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MCLAREN MACOMB: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MCLAREN MACOMB (EIN 38-1218516)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-15
IRS object ID
201402279349302125
Schema version
2012v2.1
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)
Timestamp2014-08-15T10:01:05-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN381357951EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1750 TRADE CENTRE WAY STE 300AddressLine1
CityPORTAGECity
StateMIState
ZIP Code49002ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN381218516EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MOUNT CLEMENS REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMOUNNameControl
Phone5867414282Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 HARRINGTONAddressLine1
CityMOUNT CLEMENSCity
StateMIState
ZIP Code48043ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAMON SORENSENName
TitleCFOTitle
Phone5867414282Phone
Date Signed2014-08-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCAROL LALONDE CPAName
PTINP00181637PTIN
Phone2695674500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1MCLAREN MACOMBBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAMON SORENSENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11000 HARRINGTONAddressLine1
CityMOUNT CLEMENSCity
StateMIState
ZIP Code48043ZIPCode
FieldValueIRS element (for citing)
Gross Receipts305410778GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MCRMC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1946YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionPROVIDER OF HEALTH CARE SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees2420TotalNbrEmployees
Total Nbr Volunteers12TotalNbrVolunteers
Total Gross UBI1637672TotalGrossUBI
Net Unrelated Business Txbl Income-353729NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year615976ContributionsGrantsPriorYear
Contributions Grants Current Year554990ContributionsGrantsCurrentYear
Program Service Revenue Prior Year278743152ProgramServiceRevenuePriorYear
Program Service Revenue CY294681027ProgramServiceRevenueCY
Investment Income Prior Year2702566InvestmentIncomePriorYear
Investment Income Current Year2812847InvestmentIncomeCurrentYear
Other Revenue Prior Year3667396OtherRevenuePriorYear
Other Revenue Current Year5520073OtherRevenueCurrentYear
Total Revenue Prior Year285729090TotalRevenuePriorYear
Total Revenue Current Year303568937TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2963437GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1133632GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year130251305SalariesEtcPriorYear
Salaries Etc Current Year141175840SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year139108753OtherExpensePriorYear
Other Expenses Current Year142631529OtherExpensesCurrentYear
Total Expenses Prior Year272323495TotalExpensesPriorYear
Total Expenses Current Year284941001TotalExpensesCurrentYear
Revenues Less Expenses Prior Year13405595RevenuesLessExpensesPriorYear
Revenues Less Expenses CY18627936RevenuesLessExpensesCY
Total Assets BOY301880998TotalAssetsBOY
Total Assets EOY332552597TotalAssetsEOY
Total Liabilities BOY209470659TotalLiabilitiesBOY
Total Liabilities EOY196928965TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY92410339NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY135623632NetAssetsOrFundBalancesEOY
Mission DescriptionTO BE MICHIGAN'S BEST VALUE IN HEALTH CARE AS DEFINED BY QUALITY OUTCOMES AND COST.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense223773711Expense
Grants1133632Grants
Revenue296733344Revenue
DescriptionMOUNT CLEMENS REGIONAL MEDICAL CENTER OBTAINED THE FOLLOWING FIGURES WITHIN FISCAL YEAR 2013: PATIENT DAYS 61,402. OUTPATIENT REGISTRATIONS 84,947. PHYSICIAN PRACTICE VISITS 23,759. EMERGENCY ROOM VISITS 63,981. LAB COURIER REGISTRATIONS 145,479. SURGICAL PROCEDURES 9,701. ANESTHESIA SERVICES 22,074 HOURS.Description
Total Program Service Expense223773711TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096280NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2420NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DAMON SORENSENBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5864938090TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11000 HARRINGTONAddressLine1
CityMOUNT CLEMENSCity
StateMIState
ZIP Code48043ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
MARK O'HALLA
PRESIDENT;CEO40.002.10XX983671024650
PETER AJLUNI
TRUSTEE1.000.00X3600000
CAROLYN DORIAN
TRUSTEE - SECRETARY1.000.00XX000
JAMES GEORGE
TRUSTEE - VICE CHAIRMAN1.001.00XX0157500
PHILIP INCARNATI
TRUSTEE1.0051.90X066868862137055
MATTHEW MOROUN
TRUSTEE1.000.00X000
THOMAS SCHWANITZ
TRUSTEE - TREASURER1.000.00XX000
HON GEORGE STEEH
HONORABLE JUDGE1.000.00X000
TED WAHBY
BOARD OF TRUSTEES - CHAIRMAN1.000.00XX000
ROBERT CANNON
TRUSTEE1.000.00X000
JOHN PAUL HUNT
TRUSTEE1.000.00X000
BERNADETTE GENDERNALIK
TRUSTEE1.000.00X4200000
DEAN PETITPREN
TRUSTEE1.000.00X000
ALBERT PRZYBYLSKI
TRUSTEE1.000.00X94000
DAMON SORENSEN
VP FINANCE; CFO40.000.50X230006011611
SUSAN DURST
CNO40.000.00X24519609158
LAURA GIBBARD
VP HUMAN RESOURCES40.000.00X170439011612
SHARYL SMITH
VP MARKETING & PLANNING40.000.00X162503011612
DAVID PINELLI
CMO40.000.00X000
RONALD B IRWIN
MEDICAL DIRECTOR OF ORTHO ONCOLOGY40.000.00130940806896X
JEFFERY BALAZSY
PHYSICIAN40.000.0082605004037X
PRAVEEN DALMIA
DIRECTOR, RADIOLOGY CHIEF PHYSICIAN40.000.00337708011205X
CHRISTOPHER SCHNURER
DIRECTOR, MEDICAL EDUCATION40.000.00305821011611X
MARK YUDELEV
MEDICAL PHYSICIST40.000.0027469709157X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4924439TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs6702636TotalReportableCompFrmRltdOrgs
Total Other Compensation2248604TotalOtherCompensation
Number Individuals GT100 K56NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MORRISON MANAGEMENT SPECIALISTS INC
5801 PEACHTREE DUNWOODY RDATLANTAGA30342CLEANING SERVICES3545883
PINNACLE CONTRACTING INC
111 GROVE PARKMT CLEMENSMI48043CONSTRUCTION2262806
