANAGEMENT | $151,532 | $0 | $15,779 | $0 | $1,255 | $0 | $6,696 | $0 | $12,407 | $0 | $187,669 | $0 | $0 | $0 |
| JOHN WAY MD | ||||||||||||||
| ASSOC VP MEDICAL AFFAIRS | $104,626 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $104,626 | $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 CEO'S 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. THE FOLLOWING INDIVIDUALS HAVE RECEIVED THESE BENEFITS: MARK O'HALLA, ALICE GERARD AND CLARENCE SEVILLIAN. |
| 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, LINES 4A-B | LINE 4A: DAVID CLAYTON RECEIVED A TOTAL SEVERANCE OF $44,514.40 IN EIGHT EQUAL INSTALLMENTS OF $5,564.30 FROM 10/10/2014 THROUGH 1/16/2015. 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. NONE OF THE INDIVIDUALS LISTED IN PART VII PARTICIPATED IN THE OLD SERP. THE INDIVIDUALS LISTED IN PART VII WHO PARTICIPATED IN THE NEW SERP ARE: MARK O'HALLA, ALICE GERARD AND CLARENCE SEVILLIAN. |
| PART I, LINE 6 | MCLAREN HEALTH CARE CORPORATION (MHCC) HAS A LEADERSHIP INCENTIVE PROGRAM FOR LEADERS OF THE CORPORATION, SUBSIDIARY EXECUTIVES AND DIRECTORS, AND CORPORATE 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 (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | ALICE GERARD AND DOMINIC MONASTIERE HAVE A BUSINESS RELATIONSHIP. DAVID MIKOLAJCZAK HAS A BUSINESS RELATIONSHIP WITH MICHAEL GRUBER, MD, DEBRA LUTZ, DOMINIC MONASTIERE, AND BRIAN KAY. |
| 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 DIRECTORS AND CFOS WITHIN FINANCE. 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 OUR SYSTEM WHOSE RESPONSIBILITIES INCLUDES 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 ASKED TO RESIGN. |
| 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 2015. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | MINIMUM PENSION LIABILITY ADJUSTMENT -15,443,284. NET TRANSFERS TO/FROM AFFILIATES 59,756. IMPAIRMENT OF ASSETS -4,521,487. |
| FORM 990, PART XII, LINE 2C: | THE FINANCE COMMITTEE OF THE HEALTH SYSTEM ASSUMES RESPONSIBILITY FOR REVIEW OF FINANCIAL STATEMENTS AND OVERSIGHT OF THE CONSOLIDATED AUDIT. 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BAY MEDICAL FOUNDATION | |||||||||||
| 1900 COLUMBUS AVE | BAY CITY | MI | 48708 | 382156534 | FOUNDATION | MI | 501(C)(3) | LINE 11A, I | BAY REGIONAL MEDICAL CENTER | Yes (1) | |
| BAY REGIONAL MEDICAL CENTER AUXILIARY | |||||||||||
| 1908 COLUMBUS AVENUE | BAY CITY | MI | 48708 | 386081235 | SUPPORTING ORGANIZATION | MI | 501(C)(3) | LINE 11A, I | BAY REGIONAL MEDICAL CENTER | Yes (1) | |
| BAY SPECIAL CARE HOSPITAL | |||||||||||
| 1900 COLUMBUS AVE | BAY CITY | MI | 48708 | 383161753 | HOSPITAL | MI | 501(C)(3) | LINE 3 | BAY REGIONAL MEDICAL CENTER | 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 | |
| CENTRAL MICHIGAN COMMUNITY HOSPITAL | |||||||||||
| 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 | NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM | 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) | |
| INGHAM REGIONAL HEALTHCARE FOUNDATION | |||||||||||
| 401 S GREENLAWN AVE | LANSING | MI | 48910 | 382463637 | FOUNDATION | MI | 501(C)(3) | LINE 7 | INGHAM REGIONAL MEDICAL CENTER | Yes (1) | |
