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MCLAREN NORTHERN MICHIGAN: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
MCLAREN NORTHERN MICHIGAN (EIN 38-2146751)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-08-14
IRS object ID
201522269349301887
Schema version
2013v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-08-14T11:05:49-05:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1750 TRADE CENTRE WAY STE 300AddressLine1
CityPORTAGECity
StateMIState
ZIP Code49002ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN382146751EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MCLAREN NORTHERN MICHIGANBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlMCLABusinessNameControlTxt
Phone2314874094PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1416 CONNABLE AVENUEAddressLine1
CityPETOSKEYCity
StateMIState
ZIP Code49770ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID ZECHMANPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone2314874094PhoneNum
Signature2015-08-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID LOWENTHAL CPAPreparerPersonNm
PTINP00378651PTIN
Phone2319477800PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAVID ZECHMANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1416 CONNABLE AVENUEAddressLine1
CityPETOSKEYCity
StateMIState
ZIP Code49770ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$254,846,928GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MCLAREN.ORG/NORTHERNMICHIGAN/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1977FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionMCLAREN HEALTH CARE, THROUGH ITS SUBSIDIARIES, WILL BE THE BEST VALUE IN HEALTH CARE AS DEFINED BY QUALITY OUTCOMES AND COST.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee1562TotalEmployeeCnt
Total Volunteers148TotalVolunteersCnt
Total Gross UBI$98,893TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$6,413NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$921,661PYContributionsGrantsAmt
CY Contributions Grants$1,565,201CYContributionsGrantsAmt
PY Program Service Revenue$214,954,785PYProgramServiceRevenueAmt
CY Program Service Revenue$220,836,734CYProgramServiceRevenueAmt
PY Investment Income$1,276,103PYInvestmentIncomeAmt
CY Investment Income$3,719,345CYInvestmentIncomeAmt
PY Other Revenue$9,814,431PYOtherRevenueAmt
CY Other Revenue$4,465,517CYOtherRevenueAmt
PY Total Revenue$226,966,980PYTotalRevenueAmt
CY Total Revenue$230,586,797CYTotalRevenueAmt
PY Grants And Similar Paid$480,580PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$723,873CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$89,816,011PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$87,580,459CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$121,529,055PYOtherExpensesAmt
CY Other Expenses$120,718,566CYOtherExpensesAmt
PY Total Expenses$211,825,646PYTotalExpensesAmt
CY Total Expenses$209,022,898CYTotalExpensesAmt
PY Revenues Less Expenses$15,141,334PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$21,563,899CYRevenuesLessExpensesAmt
Total Assets BOY$210,127,830TotalAssetsBOYAmt
Total Assets EOY$218,946,993TotalAssetsEOYAmt
Total Liabilities BOY$72,357,928TotalLiabilitiesBOYAmt
Total Liabilities EOY$68,823,339TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$137,769,902NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$150,123,654NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMCLAREN HEALTH CARE, THROUGH ITS SUBSIDIARIES, WILL BE THE BEST VALUE IN HEALTH CARE AS DEFINED BY QUALITY OUTCOMES AND COST.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$16,261,367ExpenseAmt
Revenue$31,828,391RevenueAmt
DescTHE TREATMENT AND DIAGNOSIS OF CARDIAC DISEASE (DISCHARGES 2,098).Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$10,487,030ExpenseAmt
Revenue$20,690,812RevenueAmt
DescTHE TREATMENT AND DIAGNOSIS OF GENERAL MEDICINE (DISCHARGES 2,892).Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$9,605,643ExpenseAmt
Revenue$18,816,940RevenueAmt
DescTHE TREATMENT AND DIAGNOSIS OF GENERAL SURGERY (DISCHARGES 2,058).Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$109,342,234ExpenseAmt
Grant$723,873GrantAmt
Revenue$153,056,704RevenueAmt
DescALL OTHER PROGRAM SERVICES INCLUDING; ONCOLOGY, ORTHOPEDICS, RADIOLOGY, NUEROLOGY, GASTROENTEROLOGY, REHABILITATION, OBSTETRICS, AND NEUROSURGERY.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$109,342,234TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$723,873TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$153,056,704TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$145,696,274TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document165IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1562EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAVID ZECHMANBusinessNameLine1
FieldValueIRS element (for citing)
Phone2314874009PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1416 CONNABLE AVENUEAddressLine1
CityPETOSKEYCity
StateMIState
ZIP Code49770ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
CATHERINE DEVET
TRUSTEE & PRESIDENT/CEO - 1ST PART YEAR11.0027.90Yes (X)Yes (X)$0$529,361$18,900
ROBERT FOSTER
CHAIRPERSON2.002.00Yes (X)Yes (X)$0$0$0
THOMAS IRWIN
SECRETARY2.503.00Yes (X)Yes (X)$0$0$0
DAVID ZECHMAN
TRUSTEE & PRESIDENT/CEO - 2ND PART YEAR11.0027.90Yes (X)Yes (X)$0$61,634$318
DAVE FRESCOLN
VICE CHAIR1.301.30Yes (X)Yes (X)$0$0$0
DAVID BUZZELLI
TRUSTEE2.503.50Yes (X)$0$14,000$0
THOMAS MORAN
TRUSTEE2.002.00Yes (X)$0$0$0
HUGH DEERY MD
TRUSTEE5.0038.50Yes (X)$58,220$258,400$27,617
JOSEPH HANCE MD
TRUSTEE - 1ST PART YEAR1.301.30Yes (X)$0$0$0
ELISE HAYES
TRUSTEE - 1ST PART YEAR1.302.30Yes (X)$0$0$0
DAVID RYNBRANDT MD
TRUSTEE - 1ST PART YEAR1.301.30Yes (X)$0$0$0
PHILIP INCARNATI
TRUSTEE1.3051.60Yes (X)$0$7,903,842$554,218
CINDY DICKSON
TRUSTEE1.000.00Yes (X)$0$0$0
JIM SHIRILLA MD
TRUSTEE1.000.00Yes (X)$0$0$0
JILL O'NEILL
TRUSTEE1.000.00Yes (X)$0$0$0
WILLIAM HAMPTON MD
TRUSTEE0.900.00Yes (X)$0$0$0
WILLIAM HENRY MD CHIEF OF STAFF
TRUSTEE1.000.00Yes (X)$0$0$0
ANN STALLKAMP
TRUSTEE2.001.30Yes (X)$0$0$0
EUGENE KAMINSKI
VP OF HUMAN RESOURCES11.0026.40Yes (X)$209,479$0$21,919
MARY-ANNE PONTI
SECRETARY & COO11.0027.60Yes (X)$275,265$0$23,103
CAROLINE SEAGREN
CHIEF DEV OFFICER11.0043.80Yes (X)$134,820$44,870$28,959
JENNIFER WOODS
VP CHIEF NURSE EXECUTIVE11.0026.90Yes (X)$143,810$0$20,139
KIRK LUFKIN
VP CHIEF MEDICAL OFFICER11.0035.00Yes (X)$302,024$0$13,819
DAVID BELLAMY
TREASURER & VP OF FINANCE/CFO11.0029.70Yes (X)$322,741$0$0
HARRY COLFER
PHYSICIAN9.0031.00$121,543$449,190$21,544Yes (X)
DUANE SCHUIL
PHYSICIAN6.0034.00$88,968$484,744$28,009Yes (X)
JASON RICCI
PHYSICIAN9.0031.00$142,059$498,617$29,045Yes (X)
LOUIS CANNON
PHYSICIAN7.0033.00$101,649$513,152$27,608Yes (X)
PETER LEVANOVICH
PHYSICIAN13.0027.00$172,630$380,599$27,347Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,073,208TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$11,138,409TotReportableCompRltdOrgAmt
Total Other Compensation$842,545TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K53IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
NORTHERN ANESTHESIA PROVIDER
602 JACKSONPETOSKEYMI49770PHYSICIAN SERVICES$1,184,498
NORTHERN MICHIGAN EMERGENCY PHYSICIANS
930 SPRING STREETPETOSKEYMI49770PHYSICIAN SERVICES$1,051,101
MAYO COLLABORATIVE SERVICES DBA MAYO MED
PO BOX 9146MINNEAPOLISMN554809146LABORATORY SERVICES$1,042,688
AHSA LLC
PO BOX 945TRAVERSE CITYMI49685PURCHASED LABOR$793,953
CLIENT FINANCIAL SERVICES OF MICHIGAN L
209 S ALLOY DR PO BOX 350FENTONMI48430COLLECTIONS OF PATIENT ACCOUNTS$587,082
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K21CntrctRcvdGreaterThan100KCnt
Related Organizations$1,390,754RelatedOrganizationsAmt
All Other Contributions$174,447AllOtherContributionsAmt
Total Contributions$1,565,201TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REV622110$215,526,762$215,526,762
EHR REVENUE900099$2,546,038$2,546,038
OTHER RELATED REVENUE900099$1,745,257$1,745,257
CORPORATE ALLOCATION900099$1,018,677$1,018,677
FieldValueIRS element (for citing)
Total Program Service Revenue$220,836,734TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,839,454TotalRevenueColumnAmt
Exclusion$3,839,454ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$766,935RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$580,917RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$186,018RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$186,018TotalRevenueColumnAmt
Related Or Exempt Func Income$186,018RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$23,489,300SecuritiesAmt
Other$69,805OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$23,651,432SecuritiesAmt