AMERICAN RED CROSS BLOOD SERVICES SOUTH
PO BOX 73013CHICAGOIL60673BLOOD SERVICES1565966
PUBLICOM
333 ALBERT AVE STE 400EAST LANSINGMI48823ADVERTISING1199462
REGIONAL TRAUMA CARE PC
1000 HARRINGTONMT CLEMENSMI48043PHYSICIAN COVERAGE1128600
FieldValueIRS element (for citing)
Number Of Contractors GT100 K25NumberOfContractorsGT100K
Related Organizations533723RelatedOrganizations
All Other Contributions21267AllOtherContributions
Total Contributions554990TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICES622110293061832293061832
LAB REVENUE90009916172481617248
PHARMACY REVENUE90009919471947
FieldValueIRS element (for citing)
Total Program Service Revenue294681027TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2787319TotalRevenueColumn
Exclusion$2,787,319ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real3468690Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1631983Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1836707Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1836707TotalRevenueColumn
Unrelated Business Revenue20424UnrelatedBusinessRevenue
Exclusion$1,816,283ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other235386Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other209858Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other25528Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column25528TotalRevenueColumn
Exclusion$25,528ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
MISCELLANEOUS90009936695653669565
RESEARCH REVENUE54170013801$13,801
FieldValueIRS element (for citing)
Total Other Revenue3683366TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column303568937TotalRevenueColumn
Related Or Exempt Function Income296733344RelatedOrExemptFunctionIncome
Unrelated Business Revenue1637672UnrelatedBusinessRevenue
Exclusion$4,642,931ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1133632Total
Program Services1133632ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1701048Total
Management And General1701048ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total113553600Total
Program Services84135893ProgramServices
Management And General29417707ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2917014Total
Program Services2129420ProgramServices
Management And General787594ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total15634968Total
Program Services11413527ProgramServices
Management And General4221441ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7369210Total
Program Services5379523ProgramServices
Management And General1989687ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total342804Total
Program Services250247ProgramServices
Management And General92557ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total67889Total
Management And General67889ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total9669Total
Management And General9669ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total42373363Total
Program Services30939613ProgramServices
Management And General11433750ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1454564Total
Program Services1061832ProgramServices
Management And General392732ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1206751Total
Program Services880928ProgramServices
Management And General325823ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6070626Total
Program Services4431557ProgramServices
Management And General1639069ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total206759Total
Program Services150934ProgramServices
Management And General55825ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total6642197Total
Program Services4848804ProgramServices
Management And General1793393ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total17000400Total
Program Services12410292ProgramServices
Management And General4590108ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total542013Total
Program Services395670ProgramServices
Management And General146343ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES4055170840551708
BAD DEBTS108519081081560636302
QAAP74013997401399
EQUIP REPAIR & MAINT566804941376761530373

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2241430Total
Program Services1305450ProgramServices
Management And General935980ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total284941001Total
Program Services223773711ProgramServices
Management And General61167290ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6593698BOY
EOY6702073EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY16723851BOY
EOY19858351EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4540243BOY
EOY8566637EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1125537BOY
EOY1246554EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis359646108LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec247890163LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY115937624BOY
EOY111755945EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY127236568BOY
EOY154469845EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY23586373BOY
EOY24032887EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY815000BOY
EOY815000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5322104BOY
EOY5105305EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY301880998BOY
EOY332552597EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY28558083BOY
EOY30370818EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY249694BOY
EOY270066EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY145686197BOY
EOY143197913EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY34976685BOY
EOY23090168EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY209470659BOY
EOY196928965EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY92118224BOY
EOY135310251EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY292115BOY
EOY313381EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY92410339BOY
EOY135623632EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY301880998BOY