| INGHAM REGIONAL MEDICAL CENTER | |||||||||||
| 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) | |
| LAPEER REGIONAL MEDICAL CENTER | |||||||||||
| 1375 N MAIN ST | LAPEER | MI | 48446 | 382689033 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| LAPEER REGIONAL MEDICAL CENTER FOUNDATION | |||||||||||
| 1375 N MAIN ST | LAPEER | MI | 48446 | 382689603 | FOUNDATION | MI | 501(C)(3) | LINE 11A, I | LAPEER REGIONAL MEDICAL CENTER | Yes (1) | |
| MARWOOD MANOR NURSING HOME | |||||||||||
| PO BOX 5011 | PORT HURON | MI | 48060 | 382683251 | NURSING HOME | MI | 501(C)(3) | LINE 9 | PORT HURON HOSPITAL | Yes (1) | |
| 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 INC | |||||||||||
| G-3245 BEECHER ROAD | FLINT | MI | 48532 | 383252216 | HEALTH CARE SERVICES | MI | 501(C)(4) | MCLAREN HEALTH CARE CORPORATION | 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 REGIONAL MEDICAL CENTER | |||||||||||
| 401 S BALLENGER HWY | FLINT | MI | 48532 | 382383119 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MOUNT CLEMENS REGIONAL HEALTHCARE FOUNDATION | |||||||||||
| PO BOX 326 | MOUNT CLEMENS | MI | 48046 | 382578873 | FOUNDATION | MI | 501(C)(3) | LINE 9 | MOUNT CLEMENS REGIONAL MEDICAL CENTER | Yes (1) | |
| MOUNT CLEMENS REGIONAL MEDICAL CENTER | |||||||||||
| 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 | PONTIAC OSTEOPATHIC HOSPITAL | 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) | |
| NORTHERN MICHIGAN MEDICAL MANAGEMENT | |||||||||||
| 416 CONNABLE AVENUE | PETOSKEY | MI | 49770 | 208458840 | PHYSICIAN PRACTICE | MI | 501(C)(3) | LINE 3 | MCLAREN NORTHERN MICHIGAN | Yes (1) | |
| MCLAREN NORTHERN MICHIGAN FOUNDATION | |||||||||||
| 360 CONNABLE AVENUE | PETOSKEY | MI | 49770 | 382445611 | FUNDRAISING | MI | 501(C)(3) | LINE 11A, I | 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 | PORT HURON HOSPITAL | Yes (1) | |
| PONTIAC OSTEOPATHIC HOSPITAL | |||||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 381428164 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| POH RILEY FOUNDATION | |||||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 200442217 | FOUNDATION | MI | 501(C)(3) | LINE 11C, III-FI | PONTIAC OSTEOPATHIC HOSPITAL | 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) | |
| PORT HURON HOSPITAL FOUNDATION | |||||||||||
| PO BOX 5011 | PORT HURON | MI | 48060 | 382777750 | SUPPORTING ORG | MI | 501(C)(3) | LINE 11A, I | PORT HURON HOSPITAL | 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 | |||||||||||
| 401 S BALLENGER HWY | FLINT | MI | 48532 | 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) | |
| MICHIGAN CANCER SOCIETY | |||||||||||
| 4100 JOHN R ST | DETROIT | MI | 48201 | 382823451 | CANCER RESEARCH | MI | 501(C)(3) | LINE 7 | KARMANOS CANCER INSTITUTE | 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 HEALTH PLAN COMMUNITY | |||||||||||