Other$27,782OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$162,132SecuritiesAmt
Other$42,023OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$120,109TotalRevenueColumnAmt
Exclusion-$120,109ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
FRINGE BENEFIT900099$2,629,458$2,629,458
CAFETERIA SALES722210$655,411$655,411
PHARMACEUTICAL RESEARCH900099$425,381$425,381

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$569,249TotalRevenueColumnAmt
Related Or Exempt Func Income$315,256RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$98,893UnrelatedBusinessRevenueAmt
Exclusion$155,100ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,279,499OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$230,586,797TotalRevenueColumnAmt
Related Or Exempt Func Income$224,392,847RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$98,893UnrelatedBusinessRevenueAmt
Exclusion$4,529,856ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$723,873TotalAmt
Program Services$723,873ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,554,300TotalAmt
Management And General$1,554,300ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$71,465,965TotalAmt
Program Services$60,207,969ProgramServicesAmt
Management And General$11,257,996ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,873,337TotalAmt
Management And General$1,873,337ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,766,679TotalAmt
Program Services$5,514,342ProgramServicesAmt
Management And General$2,252,337ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,920,178TotalAmt
Program Services$4,023,449ProgramServicesAmt
Management And General$896,729ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$728,519TotalAmt
Management And General$728,519ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$372,169TotalAmt
Management And General$372,169ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$144,588TotalAmt
Management And General$144,588ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$7,506TotalAmt
Management And General$7,506ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$23,686,377TotalAmt
Program Services$9,846,831ProgramServicesAmt
Management And General$13,839,546ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$564,729TotalAmt
Program Services$23,131ProgramServicesAmt
Management And General$541,598ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,201,214TotalAmt
Program Services$3,081,936ProgramServicesAmt
Management And General$4,119,278ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$412,918TotalAmt
Program Services$203,933ProgramServicesAmt
Management And General$208,985ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,941,656TotalAmt
Program Services$3,932,103ProgramServicesAmt
Management And General$4,009,553ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$912,674TotalAmt
Program Services$118,407ProgramServicesAmt
Management And General$794,267ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$186,698TotalAmt
Program Services$114,286ProgramServicesAmt
Management And General$72,412ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,100,638TotalAmt
Management And General$1,100,638ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,098,466TotalAmt
Program Services$3,561,214ProgramServicesAmt
Management And General$3,537,252ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,090,160TotalAmt
Program Services$11,006ProgramServicesAmt
Management And General$1,079,154ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
INCOME TAXES$7,387$7,387
MEDICAL SUPPLIES/DRUGS$41,291,423$145,019$41,146,404
CORPORATE ALLOCATION$14,128,373$14,128,373
PROVISION FOR BAD DEBT$8,603,976$8,603,976

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,239,095TotalAmt
Program Services$4,583,414ProgramServicesAmt
Management And General$655,681ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$209,022,898TotalAmt
Program Services$145,696,274ProgramServicesAmt
Management And General$63,326,624ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,093BOYAmt
EOY$2,943EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$34,954,830BOYAmt
EOY$37,013,769EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$17,190,572BOYAmt
EOY$12,006,919EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$81,058BOYAmt
EOY$51,545EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$8,001,831BOYAmt
EOY$8,061,742EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$832,593BOYAmt
EOY$733,795EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$95,638,960LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$20,057,331LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$78,216,712BOYAmt
EOY$75,581,629EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$15,835,346BOYAmt
EOY$16,936,612EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$659,806BOYAmt
EOY$705,692EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$109,312BOYAmt
EOY$109,312EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$54,242,677BOYAmt
EOY$67,743,035EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$210,127,830BOYAmt
EOY$218,946,993EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$20,169,633BOYAmt
EOY$20,998,106EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY-$43,365BOYAmt
EOY$90,804EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$52,231,660BOYAmt
EOY$47,734,429EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$72,357,928BOYAmt
EOY$68,823,339EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$134,833,210BOYAmt
EOY$147,260,417EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,936,692BOYAmt
EOY$2,863,237EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$137,769,902BOYAmt
EOY$150,123,654EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$210,127,830BOYAmt
EOY$218,946,993EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$21,563,899ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$757,497NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$9,967,644OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$7,506OtherActivitiesAmt
Total Lobbying Expenditures$7,506TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA PORTION OF OUR DUES TO MICHIGAN HEALTH AND HOSPITAL ASSOCIATION SUPPORT LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,507BeginningYearBalanceAmt
Investment Earnings Or Losses$1,045InvestmentEarningsOrLossesAmt
End Year Balance$13,552EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$19,884BeginningYearBalanceAmt
Investment Earnings Or Losses$1,930InvestmentEarningsOrLossesAmt
Grants Or Scholarships$9,307GrantsOrScholarshipsAmt
End Year Balance$12,507EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,746BeginningYearBalanceAmt
Investment Earnings Or Losses$2,138InvestmentEarningsOrLossesAmt
End Year Balance$19,884EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$27,471BeginningYearBalanceAmt
Investment Earnings Or Losses-$725InvestmentEarningsOrLossesAmt
Grants Or Scholarships$9,000GrantsOrScholarshipsAmt
End Year Balance$17,746EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$24,022BeginningYearBalanceAmt
Investment Earnings Or Losses$3,449InvestmentEarningsOrLossesAmt
End Year Balance$27,471EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,637,348OtherCostOrOtherBasisAmt
Book Value$4,637,348BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$52,433,529OtherCostOrOtherBasisAmt
Depreciation$3,670,098DepreciationAmt
Book Value$48,763,431BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,203,089OtherCostOrOtherBasisAmt
Depreciation$316,855DepreciationAmt
Book Value$886,234BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$32,667,131OtherCostOrOtherBasisAmt
Depreciation$16,070,378DepreciationAmt
Book Value$16,596,753BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,697,863OtherCostOrOtherBasisAmt
Book Value$4,697,863BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$75,581,629TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATE$58,061,891
COST REPORT SETTLEMENT RECEIVABLE$61,782
BOND ISSUE COSTS$292,385
INVESTMENT IN FOUNDATION HELD ASSETS$4,178,998
DEFERRED EQUIPMENT FEES$5,147,979
FieldValueIRS element (for citing)
Total Book Value Other Assets$67,743,035TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
COST REPORT SETTLEMENT PAYABLE$1,516,532
INTERCOMPANY PAYABLE$31,998,445
DUE TO AFFILIATE$3,354,769
ACCRUED PENSION COST$10,864,683
FieldValueIRS element (for citing)
Total Liability$47,734,429TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:MCLAREN NORTHERN MICHIGAN FOUNDATION HOLDS ENDOWMENTS ON BEHALF OF THE HOSPITAL. THE INTENDED PURPOSE OF THE ABOVE ENDOWMENT IS TO ASSIST PEDIATRIC PATIENTS.