EOY332552597EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses18627936ReconcilationRevenueExpenses
Reconciliation Unrealized Invest14038244ReconciliationUnrealizedInvest
Reconcilation Other Changes10547113ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$9,669OtherActivitiesAmount
Total Lobbying Expenditures IIB9669TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationA PORTION OF DUES PAID TO MICHIGAN HEALTH AND HOSPITAL ASSOCIATION SUPPORT LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3481104OtherCostOrOtherBasis
Book Value3481104BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis142050777OtherCostOrOtherBasis
Depreciation88438440Depreciation
Book Value53612337BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis9584449OtherCostOrOtherBasis
Depreciation6225445Depreciation
Book Value3359004BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis197242379OtherCostOrOtherBasis
Depreciation152385078Depreciation
Book Value44857301BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7287399OtherCostOrOtherBasis
Depreciation841200Depreciation
Book Value6446199BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings111755945TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
DescriptionINVESTMENTS IN AND ADVANCES TO AFFILIATESDescription
Book Value24032887BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Program Related24032887TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
PROFESSIONAL LIABILITY INSURANCE$6,222,931
WORKERS COMPENSATION INSURANCE$259,237
MINIMUM PENSION LIABILITY$1,671,675
ACCRUED PENSION$8,848,690
COST REPORT SETTLEMENTS PAYABLE$5,017,880
CAPITAL LEASE OBLIGATION$1,069,755
FieldValueIRS element (for citing)
Total Of Amounts23090168TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE 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 ARE CURRENTLY BEING AUDITED BY THE IRS FOR THE 2012, 2011, AND 2010 TAX PERIODS. THE CORPORATION IS UNABLE TO QUANTIFY A TAX LIABILITY, IF ANY, AT THIS TIME. MANAGEMENT BELIEVES THE CORPORATION IS NOT SUBJECT TO TAX EXAMINATIONS FOR YEARS PRIOR TO SEPTEMBER 30, 2010.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available0ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense7096402TotalCommunityBenefitExpense
Net Community Benefit Expense7096402NetCommunityBenefitExpense
Percent Of Total Expense0.02590PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense43601212TotalCommunityBenefitExpense
Direct Offsetting Revenue35948055DirectOffsettingRevenue
Net Community Benefit Expense7653157NetCommunityBenefitExpense
Percent Of Total Expense0.02790PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense232403TotalCommunityBenefitExpense
Direct Offsetting Revenue92177DirectOffsettingRevenue
Net Community Benefit Expense140226NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense50930017TotalCommunityBenefitExpense
Direct Offsetting Revenue36040232DirectOffsettingRevenue
Net Community Benefit Expense14889785NetCommunityBenefitExpense
Percent Of Total Expense0.05430PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense13178917TotalCommunityBenefitExpense
Direct Offsetting Revenue5008289DirectOffsettingRevenue
Net Community Benefit Expense8170628NetCommunityBenefitExpense
Percent Of Total Expense0.02980PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense13178917TotalCommunityBenefitExpense
Direct Offsetting Revenue5008289DirectOffsettingRevenue
Net Community Benefit Expense8170628NetCommunityBenefitExpense
Percent Of Total Expense0.02980PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense64108934TotalCommunityBenefitExpense
Direct Offsetting Revenue41048521DirectOffsettingRevenue
Net Community Benefit Expense23060413NetCommunityBenefitExpense
Percent Of Total Expense0.08410PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense1337TotalCommunityBuildingExpense
Net Community Building Expense1337NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Total Community Building Expense636TotalCommunityBuildingExpense
Net Community Building Expense636NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs47NumberOfActivitiesOrPrograms
Persons Served279PersonsServed
Total Community Building Expense2633TotalCommunityBuildingExpense
Net Community Building Expense2633NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense246TotalCommunityBuildingExpense
Net Community Building Expense246NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs55NumberOfActivitiesOrPrograms
Persons Served279PersonsServed
Total Community Building Expense4852TotalCommunityBuildingExpense
Net Community Building Expense4852NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$10,838,380BadDebtExpenseAmount
Amount Attributable To3434527AmountAttributableTo
Amount Reimbursed By Medicare89726381AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare79568516CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall10157865MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line11 MT CLEMENS REGIONAL MEDICAL CENTER HEALTH PARTNERS LLCBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityMEDICAL OFFICE BUILDINGDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.66670OrganizationProfitOrOwnership
Physicans Profit Or Ownership0.33330PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1MOUNT CLEMENS REGIONAL MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11000 HARRINGTONAddressLine1
CityMOUNT CLEMENSCity
StateMIState
ZIP Code48043ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MT CLEMENS REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities0OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs Addressed1AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent250.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Permit LawsuitXPermitLawsuit
Permit Lien On ResidenceXPermitLienOnResidence
Collection Activities1CollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges1GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
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: COSTING METHODOLOGY - USED COST TO CHARGE RATIO FOR LINES 7A, B, AND C AND ACTUAL COST PER BOOKS FOR LINE 7F.