| G-3245 BEECHER ROAD SUITE 200 | FLINT | MI | 48532 | 272204037 | INSURANCE | MI | 501(C)(4) | MCLAREN HEALTH PLAN | 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 (11 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 | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | CityForeignAddress/CityNm |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HEALTH ADVANTAGE INC | |||||||||||||||
| G3245 BEECHER ROAD | FLINT | MI | 48532 | 912141720 | INSURANCE | MI | N/A | C | 0 | ||||||
| CLARKSTON PROPERTY ASSOCIATES | |||||||||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 432006072 | REAL ESTATE | MI | N/A | C | 0 | ||||||
| HOSPITAL HEALTH CARE INC | |||||||||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 382643070 | HEALTH CARE | MI | N/A | C | 0 | ||||||
| PHYSICIAN ORGANIZED HEALTHCARE SYSTEM | |||||||||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 383136458 | MANAGED CARE | 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 | ||||||
| PETOSKEY ASSURANCE LTD | |||||||||||||||
| 980628316 | PROFESSIONAL AND GENERAL LIABILITY COVERAGE | N/A | C | 0 | 68 WEST BAY ROADPO BOX 1109 | GRAND CAYMAN | CJ | KY1-1102 | CJ | ||||||
| RAPIN & RAPIN INC DBA PRESCRIPTION SERVICES PHARMACY | |||||||||||||||
| 416 CONNABLE AVENUE | PETOSKEY | MI | 49770 | 383465261 | RETAIL PHARMACY | 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 | ||||||
| DELPHINUS INVESTMENT INC | |||||||||||||||
| 4100 JOHN R ST | DETROIT | MI | 48075 | 454758176 | HOLD PASSIVE INVESTMENT | MI | N/A | C | 0 | ||||||
| MCLAREN INSURANCE COMPANY LTD | |||||||||||||||
| INSURANCE | N/A | C | 0 | 10 MAIN ST | CJ | CJ | GRAND CAYMAN | ||||||||
| MID-MICHIGAN PHYSICIANS PC | |||||||||||||||
| 2510 KERRY STREET SUITE 200 | LANSING | MI | 48912 | 383267121 | PHYSICIAN PRACTICE | 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 | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (18 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| BAY SPECIAL CARE HOSPITAL | ||
| J | $400,062 | ALLOCATION OF ACTUAL COST |
| BAY SPECIAL CARE HOSPITAL | ||
| Q | $255,036 | ALLOCATION OF ACTUAL COST |
| BAY REGIONAL MEDICAL CENTER AUXILIARY | ||
| C | $34,500 | CASH |
| BAY MEDICAL FOUNDATION | ||
| C | $550,086 | CASH |
| CENTRAL MICHIGAN COMMUNITY HOSPITAL | ||
| O | $53,171 | COST OF COMPENSATION |
| CENTRAL MICHIGAN COMMUNITY HOSPITAL | ||
| G | $145,059 | FAIR MARKET VALUE |
| MCLAREN HEALTH CARE CORPORATION | ||
| M | $15,658,319 | ALLOCATION OF COST |
| MCLAREN HEALTH CARE CORPORATION | ||
| P | $528,865 | ALLOCATION OF COST |
| MCLAREN HEALTH CARE CORPORATION | ||
| N | $1,129,278 | ALLOCATION OF COST |
| MCLAREN HEALTH CARE CORPORATION | ||
| K | $452,000 | ALLOCATION OF COST |
| MCLAREN REGIONAL MEDICAL CENTER | ||
| P | $113,375 | ALLOCATION OF COST |
| BARBARA ANN KARMANOS CANCER INSTITUTE | ||
| P | $243,375 | ALLOCATION OF COST |
| INGHAM REGIONAL MEDICAL CENTER | ||
| O | $83,099 | COST OF COMPENSATION |
| MCLAREN MEDICAL GROUP | ||
| M | $746,162 | ALLOCATION OF COST |
| MCLAREN MEDICAL GROUP | ||
| Q | $200,058 | ALLOCATION OF COST |
| MCLAREN MEDICAL GROUP | ||
| P | $10,274,084 | ALLOCATION OF COST |
| MCLAREN MEDICAL GROUP | ||
| S | $17,851,298 | ALLOCATION OF COST |
| MCLAREN MEDICAL GROUP | ||
| R | $12,829,357 | ALLOCATION OF COST |