PART X, LINE 2:THE CORPORATION AND SUBSTANTIALLY ALL OF ITS SUBSIDIARIES ARE NONPROFIT, TAX-EXEMPT ORGANIZATIONS; ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN THE CONSOLIDATED FINANCIAL STATEMENTS. 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. THE CORPORATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. THE CORPORATION AND CERTAIN OF ITS SUBSIDIARIES WERE AUDITED BY THE IRS FOR THE 2012, 2011, AND 2010 TAX PERIODS. THE AUDITS WERE RECENTLY SETTLED AND CLOSED FOR ALL THE SUBSIDIARIES INVOLVED IN THE AUDIT, WITH THE EXCEPTION OF MHP. THE COMPLETION OF THE IRS AUDIT FOR MHP IS SUBJECT TO COMPLETION OF MHP'S APPLICATION TO BE RECOGNIZED UNDER INTERNAL REVENUE CODE SECTION 501(C)(4). SUBSEQUENT TO YEAR END, MHP HAS SUBMITTED THE APPLICATION REQUESTING EXEMPTION AND IS AWAITING A RESPONSE FROM THE INTERNAL REVENUE SERVICE. IF MHP IS NOT ABLE TO OBTAIN RECOGNITION UNDER SECTION 501(C)(4), THE INTERNAL REVENUE SERVICE COULD POTENTIALLY PROCEED WITH REVOKING THE TAX-EXEMPT STATUS OF MHP FOR THE YEAR ENDED DECEMBER 31, 2010 AND ALL YEARS SUBSEQUENT. THE CORPORATION IS CURRENTLY IN THE PROCESS OF RESPONDING TO THIS PROPOSED ACTION. THE FINANCIAL STATEMENTS HAVE NOT BEEN ADJUSTED FOR ANY POTENTIAL OUTCOMES OF THIS UNCERTAINTY AT SEPTEMBER 30, 2014 AND 2013. MANAGEMENT BELIEVES THE CORPORATION IS NOT SUBJECT TO TAX EXAMINATIONS FOR YEARS PRIOR TO SEPTEMBER 30, 2011. SUBSEQUENT TO ISSUANCE OF THESE FINANCIAL STATEMENTS, THE INTERNAL REVENUE SERVICE APPROVED MHP'S TAX EXEMPT STATUS UNDER IRC SECTION 501(C)(4). AS SUCH, THE AFOREMENTIONED UNCERTAIN TAX POSITION DESCRIBED WITH REGARD TO MHP NO LONGER EXISTS.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,613,971TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,613,971NetCommunityBenefitExpnsAmt
Total Expense0.01300TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,396,658TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,242,412DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,154,246NetCommunityBenefitExpnsAmt
Total Expense0.01570TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$535,235TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$139,034DirectOffsettingRevenueAmt
Net Community Benefit Expns$396,201NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,545,864TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,381,446DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,164,418NetCommunityBenefitExpnsAmt
Total Expense0.03070TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs277ActivitiesOrProgramsCnt
Persons Served18594PersonsServedCnt
Total Community Benefit Expns$351,087TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$351,087NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served14PersonsServedCnt
Total Community Benefit Expns$26,631TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$26,631NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,910,601TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,298,272DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,612,329NetCommunityBenefitExpnsAmt
Total Expense0.03300TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$345,110TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$345,110NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs34ActivitiesOrProgramsCnt
Persons Served365PersonsServedCnt
Total Community Benefit Expns$17,556TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$17,556NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs316ActivitiesOrProgramsCnt
Persons Served18973PersonsServedCnt
Total Community Benefit Expns$18,650,985TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,298,272DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,352,713NetCommunityBenefitExpnsAmt
Total Expense0.03670TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs316ActivitiesOrProgramsCnt
Persons Served18973PersonsServedCnt
Total Community Benefit Expns$43,196,849TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$29,679,718DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,517,131NetCommunityBenefitExpnsAmt
Total Expense0.06740TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs26ActivitiesOrProgramsCnt
Persons Served770PersonsServedCnt
Total Community Benefit Expns$29,726TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$29,726NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Total Community Benefit Expns$2,970TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,970NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs60ActivitiesOrProgramsCnt
Persons Served415PersonsServedCnt
Total Community Benefit Expns$21,381TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$21,381NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs11ActivitiesOrProgramsCnt
Persons Served64PersonsServedCnt
Total Community Benefit Expns$29,369TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$29,369NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served50PersonsServedCnt
Total Community Benefit Expns$14,108TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$14,108NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs104ActivitiesOrProgramsCnt
Persons Served1299PersonsServedCnt
Total Community Benefit Expns$97,554TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$97,554NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$8,603,976BadDebtExpenseAmt
Bad Debt Expense Attributable$3,085,775BadDebtExpenseAttributableAmt
Reimbursed By Medicare$90,913,723ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$85,516,868CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$5,396,855MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn0FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MCLAREN NORTHERN MICHIGANBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1416 CONNABLE AVENUEAddressLine1
CityPETOSKEYCity
StateMIState
ZIP Code49770ZIPCode
FieldValueIRS element (for citing)
Website AddressWWW.MCLAREN.ORG/NORTHERNMICHIGAN/NORTHWebsiteAddressTxt
State License1060000053StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MCLAREN NORTHERN MICHIGANBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTP://WWW.MCLAREN.ORG/NORTHERNMICHIGAN/COwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedYes (1)AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (1)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Medicaid MedicareYes (X)MedicaidMedicareInd
State RegulationYes (X)StateRegulationInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Attached To InvoiceYes (X)AttachedToInvoiceInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Provided On AdmissionYes (X)ProvidedOnAdmissionInd
Available On RequestYes (X)AvailableOnRequestInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Average Negotiated RatesYes (X)AverageNegotiatedRatesInd
Medicare RatesYes (X)MedicareRatesInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
MCLAREN NORTHERN MICHIGANPART V, SECTION B, LINE 3: A COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON THE HOSPITALS WEBSITE LOCATED AT HTTP://WWW.MCLAREN.ORG/NORTHERNMICHIGAN/COMMITMENTTOOURCOMMUNITYNM.ASPXMCLAREN NORTHERN MICHIGAN IN CONJUNCTION WITH AREA COMMUNITY HOSPITALS AND DISTRICT HEALTH DEPARTMENTS CONDUCTED A NEEDS ASSESSMENT. IN ADDITION, MORE THAN 40 SECTORS OF THE COMMUNITY PARTICPATED IN COLLECTING DATA, COMMUNITY STATUS, PUBLIC HEALTH SYSTEM ACCESS AND COMMUNITY STRENGTHS ASSESSMENTS. CONDUCTED 22 FOCUS GROUPS (INCLUDING SPECIAL POPULATIONS, SENIORS, PERSONS/FAMILIES WITH PHYSICAL AND MENTAL DEVELOPMENTAL DISABILITIES, AND YOUNG CHILDREN 0 - 5 YRS, AND OTHERS), AND COMMUNITY FORUMS, AND SURVEYED COMMUNITY AND HEALTH CARE PROVIDERS.