PART I, L7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $10,838,380.
PART II: 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 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.BAD DEBT EXPENSE REPORTED ON LINE 2 IS THE BAD DEBT EXPENSE AS REPORTED IN THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS AND ON FORM 990 PART IX. THE AMOUNT OF BAD DEBT ESTIMATED TO BE ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS $3,434,527. THIS ESTIMATE IS BASED ON SAMPLES OF ACCOUNTS.
PART III, LINE 8: COSTING METHODOLOGY USED IS THE COST TO CHARGE RATIO AS REQUIRED FOR THE MEDICARE COST REPORT.
PART III, LINE 9B: CURRENTLY OUR PROCESS INCLUDES SELF AND PRIVATE PAY PATIENT ACTIVITY IS SENT TO A VENDOR FOR ASSISTANCE. SELF PAY PATIENTS REQUESTING FINANCIAL ASSISTANCE AT REGISTRATION AND GIVEN A FINANCIAL ASSISTANCE APPLICATION WHICH IS EVALUATED TO DETERMINE IF CHARITY CARE IS APPLICABLE AND AN ATTEMPT IS ALSO MADE TO ASSIST PATIENTS FOR FINANCIAL ASSISTANCE POLICY ELIGIBILITY.THE HOSPITAL HAS A WRITTEN PATIENT COLLECTION POLICY THAT PROVIDES FOR A REVIEW OF THE PATIENT'S RECORDS BY THE HOSPITAL TO DETERMINE THAT REASONABLE EFFORTS WERE UNDERTAKEN TO ENSURE THAT FINANCIAL ASSISTANCE WAS OFFERED AND/OR FINANCIAL ASSISTANCE WAS REQUESTED. THE SPECIFIC ACTIONS TO BE TAKEN ARE OUTLINED IN THE POLICY.
PART V, SECTION B, LINE 20D: THE MAXIMUM AMOUNTS THAT CAN BE CHARTED TO INDIVIDUALS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS 25% OF CHARGES BASED ON THE PATIENT'S INCOME AS COMPARED AGAINST THE FEDERAL POVERTY GUIDELINES.MT. CLEMENS REGIONAL MEDICAL CENTER
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. 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 MOUNT CLEMENS REGIONAL MEDICAL CENTER IS COMPOSED OF 29 ZIP CODES AND IS CENTERED PRINCIPALLY ON THE CITY OF MT. CLEMENS, MI IN THE COUNTY OF MACOMB. THE PRIMARY SERVICE AREA, ACCOUNTING FOR 83% OF ANNUAL INPATIENT DISCHARGES, IS COMPOSED OF 14 ZIP CODES AND CAN BE CHARACTERIZED AS LARGELY URBAN IN NATURE. THE SECONDARY SERVICE AREA, ACCOUNTING FOR 17% OF ANNUAL INPATIENT DISCHARGES, IS COMPOSED OF 15 ZIP CODES AND CAN BE CHARACTERIZED AS LARGELY URBAN IN NATURE. PRIMARY SERVICE AREA DEMOGRAPHIC DISTRIBUTIONSAGE DISTRIBUTION0 - 14 19.8%15 - 17 4.2%18 - 24 8.5%25 - 34 12.8%35 - 54 30.7%55 - 64 11.6%65+ 12.4%EDUCATION LEVELLESS THAN HIGH SCHOOL 3.2%SOME HIGH SCHOOL 8.3%HIGH SCHOOL DEGREE 32.7%SOME COLLEGE/ASSOC. DEGREE 36.4%BACHELORS DEGREE OR GREATER 19.4%HOUSEHOLD INCOME DISTRIBUTION<$15K 9.0%$15 25K 8.9%$25 50K 25.5%$50 75K 21.3%$75 100K 15.5%OVER $100K 19.8%RACE/ETHNICITYWHITE NON-HISPANIC 85.0%BLACK NON-HISPANIC 9.0%HISPANIC 2.3%ASIAN & PACIFIC IS. NON-HISPANIC 1.5%ALL OTHERS 2.2%
PART VI, LINE 5: THE PARENT ORGANIZATION AND EACH OF ITS SUBSIDIARY/AFFILIATE MEMBERS MAINTAIN A LOCAL COMMUNITY-BASED BOARD WITH POWERS, RESPONSIBILITIES AND ACCOUNTABILITIES FOR THE OVERSIGHT OF THE OPERATION OF THEIR RESPECTIVE ORGANIZATIONS. EACH SUBSIDIARY/AFFILIATE ORGANIZATION MAINTAINS AN OPEN MEDICAL STAFF ALLOWING ANY PHYSICIAN OR OTHER CARE PROVIDER WITH PROPER CREDENTIALS TO JOIN THE STAFF AND PROVIDE APPROVED CARE. THE ORGANIZATION FUNDS AND MAINTAINS OVER 500 MEDICAL RESIDENCY AND FELLOWSHIP PROGRAMS TO TRAIN FUTURE GENERATIONS OF PHYSICIANS; ORGANIZATION FUNDS, OPERATES AND MAINTAINS NUMEROUS HEALTH CARE EDUCATION PROGRAMS AT THE HIGH SCHOOL, COMMUNITY COLLEGE, UNIVERSITY AND POST-GRADUATE LEVELS OF EDUCATION. ORGANIZATION PROVIDES SPONSORSHIP (FINANCIAL AND IN-KIND RESOURCES) SUPPORT TO COMMUNITY-LEVEL ACTIVITIES (HEALTH WALKS AND RACES, FITNESS TRAINING, DISEASE AWARENESS EVENTS, CULTURAL EVENTS AND OTHER HEALTH-RELATED NON-PROFIT ACTIVITIES, EVENTS AND ORGANIZATIONS). ORGANIZATION ALSO DIRECTS, FUNDS, SUPPORTS AND PARTICIPATES IN FUNDRAISING ACTIVITIES THAT SUPPORT HEALTH PREVENTION/EDUCATION, DIAGNOSIS AND TREATMENT PROVIDED BY OTHER NON-PROFIT COMMUNITY ORGANIZATIONS.
PART VI, LINE 6: THE ROLE OF THE PARENT ORGANIZATION IS TO SET THE VISION AND STRATEGIC DIRECTION FOR THE ORGANIZATION AS A WHOLE. THIS INCLUDES THE DEVELOPMENT OF THE ANNUAL STRATEGIC PLAN WHICH DEFINES THE STRATEGIC PRIORITIES FOR THE ORGANIZATION AND ITS MEMBERS, THE METRICS TO BE MEASURED FOR EACH STRATEGIC PROGRAMS AND THE BENCHMARK OR TARGET/GOALS FOR EACH METRIC. STRATEGIC PRIORITIES DIRECTLY ADDRESS AND MEASURE (AT A SUBSIDIARY LEVEL) CLINICAL QUALITY AND CLINICAL OUTCOMES; PATIENT, PHYSICIAN, EMPLOYEE AND COMMUNITY SATISFACTION WITH THE ORGANIZATION AND ITS SUBSIDIARY/AFFILIATE MEMBERS; AND DEVELOPMENT OF NEW SERVICES TO IMPROVE ACCESS TO, QUALITY OF, AND COST OF HEALTH SERVICES.THE ROLE OF THE ORGANIZATION'S SUBSIDIARIES/AFFILIATES IS THE DEVELOPMENT AND IMPLEMENTATION OF ANNUAL STRATEGIC AND OPERATIONAL PLANS THAT SUPPORT AND ADVANCE THE STRATEGIC PLAN OF THE PARENT ORGANIZATION. ALL LOCAL PLANS ARE DEVELOPED AND DESIGNED TO REFLECT THE UNIQUE POPULATION-BASED HEALTH CARE NEEDS AND REQUIREMENTS OF THE COMMUNITIES SERVED BY THE SUBSIDIARY/AFFILIATE ORGANIZATION.ALL LOCAL SUBSIDIARIES/AFFILIATES HAVE FULL AUTHORITY AND DECISION-MAKING POWERS TO DEFINE AND EXECUTE THE STRATEGIC AND OPERATIONAL PLANS INTENDED TO IMPROVE THE HEALTH AND WELFARE OF THE COMMUNITIES THEY SERVE.
MIREPORTS FILED WITH STATESPART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
MCLAREN HEALTH CARE CORPORATION
401 S BALLENGER HWYFLINTMI48532382397643501(C)(3)1113502PROGRAM SUPPORT
MCLAREN MEDICAL MANAGEMENT INC
401 S BALLENGER HWYFLINTMI48532382988086501(C)(3)20130PROGRAM SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: CLIENT REVIEWS TAX-EXEMPT STATUS AND MONITORS OVERALL STANDING OF ORGANIZATION IN DETERMINING GRANTS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MARK O'HALLA
PRESIDENT;CEO535659035315109486101250001215001008321000
PHILIP INCARNATI
TRUSTEE014197500281314302453993021241840128710882394100
DAMON SORENSEN
VP FINANCE; CFO2300060000000116110241617000
SUSAN DURST
CNO19500203208301811100091580254354000
LAURA GIBBARD
VP HUMAN RESOURCES14046102070009278000116120182051000
SHARYL SMITH
VP MARKETING & PLANNING13624002043605827000116120174115000
RONALD B IRWIN
MEDICAL DIRECTOR OF ORTHO ONCOLOGY750000055000009408000689601316304000
JEFFERY BALAZSY
PHYSICIAN825000000105000040370830087000
PRAVEEN DALMIA
DIRECTOR, RADIOLOGY CHIEF PHYSICIAN280875033705023128000112050348913000
CHRISTOPHER SCHNURER
DIRECTOR, MEDICAL EDUCATION240677019856045288000116110317432000
MARK YUDELEV
MEDICAL PHYSICIST2559860001871100091570283854000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ATHE 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 INDIVIDUAL HAS RECEIVED THESE BENEFITS: MARK O'HALLA AND PHILIP INCARNATI.