MCLAREN NORTHERN MICHIGANPART V, SECTION B, LINE 4: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN CONJUNCTION WITH CHARLEVOIX AREA HOSPITAL, OTSEGO MEMORIAL HOSPITAL, HEALTH DEPARTMENT OF NORTHWEST MICHIGAN, DISTRICT NO 4 HEALTH DEPARTMENT, AND NORTHERN HEALTH PLAN. CHARLEVOIX AREA HOSPITAL AND OTSEGO MEMORIAL HOSPITAL ARE UNRELATED HOSPITAL FACILITIES.
MCLAREN NORTHERN MICHIGANPART V, SECTION B, LINE 5D: HOSPITAL REPRESENTATIVES PRESENTED THE COMMUNITY HEALTH NEEDS ASSESSMENT RESULTS AND IMPLEMENTATION STRATEGY TO COMMUNITY ADVISORY COUNCILS, BUSINESS LEADERS, AND VARIOUS COMMUNITY GROUPS.A COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON THE HOSPITALS WEBSITE LOCATED AT HTTP://WWW.MCLAREN.ORG/NORTHERNMICHIGAN/COMMITMENTTOOURCOMMUNITYNM.ASPX
MCLAREN NORTHERN MICHIGANPART V, SECTION B, LINE 7: THE GROUNDWORK FOR DEVELOPING THE COMMUNITY HEALTH IMPROVEMENT PLAN WAS REVIEWING NINE COMMUNITY THEMES THAT RESULTED FROM THE ASSESSMENT; ABUSE AND NEGLECT, ACCESS TO HEALTHCARE, ALCOHOL AND DRUG ABUSE, CHRONIC DISEASE, MATERNAL AND CHILD HEALTH, MENTAL HEALTH, OBESITY, SUBSTANCE ABUSE, AND TOBACCO USE. COMMUNITY WIDE MEETINGS WERE HELD TO REVIEW DATA, DISCUSS KEY ISSUES AND RANK TOP PRIORITIES. THE TOP THREE COMMUNITY HEALTH PRIORITITES IDENTIFIED WERE: 1) OBESITY AND CHRONIC DISEASE PREVENTION, 2) ACCESS TO HEALTHCARE, INCLUDING MENTAL HEALTH SERVICES, SUBSTANCE ABUSE TREATMENT, AND MATERNAL AND CHILD HEALTH, AND 3) SUBSTANCE ABUSE/TOBACCO USE. MCLAREN NORTHERN MICHIGAN ADOPTED THESE THREE IDENTIFIED COMMUNITY PRIORITIES IN THEIR COMMUNITY HEALTH IMPROVEMENT PLAN.A COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON THE HOSPITALS WEBSITE LOCATED AT HTTP://WWW.MCLAREN.ORG/NORTHERNMICHIGAN/COMMITMENTTOOURCOMMUNITYNM.ASPX
MCLAREN NORTHERN MICHIGANPART V, SECTION B, LINE 18E: THE HOSPITALS WEBSITE AND BILLING STATEMENTS INFORM PATIENTS TO CONTACT THE HOSPITAL FOR FINANCIAL ASSISTANCE INFORMATION.
MCLAREN NORTHERN MICHIGANPART V, SECTION B, LINE 20D: THE FACILITY HAS A POLICY OF ALLOWING A 50% DISCOUNT FOR CASH PAYMENTS AND SIMILARLY USED 50% ON UNINSURED CLAIMS FOR 2013. THIS DISCOUNT WOULD ENSURE FAP-ELIGIBLE INDIVIDIUALS ARE NOT BILLED MORE THAN THOSE WITH INSURANCE.
MCLAREN NORTHERN MICHIGANPART V, SECTION B, LINE 22: FOR PATIENTS THAT HAVE NOT RESPONDED TO CHARITY CARE APPLICATIONS OR STATEMENTS RECEIVED GROSS CHARGES ARE LEFT ON THEIR ACCOUNT. ONCE THEY ARE ELIGIBLE UNDER OUR FAP, WE WOULD ADJUST THEIR ACCOUNT ACCORDING TO OUR POLICIES.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:WE UTILIZE A STEP DOWN COSTING METHODOLOGY. FIRST DIRECT EXPENSES ARE REDUCED BY ANY NON PATIENT REVENUES RECEIVED. THEN INDIRECT DEPARTMENTS (THOSE WITHOUT PATIENT CHARGES) ARE ALLOCATED TO DIRECT DEPARTMENTS USING DEPARTMENT SPECIFIC STATISTICS. THE STEP DOWN PROCESS INCLUDES NINE ITERATIONS. WHEN THE COSTING PROCESS IS COMPLETE, COSTS ARE ASSIGNED TO EACH UNIQUE PATIENT. THIS ALLOWS US TO DETERMINE THE ACTUAL COST OF PROVIDING SERVICES TO EACH UNIQUE PATIENT.
PART I, LINE 7G:SUBSIDIZED HEALTH SERVICES INCLUDE: ACUTE REHAB, PSYCHIATRY, NEWBORNS, OB, WOMEN'S SERVICES, ACUTE INPATIENT, OUTPATIENT FIXED AND HEMODIALYSIS.
PART I, LN 7 COL(F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24E - BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE SCHEDULE H, PART I, COLUMN F PERCENTAGE EQUALS $8,603,976.
PART II, COMMUNITY BUILDING ACTIVITIES:COMMUNITY BUILDING ACTIVITIES SUPPORT IDENTIFIED COMMUNITY NEEDS AND COMMUNITY COLLABORATIVES SUCH AS POVERTY REDUCTION, TRANSPORTATION, WORKFORCE DEVELOPMENT AND COMMUNITY HEALTH, BY PROVIDING IN-KIND SERVICES, FINANCIAL RESOURCES AND STAFF EXPERTISE FROM THE HOSPITAL.
PART III, LINE 2:THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2, IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX.
PART III, LINE 3:TO DETERMINE THE ESTIMATED AMOUNT OF THE ORGANIZATIONS'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY, ADMINISTRATION ESTIMATED A PERCENTAGE OF INDIVIDUALS WHO DID NOT COMPLETE THE CHARITY CARE APPLICATION PROCESS, OR DID NOT TAKE THE TIME TO APPLY - WHICH AMOUNTS TO $3,085,775.
PART III, LINE 4:ACCOUNTS RECEIVABLE FINANCIAL STATEMENT FOOTNOTE:ACCOUNTS RECEIVABLE FROM PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS.ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE CORPORATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE CORPORATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE 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 AMOUNTS REPORTED FOR MEDICARE ARE FROM THE MEDICARE COST REPORT, WHICH DO NOT SHOW A SHORTFALL. THIS IS BASED ON THE METHODOLOGY REQUIRED FOR COMPLETING THE MEDICARE COST REPORT.
PART III, LINE 9B:THE ORGANIZATION'S WRITTEN DEBT COLLECTION POLICY DOES NOT CONTAIN PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE BECAUSE IF POSSIBLE WE TRY TO IDENTIFY AND DETERMINE ELIGIBILITY FOR CHARITY CARE BEFORE SERVICES ARE PROVIDED. ALSO, IT IS STATED IN OUR CHARITY CARE POLICY THAT ONCE ELIGIBLE, NO COLLECTION AGENCIES OR OTHER COLLECTION PROCESSES WILL BE FOLLOWED UNLESS THE PATIENT'S FINANCIAL CIRCUMSTANCES MATERIALLY CHANGE.