PART I, LINE 3THE 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 4BMCLAREN 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 INDIVIDUAL LISTED IN PART VII WHO PARTICIPATED IN THE OLD SERP IS PHILIP INCARNATI. THE INDIVIDUAL LISTED IN PART VII WHO PARTICIPATED IN THE NEW SERP IS MARK O'HALLA.
PART I, LINE 6MCLAREN 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 L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ANTHELIO
PHILIP INCARNATI, BOARD MEMBER AND SHAREHOLDER OF ANTHELIO3605264MHCC IS THE CO-FOUNDER AND HAS A MINORITY INTEREST IN ANTHELIO. AS PART OF THE AGREEMENT MHCC IS ENTITLED TO APPOINT TWO DIRECTORS TO THE ANTHELIO BOARD. MHCC APPOINTED JAMES FITZGERALD AND PHILIP INCARNATI TO HOLD THOSE POSITIONS. FEES PAID TO ANTHELIO FOR INFORMATION TECHNOLOGY SERVICES, MEDICAL RECORDS, TRANSCRIPTION, CODING, AND SYSTEM INSTALLATION.0
PLAZA NOVA LLC
ALBERT PRZYBYLSKI AND PETER AJILUNI, BOARD MEMBERS AND PART OWNERS OF PLAZA160984MHCC IS A TENANT OF THE MEDICAL COMPLEX PLAZA NOVA, LLC. RENT IS PAID ON A MONTHLY BASIS TO PLAZA NOVA, LLC.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2PHILIP INCARNATI AND MARK O'HALLA HAVE A BUSINESS RELATIONSHIP. ALBERT PRZYBYLSKI AND PETER AJLUNI HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THIS ORGANIZATION IS MCLAREN HEALTH CARE CORPORATION.
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 7BDECISIONS BY THE GOVERNING BODY ARE SUBJECT TO THE POWERS OF THE MEMBER.
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 MCLAREN HEALTH CARE 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/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 53.4956-6(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 PERIODICALLY RENEWS THE MCLAREN HEALTH CARE CORPORATION COMPENSATION COMMITTEE CHARTER AND MCLAREN HEALTH CARE CORPORATION COMPENSATION PHILOSOPHY. FOR SUBSIDIARY VICE PRESIDENTS AND DIRECTORS, THE CORPORATE HUMAN RESOURCES COMMITTEE COORDINATES THE GATHERING OF MARKET INFORMATION FROM A NUMBER OF INDEPENDENT SOURCES. THIS DATA IS ANALYZED ALONG WITH EXPECTED BUDGETARY GUIDELINES. THE CORPORATE VICE PRESIDENT OF HUMAN RESOURCES DETERMINES THE AMOUNT, IF ANY, THAT PAY RANGES INCREASE. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS 2013.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GPHYISICAN SERVICES: PROGRAM SERVICE EXPENSES 3,360,918. MANAGEMENT AND GENERAL EXPENSES 1,243,079. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,603,997. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 3,790,479. MANAGEMENT AND GENERAL EXPENSES 1,401,352. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,191,831. BLOOD & BLOOD PRODUCTS: PROGRAM SERVICE EXPENSES 1,095,741. MANAGEMENT AND GENERAL EXPENSES 405,274. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,501,015. INFORMATION TECHNOLOGY: PROGRAM SERVICE EXPENSES 2,205,504. MANAGEMENT AND GENERAL EXPENSES 815,734. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,021,238. REIMBURSEMENTS: DSH, QAAP, FFS, HRA: PROGRAM SERVICE EXPENSES 5,403,021. MANAGEMENT AND GENERAL EXPENSES 1,998,378. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,401,399. NURTITIONAL SERVICES: PROGRAM SERVICE EXPENSES 2,013,584. MANAGEMENT AND GENERAL EXPENSES 744,750. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,758,334. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 2,082,313. MANAGEMENT AND GENERAL EXPENSES 770,171. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,852,484. CORPORATE ALLOCATION: PROGRAM SERVICE EXPENSES 7,599,377. MANAGEMENT AND GENERAL EXPENSES 2,810,729. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,410,106. OTHER MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,388,676. MANAGEMENT AND GENERAL EXPENSES 1,244,283. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,632,959.OTHER FEES