PART VI, LINE 2:MCLAREN NORTHERN MICHIGAN ASSESSES THE NEEDS AND ASSETS OF THE COMMUNITY BY COLLABORATING WITH COMMUNITY AND STRATEGIC PARTNERS, REVIEWING DEMOGRAHICS, HEALTH INDICATORS, MORBIDITY AND MORTALITY DATA, ANALYZING COST DRIVERS, AND CONDUCTING FOCUS GROUPS, SURVEYS, AND COMMUNITY FORUMS.
PART VI, LINE 3:AS PATIENTS ARE REGISTERED EITHER IN PERSON OR OVER THE PHONE THEY ARE GIVEN CONTACT INFORMATION FOR PATIENT FINANCIAL SERVICES REPRESENTATIVES IF THEY HAVE NO INSURANCE, ARE UNDER INSURED OR HAVE HIGH CO-PAY'S. THERE ARE PATIENT FINANCIAL SERVICES BROCHURES DISPLAYED AT ALL REGISTRATION AREAS THAT DESCRIBE THE VARIOUS FINANCIAL ASSISTANCE PROGRAMS AVAILABLE. THROUGH OUR CARE COORDINATION PROGRAM ALL PATIENTS WITH NO INSURANCE ARE SEEN TO ASSIST WITH FINANCIAL ASSISTANCE PROGRAMS.
PART VI, LINE 4:MCLAREN NORTHERN MICHIGAN, A SUBSIDIARY OF MCLAREN HEALTH CARE, IS A 202-BED REGIONAL REFERRAL CENTER LOCATED IN PETOSKEY, SERVING RESIDENTS IN 22 COUNTIES ACROSS NORTHERN LOWER MICHIGAN AND THE EASTERN PART OF THE UPPER PENINSULA. A MEDICAL STAFF OF NEARLY 200 PHYSICIANS REPRESENTS NEARLY ALL MEDICAL AND SURGICAL SPECIALTIES, ENABLING FULL-SERVICE CARE WITH AN EMPHASIS ON HEART, CANCER, ORTHOPEDICS, AND NEUROSCIENCE SERVICES. WITH A TOTAL MARKET POPULATION OF OVER 440,000, US CENSUS BUREAU DATA (2010) ESTIMATES THAT NEARLY 30% ARE AGE 45-64, AND NEARLY 20% ARE OVER AGE 65. ACCORDING TO THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH, TOP ADULT HEALTH CONCERNS INCLUDE: OVERWEIGHT AND OBESE, HIGH CHOLESTEROL, HIGH BLOOD PRESSURE, SMOKING, DIABETES AND UNINSURED. PREDICATED ON A VISION TO PROVIDE PATIENT-CENTERED CARE, EXTENSIVE EFFORTS IN TARGETING REGIONAL HEALTH CONCERNS HAS LED TO COLLABORATIVE PROGRAMS AND SERVICES IN PRIMARY CARE, HEART, CANCER AND DIAGNOSTICS. THIS APPROACH TO HIGH QUALITY, COST EFFECTIVE HEALTHCARE DELIVERY IN THIS RURAL AND REMOTE AREA HAS BEEN STRENGTHENED BY A LONG STANDING PRACTICE OF SPECIALTY PHYSICIANS HOSTING ON-SITE CLINIC VISITS TO OUTLYING COMMUNITIES. NORTHERN MICHIGAN REGIONAL HOSPITAL IS WORKING TO INFLUENCE BEHAVIOR THROUGH EDUCATION, PREVENTION THROUGH SCREENING, AND PROVIDING ACCESSIBLE TREATMENT THROUGH PHYSICIAN CLINICS AND HEALTH CENTERS THROUGHOUT THE REGION.
PART VI, LINE 5:THE HOSPITAL HAS AN ESTABLISHED REGIONAL COMMUNITY ADVISORY BOARD WHICH MEETS TO ACTIVELY ADDRESS HEALTHCARE ISSUES IN THE REGION. THE HOSPITAL PROVIDES COMMUNITY BENEFIT ACTIVITIES INCLUDING COMMUNITY HEALTH IMPROVEMENT AND HEALTH EDUCATION PROGRAMS AND SERVICES TO IMPROVE ACCESS TO HEALTHCARE, PROMOTE HEALTH AND WELLNESS, AND MANAGE CHRONIC DISEASE.
PART VI, LINE 6:AFFILIATES OF MCLAREN NORTHERN MICHIGAN INCLUDE THE FOLLOWING ORGANIZATIONS, EACH OF WHICH CONTRIBUTE TO HEALTH PROMOTION IN THE MANNER INDICATED: * MCLAREN NORTHERN MICHIGAN FOUNDATION - RAISES, MANAGES, AND DISPENSES FUNDS TO SUPPORT THE MISSION OF MCLAREN NORTHERN MICHIGAN AND PROVIDE PROGRAMS THAT ENHANCE THE WELL-BEING OF THE COMMUNITY. * COMMUNITY FREE CLINIC - PROVIDES MEDICAL TREATMENT TO THE AREA'S UNINSURED. * BOULDER PARK TERRACE - PROVIDES SKILLED NURSING AND SUB-ACUTE REHABILITATION SERVICES. * VITAL CARE - PROVIDES HOME HEALTH SERVICES, HOME MEDICAL EQUIPMENT AND SUPPLIES, HOSPICE SERVICES, PRIVATE DUTY SERVICES, AND ADULT DAY SERVICES. * PHYSICIAN PRACTICES - OFFER THE OPPORTUNITY FOR SEAMLESS PATIENT CARE WITHIN THE REGION THROUGH A SYSTEM OF WHOLLY-OWNED SPECIALTY MEDICINE PRACTICES: MICHIGAN HEART & VASCULAR SPECIALISTS, NORTHERN MICHIGAN INFECTIOUS DISEASES, NORTHERN MICHIGAN HEMATOLOGY/ONCOLOGY, ROGERS CITY MEDICAL GROUP (PRIMARY CARE), AND NORTHERN MICHIGAN REGIONAL HOSPITAL NEUROSURGERY SERVICES. * PRESCRIPTION SERVICES PHARMACY - OFFERS RETAIL PHARMACY SERVICES.