FORM 990, PART XI, LINE 9:UNREALIZED GAIN ON INVESTMENT IN JOINT VENTURES 1,072,635. MINIMUM PENSION LIABILITY ADJUSTMENT 9,474,478.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:THERE HAS BEEN NO CHANGE IN PROCESS FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (34 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
BAY MEDICAL FOUNDATION
1900 COLUMBUS AVEBAY CITYMI48708382156534FOUNDATIONMI501(C)(3)LINE 11A, IBAY REGIONAL MEDICAL CENTER1
BAY REGIONAL MEDICAL CENTER
1900 COLUMBUS AVEBAY CITYMI48708381976271HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATION1
BAY REGIONAL MEDICAL CENTER AUXILIARY
1908 COLUMBUS AVENUEBAY CITYMI48708386081235SUPPORTING ORGANIZATIONMI501(C)(3)LINE 11A, IBAY REGIONAL MEDICAL CENTER1
BAY SPECIAL CARE HOSPITAL
1900 COLUMBUS AVEBAY CITYMI48708383161753HOSPITALMI501(C)(3)LINE 3BAY REGIONAL MEDICAL CENTER1
CENTRAL MICHIGAN COMMUNITY HOSPITAL
1221 SOUTH DRIVEMT PLEASANTMI48858381420304HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATION1
CENTRAL MICHIGAN COMMUNITY HOSPITAL RADIATION ONCOLOGY
1000 HARRINGTONMT PLEASANTMI48858300312172HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATION1
CHARLEVOIX NURSING HOME CORPORATION DBA BOULDER PARK TERRACE
14676 WEST UPRIGHTCHARLEVOIXMI49720383038683SKILLED NURSING FACILITYMI501(C)(3)LINE 9NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM1
GREAT LAKES CANCER INSTITUTE
401 S BALLENGER HWYFLINTMI48532383584572CANCER CARE CENTERMI501(C)(3)LINE 7MCLAREN HEALTH CARE CORPORATION1
HEALTHSHARE REAL ESTATE
416 CONNABLE AVENUEPETOSKEYMI49770382492223REAL ESTATE HOLDINGSMI501(C)(2)NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM1
INGHAM REGIONAL HEALTHCARE FOUNDATION
401 S GREENLAWN AVELANSINGMI48910382463637FOUNDATIONMI501(C)(3)LINE 7INGHAM REGIONAL MEDICAL CENTER1
INGHAM REGIONAL MEDICAL CENTER
401 S GREENLAWN AVELANSINGMI48910381434090HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATION1
LAPEER REGIONAL MEDICAL CENTER
1375 N MAIN STLAPEERMI48446382689033HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATION1
LAPEER REGIONAL MEDICAL CENTER FOUNDATION
1375 N MAIN STLAPEERMI48446382689603FOUNDATIONMI501(C)(3)LINE 11A, ILAPEER REGIONAL MEDICAL CENTER1
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 CORPORATION1
MCLAREN HEALTH PLAN
G-3245 BEECHER ROADFLINTMI48532383383640HEALTH CARE SERVICESMI501(C)(4)MCLAREN HEALTH CARE CORPORATION1
MCLAREN MEDICAL MANAGEMENT INC
401 S BALLENGER HWYFLINTMI48532382988086MANAGEMENT COMPANYMI501(C)(3)LINE 11A, IMCLAREN HEALTH CARE CORPORATION1
MOUNT CLEMENS REGIONAL HEALTHCARE FOUNDATION
PO BOX 326MOUNT CLEMENSMI48046382578873FOUNDATIONMI501(C)(3)LINE 9MOUNT CLEMENS REGIONAL MEDICAL CENTER1
MOUNT CLEMENS REGIONAL MEDICAL CENTER
1000 HARRINGTONMOUNT CLEMENSMI48043381218516HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATION1
NORTH OAKLAND NORTH MACOMB IMAGING INC
355 BARCLAY CIR STE AROCHESTER HILLSMI48307382807040MRI IMAGINGMI501(C)(3)LINE 3POH REGIONAL MEDICAL CENTER1
NORTHERN MICHIGAN HEMATOLOGY AND ONCOLOGY
416 CONNABLE AVENUEPETOSKEYMI49770320020293PHYSICIAN PRACTICEMI501(C)(3)LINE 3NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM1
NORTHERN MICHIGAN HOSPITALS DBA NORTHERN MICHIGAN REGIONAL HOSP
416 CONNABLE AVENUEPETOSKEYMI49770382146751ACUTE CARE HOSPITALMI501(C)(3)LINE 3NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM1
NORTHERN MICHIGAN MEDICAL MANAGEMENT