PART VI, LINE 7, REPORTS FILED WITH STATESMI

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmt
MCLAREN NORTHERN MICHIGAN FOUNDATION
360 CONNABLE AVENUEPETOSKEYMI49770382445611501 (C) (3)$81,628N/AN/ARENT/COLLEAGUE EDUCATION FUNDSRENT
PETOSKEY COMMUNITY FREE CLINIC
416 CONNABLE AVENUEPETOSKEYMI49770202675817501 (C) (3)$74,717N/AN/AGENERAL OPERATIONS
RW CONSIDINE FOUNDATION
4171 ELY ROADPELLSTONMI49769453715927501 (C) (3)COSTEQUIPMENTGENERAL OPERATIONS$160,000
MCLAREN HEALTH CARE CORPORATION
401 S BALLENGER HWYFLINTMI48532382397643501 (C) (3)$407,528N/AN/AGENERAL OPERATIONS
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationGRANTS MADE TO RELATED ORGANIZATIONS ARE MONITORED THROUGH THE MONTHLY ACCOUNTING PROCESSES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CATHERINE DEVET
TRUSTEE & PRESIDENT/CEO - 1ST PART Y$0$406,346$0$0$0$123,015$0$12,750$0$6,150$0$548,261$0$0
HUGH DEERY MD
TRUSTEE$38,220$234,781$20,000$20,000$0$3,619$0$21,349$0$6,268$58,220$286,017$0$0
PHILIP INCARNATI
TRUSTEE$0$1,479,146$0$0$0$6,424,696$0$543,791$0$10,427$0$8,458,060$0$2,622,986
EUGENE KAMINSKI
VP OF HUMAN RESOURCES$184,530$0$23,897$0$1,052$0$15,102$0$6,817$0$231,398$0$0$0
MARY-ANNE PONTI
SECRETARY & COO$238,418$0$35,902$0$945$0$12,035$0$11,068$0$298,368$0$0$0
CAROLINE SEAGREN
CHIEF DEV OFFICER$119,764$39,921$14,849$4,949$207$0$12,474$0$16,485$0$163,779$44,870$0$0
JENNIFER WOODS
VP CHIEF NURSE EXECUTIVE$127,713$0$15,713$0$384$0$6,534$0$13,605$0$163,949$0$0$0
KIRK LUFKIN
VP CHIEF MEDICAL OFFICER$292,344$0$9,000$0$680$0$2,092$0$11,727$0$315,843$0$0$0
DAVID BELLAMY
TREASURER & VP OF FINANCE/CFO$0$0$322,741$0$0$0$0$0$0$0$322,741$0$0$0
HARRY COLFER
PHYSICIAN$117,092$415,144$4,451$15,779$0$18,267$0$15,436$0$6,108$121,543$470,734$0$0
DUANE SCHUIL
PHYSICIAN$84,870$445,570$4,098$21,517$0$17,657$0$15,447$0$12,562$88,968$512,753$0$0
JASON RICCI
PHYSICIAN$122,849$411,276$19,210$64,312$0$23,029$0$15,439$0$13,606$142,059$527,662$0$0
LOUIS CANNON
PHYSICIAN$74,619$364,314$27,030$131,970$0$16,868$0$15,042$0$12,566$101,649$540,760$0$0
PETER LEVANOVICH
PHYSICIAN$167,633$356,219$4,997$10,618$0$13,762$0$14,866$0$12,481$172,630$407,946$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BMCLAREN HEALTHCARE CORPORATION 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. THE INDIVIDUALS LISTED IN PART VII WHO PARTICIPATED IN THE OLD SERP ARE: PHILIP INCARNATI. THE INDIVIDUALS LISTED IN PART VII WHO PARTICIPATED IN THE NEW SERP ARE: DAVID ZECHMAN.
SCH J, 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, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 6MCLAREN HEALTH CARE CORPORATION (MHCC) HAS AN INCENTIVE PROGRAM FOR LEADERS OF THE CORPORATION, SUBSIDIARY EXECUTIVES AND DIRECTORS, AND CORPORATE MANAGERS. THE PROGRAM IS COMPRISED OF QUALITY, OPERATIONAL AND FINANCIAL GOALS. 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 L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
PETOSKEY SURGEONS
BOARD MEMBER DAVID RYNBRANDT IS A 20% OWNER OF PETOSKEY SURGEONS.$573,449PETOSKEY SURGEONS PROVIDES NON-INVASIVE VASCULAR IMAGING TO MCLAREN NORTHERN MICHIGAN. IN ADDITION, QUALITY INCENTIVE PAYMENTS WERE PAID TO THE OWNERS OF PETOSKEY SURGEONS.0
ANTHELIO
BOARD MEMBER PHILIP INCARNATI IS A BOARD MEMBER OF ANTHELIO.$2,807,154ANTHELIO PROVIDES IT SERVICES TO MCLAREN NORTHERN MICHIGAN.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6MCLAREN HEALTH CARE CORPORATION IS THE SOLE MEMBER OF MCLAREN NORTHERN MICHIGAN.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBER SHALL HAVE THE EXCLUSIVE RIGHT TO ELECT OR APPOINT THE DIRECTORS OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7BTHE MEMBER MUST APPROVE THE FOLLOWING ACTIONS AUTHORIZED BY THE BOARD BEFORE THE ACTIONS CAN BECOME EFFECTIVE: (1) ANY AMENDMENT, MODIFICATION OR REPEAL OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; (2) THE ACQUISITION OR CREATION OF ALL WHOLLY-OWNED OR CONTROLLED CORPORATIONS AND ANY MERGER, CONSOLIDATION OR AFFILIATION OF THE CORPORATION WITH ANOTHER ENTITY; (3) ANY VOLUNTARY DISSOLUTION OF THE CORPORATION; (4) ANY NEW OR ADDITIONAL MEMBERS OF THE CORPORATION; (5) ANY CHANGE IN THE VOTING POWERS OF MCLAREN AS THE SOLE MEMBER; (6) ANY SALE, LEASE, OR OTHER TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; (7) THE DISCONTINUANCE OR MATERIAL MODIFICATION OF A MAJOR ACTIVITY, PROGRAM, OR SERVICE OF THE CORPORATION; (8) THE STRATEGIC AND LONG-RANGE PLANS AND THE ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS OF THE CORPORATION, AS DEVELOPED BY THE MANAGEMENT OF THE CORPORATION, WHICH APPROVAL THE MEMBER WILL NOT UNREASONABLY DENY; (9) THE CREATION OF ANY LONG-TERM OBLIGATION OF THE CORPORATION (OTHER THAN INDEBTEDNESS AS DESCRIBED BELOW), IF THE PRINCIPAL AMOUNT EXCEEDS 25% OF THE VALUE OF THE CORPORATION'S NET ASSETS (TOTAL ASSETS MINUS TOTAL LIABILITIES), EXCEPT THAT APPROVAL OF THE MEMBER IS NOT REQUIRED FOR ANY OBLIGATION INCURRED IN THE ORDINARY COURSE OF BUSINESS THAT IS PAYABLE ON DEMAND OR MATURES WITHIN 12 MONTHS FROM THE DATE OF ITS CREATION; (10) THE CORPORATION'S ISSUANCE OF NOTES, BONDS, OR OTHER EVIDENCE OF INDEBTEDNESS; (11) THE SALE, CONVEYANCE, ASSIGNMENT, TRANSFER, ALIENATION, PLEDGE, OR ENCUMBRANCE OF THE CORPORATION'S REAL PROPERTY WITH AN ANNUAL AGGREGATE VALUE IN EXCESS OF $250,000; (12) THE CORPORATION'S PURCHASE OR ACQUISITION OF ADDITIONAL REAL PROPERTY WITH AN ANNUAL AGGREGATE VALUE IN EXCESS OF $250,000; AND (13) APPROVE UNBUDGETED CAPITAL EXPENDITURES IN EXCESS OF $250,000 IN THE ANNUAL AGGREGATE.
FORM 990, PART VI, SECTION B, LINE 11THE 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 THE CORPORATE DIRECTOR OF BUDGET, THE CORPORATE SENIOR VICE PRESIDENT AND CFO OF MCLAREN HEALTH CARE CORPORATION (MHCC). COPIES OF THE 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 12CTHE 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 15THE COMPENSATION OF THE CEO IS DETERMINED BY THE COMPENSATION COMMITTEE OF MCLAREN HEALTH CARE CORPORATION BASED UPON THE PERFORMANCE OF THE CEO. THE COMPENSATION OF THE CEO IS WITHIN THE SALARY RANGES DETERMINED BY THE COMPENSATION COMMITTEE OF MCLAREN HEALTH CARE CORPORATION. THE PROCESS OF THE COMPENSATION COMMITTEE IS AS FOLLOWS: THE COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS TO REVIEW THE PERFORMANCE AND RECOMMEND THE TOTAL COMPENSATION PACKAGE OF THE CORPORATION'S CEO TO THE BOARD. FURTHER THE COMMITTEE ESTABLISHES THE SALARY RANGES AND PREREQUISITES OF THE CORPORATION'S OTHER MOST HIGHLY COMPENSATED OFFICERS (MHC VICE-PRESIDENTS AND MHC HOSPITAL/SUBSIDIARY 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 AS 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 ANNUALLY REVIEWS THE MCLAREN HEALTH CARE CORPORATION COMPENSATION COMMITTEE CHARTER AND MCLAREN HEALTH CARE CORPORATION COMPENSATION PHILOSOPHY. THE MOST RECENT TIME THIS PROCESS WAS UNDERTAKEN WAS IN 2014.
FORM 990, PART VI, SECTION C, LINE 19ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GPURCHASED PHYSICIAN: PROGRAM SERVICE EXPENSES 4,591,916. MANAGEMENT AND GENERAL EXPENSES 6,351,397. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,943,313. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,169,745. MANAGEMENT AND GENERAL EXPENSES 3,923,714. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,093,459. CONSULTING FEES: PROGRAM SERVICE EXPENSES 61,306. MANAGEMENT AND GENERAL EXPENSES 905,977. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 967,283. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 14,765. MANAGEMENT AND GENERAL EXPENSES 1,310,751. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,325,516. OTHER FEES: PROGRAM SERVICE EXPENSES 6,457. MANAGEMENT AND GENERAL EXPENSES 15,895. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,352. COLLECTION FEES: PROGRAM SERVICE EXPENSES 2,642. MANAGEMENT AND GENERAL EXPENSES 788,262. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 790,904. RECRUITMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 543,550. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 543,550.
FORM 990, PART XI, LINE 9:CHANGE IN FOUNDATION HELD ASSETS -73,455. PENSION RELATED CHANGES -9,946,107. TRANSFER FROM RELATED ORGANIZATION UPON DISSOLUTION 51,918.
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 FORM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (40 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
BAY MEDICAL FOUNDATION
1900 COLUMBUS AVEBAY CITYMI48708382156534FOUNDATIONMI501(C)(3)LINE 11A, IBAY REGIONAL MEDICAL CENTERYes (1)
BAY REGIONAL MEDICAL CENTER
1900 COLUMBUS AVEBAY CITYMI48708381976271HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATIONYes (1)
BAY REGIONAL MEDICAL CENTER AUXILIARY
1908 COLUMBUS AVENUEBAY CITYMI48708386081235SUPPORTING ORGANIZATIONMI501(C)(3)LINE 11A, IBAY REGIONAL MEDICAL CENTERYes (1)
BAY SPECIAL CARE HOSPITAL
1900 COLUMBUS AVEBAY CITYMI48708383161753HOSPITALMI501(C)(3)LINE 3BAY REGIONAL MEDICAL CENTERYes (1)
CENTRAL MICHIGAN COMMUNITY HOSPITAL
1221 SOUTH DRIVEMT PLEASANTMI48858381420304HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATIONYes (1)
CENTRAL MICHIGAN COMMUNITY HOSPITAL RADIATION ONCOLOGY
1000 HARRINGTONMT PLEASANTMI48858300312172HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATIONYes (1)
CHARLEVOIX NURSING HOME CORPORATION DBA BOULDER PARK TERRACE
14676 WEST UPRIGHTCHARLEVOIXMI49720383038683SKILLED NURSING FACILITYMI501(C)(3)LINE 9MCLAREN NORTHERN MICHIGANYes (1)
GREAT LAKES CANCER INSTITUTE
401 S BALLENGER HWYFLINTMI48532383584572CANCER CARE CENTERMI501(C)(3)LINE 7MCLAREN HEALTH CARE CORPORATIONYes (1)
INGHAM REGIONAL HEALTHCARE FOUNDATION
401 S GREENLAWN AVELANSINGMI48910382463637FOUNDATIONMI501(C)(3)LINE 7INGHAM REGIONAL MEDICAL CENTERYes (1)
INGHAM REGIONAL MEDICAL CENTER
401 S GREENLAWN AVELANSINGMI48910381434090HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATIONYes (1)
LAPEER REGIONAL MEDICAL CENTER
1375 N MAIN STLAPEERMI48446382689033HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATIONYes (1)
LAPEER REGIONAL MEDICAL CENTER FOUNDATION
1375 N MAIN STLAPEERMI48446382689603FOUNDATIONMI501(C)(3)LINE 11A, ILAPEER REGIONAL MEDICAL CENTERYes (1)
MCLAREN HEALTH CARE CORPORATION
401 S BALLENGER HWYFLINTMI48532382397643SUPPORTING ORGMI501(C)(3)LINE 11A, I0N/A
MCLAREN HEALTH CARE VILLAGE FOUNDATION
401 S BALLENGER HIGHWAYFLINTMI48532262693350SUPPORTING ORGMI501(C)(3)LINE 11A, IMCLAREN HEALTH CARE CORPORATIONYes (1)
MCLAREN HEALTH PLAN
G-3245 BEECHER ROADFLINTMI48532383383640HEALTH CARE SERVICESMI501(C)(4)MCLAREN HEALTH CARE CORPORATIONYes (1)
MCLAREN MEDICAL MANAGEMENT INC
401 S BALLENGER HWYFLINTMI48532382988086MANAGEMENT COMPANYMI501(C)(3)LINE 11A, IMCLAREN HEALTH CARE CORPORATIONYes (1)
MCLAREN REGIONAL MEDICAL CENTER
401 S BALLENGER HWYFLINTMI48532382383119HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATIONYes (1)
MOUNT CLEMENS REGIONAL HEALTHCARE FOUNDATION
PO BOX 326MOUNT CLEMENSMI48046382578873FOUNDATIONMI501(C)(3)LINE 9MOUNT CLEMENS REGIONAL MEDICAL CENTERYes (1)
MOUNT CLEMENS REGIONAL MEDICAL CENTER
1000 HARRINGTONMOUNT CLEMENSMI48043381218516HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATIONYes (1)
NORTH OAKLAND NORTH MACOMB IMAGING INC
355 BARCLAY CIR STE AROCHESTER HILLSMI48307382807040MRI IMAGINGMI501(C)(3)LINE 3Yes (1)N/A
NORTHERN MICHIGAN HEMATOLOGY AND ONCOLOGY
416 CONNABLE AVENUEPETOSKEYMI49770320020293PHYSICIAN PRACTICEMI501(C)(3)LINE 3MCLAREN NORTHERN MICHIGANYes (1)
NORTHERN MICHIGAN MEDICAL MANAGEMENT
416 CONNABLE AVENUEPETOSKEYMI49770208458840PHYSICIAN PRACTICEMI501(C)(3)LINE 3MCLAREN NORTHERN MICHIGANYes (1)
MCLAREN NORTHERN MICHIGAN FOUNDATION
360 CONNABLE AVENUEPETOSKEYMI49770382445611FUNDRAISINGMI501(C)(3)LINE 11A, IMCLAREN NORTHERN MICHIGANYes (1)
PETOSKEY COMMUNITY FREE CLINIC
416 CONNABLE AVENUEPETOSKEYMI49770203675817HEALTH SERVICESMI501(C)(3)LINE 3MCLAREN NORTHERN MICHIGANYes (1)