416 CONNABLE AVENUEPETOSKEYMI49770208458840PHYSICIAN PRACTICEMI501(C)(3)LINE 3NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM1
NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM
416 CONNABLE AVENUEPETOSKEYMI49770382445613HEALTH SERVICESMI501(C)(3)LINE 11A, IMCLAREN HEALTH CARE CORPORATION1
NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM FOUNDATION
360 CONNABLE AVENUEPETOSKEYMI49770382445611FUNDRAISINGMI501(C)(3)LINE 11A, INORTHERN MICHIGAN REGIONAL HEALTH SYSTEM1
PETOSKEY COMMUNITY FREE CLINIC
416 CONNABLE AVENUEPETOSKEYMI49770203675817HEALTH SERVICESMI501(C)(3)LINE 3NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM1
POH REGIONAL MEDICAL CENTER
50 NORTH PERRY STREETPONTIACMI48342381428164HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATION1
POH RILEY FOUNDATION
50 NORTH PERRY STREETPONTIACMI48342200442217FOUNDATIONMI501(C)(3)LINE 11C, III-FIPOH REGIONAL MEDICAL CENTER1
REGIONAL EMERGENCY MEDICAL SERVICE INC
25400 W 8 MILE ROADSOUTHFIELDMI48034383255499AMBULANCE SERVICEMI501(C)(3)LINE 9MCLAREN MEDICAL MANAGEMENT INC1
THE CARDIAC INSTITUTE DBA MICHIGAN HEART & VASCULAR SPECIALISTS
416 CONNABLE AVENUEPETOSKEYMI49770262774689PHYSICIAN PRACTICEMI501(C)(3)LINE 3NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM1
VISITING NURSE SERVICE OF MICHIGAN
401 S BALLENGER HWYFLINTMI48532383491714HEALTH CARE SERVICESMI501(C)(3)LINE 9MCLAREN HEALTH CARE CORPORATION1
VITALCARE INC
761 LAFAYETTE AVENUECHEBOYGANMI49721382527255HOSPICE CARE/HOME HEALTH SERVICESMI501(C)(3)LINE 9NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM1
WOMENS HOSPITAL ASSOCIATION OF FLINT MICHIGAN
401 S BALLENGER HIGHWAYFLINTMI48532381358053SUPPORTING ORGANIZATIONMI501(C)(3)LINE 11A, IMCLAREN HEALTH CARE CORPORATION1
MCLAREN HOSPITALITY HOUSE
401 S BALLENGER HIGHWAYFLINTMI48532455567669HOSPITALITY HOUSEMI501(C)(3)LINE 7MCLAREN HEALTH CARE CORPORATION1

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNABusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
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 MANAGEMENTMIMOUNT CLEMENS REGIONAL MEDICAL CENTERRELATED-580378952760010.66000

Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrg
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
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (19 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MCLAREN HEALTH CARE CORPORATION
B1113502ALLOCATION OF ACTUAL COST
VISITING NURSES SERVICES OF MICHIGAN
K272183ALLOCATION OF ACTUAL COST
MCLAREN MEDICAL MANAGEMENT INC
O3229540ALLOCATION OF ACTUAL COST
MCLAREN MEDICAL MANAGEMENT INC
P1831621ALLOCATION OF ACTUAL COST
MT CLEMENS REGIONAL MEDICAL CENTER FOUNDATION
P199483ALLOCATION OF ACTUAL COST
MCLAREN MEDICAL MANAGEMENT INC
B1929993CASH
INGHAM REGIONAL MEDICAL CENTER
K289098ALLOCATION OF ACTUAL COST
VISITING NURSES SERVICES OF MICHIGAN
L325697ALLOCATION OF ACTUAL COST
MCLAREN HEALTH CARE CORPORATION
Q22295829ALLOCATION OF ACTUAL COST
VISITING NURSES SERVICES OF MICHIGAN
M3103876ALLOCATION OF ACTUAL COST
VISITING NURSES SERVICES OF MICHIGAN
P3200008ALLOCATION OF ACTUAL COST
PONTIAC OSTEOPATHIC HOSPITAL
P1767071ALLOCATION OF ACTUAL COST
PONTIAC OSTEOPATHIC HOSPITAL
S1625360CASH
MT CLEMENS REGIONAL MEDICAL CENTER FOUNDATION
C468085CASH
MT CLEMENS REGIONAL MEDICAL CENTER FOUNDATION
Q253517ACTUAL EXPENSE OCCURRED
MCLAREN HEALTH CARE CORPORATION
M16862246ALLOCATION OF ACTUAL COST
MCLAREN HEALTH CARE CORPORATION
O918937ALLOCATION OF ACTUAL COST
MCLAREN HEALTH CARE CORPORATION
J1292698ALLOCATION OF ACTUAL COST
MCLAREN HEALTH CARE CORPORATION
P19883874ALLOCATION OF ACTUAL COST