POH REGIONAL MEDICAL CENTER
50 NORTH PERRY STREETPONTIACMI48342381428164HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATIONYes (1)
POH RILEY FOUNDATION
50 NORTH PERRY STREETPONTIACMI48342200442217FOUNDATIONMI501(C)(3)LINE 11C, III-FIPOH REGIONAL MEDICAL CENTERYes (1)
PRIMARY CARE
1900 COLUMBUS AVEBAY CITYMI48708202443604HEALTH CARE SERVICESMI501(C)(3)LINE 9BAY REGIONAL MEDICAL CENTERYes (1)
REGIONAL EMERGENCY MEDICAL SERVICE INC
25400 W 8 MILE ROADSOUTHFIELDMI48034383255499AMBULANCE SERVICEMI501(C)(3)LINE 9MCLAREN MEDICAL MANAGEMENT INCYes (1)
THE CARDIAC INSTITUTE DBA MICHIGAN HEART & VASCULAR SPECIALISTS
416 CONNABLE AVENUEPETOSKEYMI49770262774689PHYSICIAN PRACTICEMI501(C)(3)LINE 3MCLAREN NORTHERN MICHIGANYes (1)
VISITING NURSE SERVICE OF MICHIGAN
401 S BALLENGER HWYFLINTMI48532383491714HEALTH CARE SERVICESMI501(C)(3)LINE 9MCLAREN HEALTH CARE CORPORATIONYes (1)
VITALCARE INC
761 LAFAYETTE AVENUECHEBOYGANMI49721382527255HOSPICE CARE/HOME HEALTH SERVICESMI501(C)(3)LINE 9MCLAREN NORTHERN MICHIGANYes (1)
WOMENS HOSPITAL ASSOCIATION OF FLINT MICHIGAN
401 S BALLENGER HIGHWAYFLINTMI48532381358053SUPPORTING ORGANIZATIONMI501(C)(3)LINE 11A, IMCLAREN HEALTH CARE CORPORATIONYes (1)
MCLAREN HOSPITALITY HOUSE
401 S BALLENGER HIGHWAYFLINTMI48532455567669HOSPITALITY HOUSEMI501(C)(3)LINE 7MCLAREN HEALTH CARE CORPORATIONYes (1)
BLUE WATER HEALTH SERVICES
1221 PINE GROVE AVENUEPORT HURONMI49060382453295MANAGEMENT CORPMI501(C)(3)LINE 9Yes (1)N/A
KARMANOS CANCER CENTER
4100 JOHN R STDETROITMI48201201649466HOSPITALMI501(C)(3)LINE 3KARMANOS CANCER INSTITUTEYes (1)
KARMANOS CANCER INSTITUTE
4100 JOHN R STDETROITMI48201381613280CANCER RESEARCH AND CARE CENTERMI501(C)(3)LINE 7MCLAREN HEALTH CARE CORPORATIONYes (1)
MARWOOD MANOR NURSING HOME
PO BOX 5011PORT HURONMI48060382683251NURSING HOMEMI501(C)(3)LINE 9PORT HURON HOSPITALYes (1)
PARKVIEW PROPERTY MANAGEMENT CORPORATION
PO BOX 5011PORT HURONMI48060382467310MANAGEMENT CORPMI501(C)(3)LINE 11A, IPORT HURON HOSPITALYes (1)
PORT HURON HOSPITAL
1221 PINE GROVE AVENUEPORT HURONMI48060381369611HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATIONYes (1)
PORT HURON HOSPITAL FOUNDATION
PO BOX 5011PORT HURONMI48060382777750SUPPORTING ORGMI501(C)(3)LINE 11A, IPORT HURON HOSPITALYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
MCLAREN - NORTHERN EQUITIES CANCER CENTER PROJECT LLC
39000 COUNTRY CLUB DRIVEFARMINGTON HILLSMI48331263112935RENTAL REAL ESTATEMIN/A
MOUNT CLEMENS REGIONAL HEALTH BUILDING HEALTH PARTNERS
1000 HARRINGTON STMOUNT CLEMENSMI48043262524717BUILDING MANAGEMENTMIN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
HEALTH ADVANTAGE INC
G3245 BEECHER ROADFLINTMI48532912141720HEALTH CARE SERVICESMIN/AC0
CLARKSTON PROPERTY ASSOCIATES
50 NORTH PERRY STREETPONTIACMI48342432006072REAL ESTATEMIN/AC0
HOSPITAL HEALTH CARE INC
50 NORTH PERRY STREETPONTIACMI48342382643070HEALTH CAREMIN/AC0
PHYSICIAN ORGANIZED HEALTHCARE SYSTEM
50 NORTH PERRY STREETPONTIACMI48342383136458MANAGED CAREMIN/AC0
MCLAREN HEALTH PLAN INSURANCE COMPANY
G-3245 BEECHER ROAD SUITE 200FLINTMI48532271780283INSURANCEMIN/AC0
VITALCARE HOME MEDICAL EQUIPMENT INC
761 LAFAYETTE AVENUECHEBOYGANMI49721382662954SALE AND RENTAL OF DURABLE MEDICAL EQUIPMENTMIN/AC0
RAPIN & RAPIN INC DBA PRESCRIPTION SERVICES PHARMACY
416 CONNABLE AVENUEPETOSKEYMI49770383465261RETAIL PHARMACYMIN/AC0
WILLOW ENTERPRISES
PO BOX 5011PORT HURONMI48061382491659SALE AND RENTAL OF DURABLE MEDICAL EQUIPMENTMIN/AC0
DELPHINUS INVESTMENT INC
4100 JOHN R STDETROITMI48075454758176HOLD PASSIVE INVESTMENTMIN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (29 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CHARLEVOIX NURSING HOME CORPORATION
Q$3,415,539COST
MCLAREN HEALTH CARE CORPORATION
P$13,275,211COST
MCLAREN HEALTH CARE CORPORATION
B$407,528CASH
MCLAREN HEALTH CARE CORPORATION
O$890,584CASH
MCLAREN HEALTH CARE CORPORATION
M$14,333,455COST
MCLAREN REGIONAL MEDICAL CENTER
P$373,108COST
NORTHERN MICHIGAN HEMATOLOGY AND ONCOLOGY
P$640,916COST
NORTHERN MICHIGAN HEMATOLOGY AND ONCOLOGY
Q$6,312,437COST
NORTHERN MICHIGAN MEDICAL MANAGEMENT
P$5,705,614COST
NORTHERN MICHIGAN MEDICAL MANAGEMENT
Q$9,010,875COST
NORTHERN MICHIGAN MEDICAL MANAGEMENT
K$59,285LEASE AMOUNT
MCLAREN HEALTH ADVANTAGE
Q$8,611,272COST
MCLAREN NORTHERN MICHIGAN FOUNDATION
B$81,628CASH
MCLAREN NORTHERN MICHIGAN FOUNDATION
C$1,390,754CASH
MCLAREN NORTHERN MICHIGAN FOUNDATION
Q$1,107,809COST
PETOSKEY COMMUNITY FREE CLINIC
Q$187,055COST
PETOSKEY COMMUNITY FREE CLINIC
B$74,717CASH
RAPIN & RAPIN
Q$491,302COST
THE CARDIAC INSTITUTE
P$3,187,991COST
THE CARDIAC INSTITUTE
Q$11,008,226COST
VITALCARE HOME MEDICAL EQUIPMENT INC
Q$199,111COST
VITALCARE INC
Q$1,405,625COST
VITALCARE INC
K$110,225LEASE AMOUNT
PETOSKEY COMMUNITY FREE CLINIC
S$51,918CASH
NORTHERN MICHIGAN MEDICAL MANAGEMENT
R$81,004CASH
VITALCARE INC
P$54,199COST
MCLAREN MEDICAL MANAGEMENT INC
P$809,599COST
MCLAREN MEDICAL MANAGEMENT INC
K$327,154LEASE AMOUNT
MCLAREN MEDICAL LABORATORY
Q$55,325COST