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MCLAREN MACOMB: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MCLAREN MACOMB (EIN 38-1218516)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-15
IRS object ID
201222289349302937
Schema version
2010v3.4
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)
Timestamp2012-08-15T14:09:36-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-10-01TaxPeriodBeginDate

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 SORENSONName
TitleCFOTitle
Phone5867414282Phone
Date Signed2012-08-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSUSAN R MIENCIERName
Phone2695674500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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 Receipts292642881GrossReceipts
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 Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees2274TotalNbrEmployees
Total Nbr Volunteers12TotalNbrVolunteers
Total Gross UBI1549937TotalGrossUBI
Net Unrelated Business Txbl Income-2054290NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year421635ContributionsGrantsPriorYear
Contributions Grants Current Year115003ContributionsGrantsCurrentYear
Program Service Revenue Prior Year278937391ProgramServiceRevenuePriorYear
Program Service Revenue CY286807529ProgramServiceRevenueCY
Investment Income Prior Year2635504InvestmentIncomePriorYear
Investment Income Current Year2214164InvestmentIncomeCurrentYear
Other Revenue Prior Year2588063OtherRevenuePriorYear
Other Revenue Current Year1985500OtherRevenueCurrentYear
Total Revenue Prior Year284582593TotalRevenuePriorYear
Total Revenue Current Year291122196TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year5161374GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY6034259GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year118366925SalariesEtcPriorYear
Salaries Etc Current Year126504798SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year155730927OtherExpensePriorYear
Other Expenses Current Year152493084OtherExpensesCurrentYear
Total Expenses Prior Year279259226TotalExpensesPriorYear
Total Expenses Current Year285032141TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5323367RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6090055RevenuesLessExpensesCY
Total Assets BOY299463348TotalAssetsBOY
Total Assets EOY305085444TotalAssetsEOY
Total Liabilities BOY220565719TotalLiabilitiesBOY
Total Liabilities EOY229235971TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY78897629NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY75849473NetAssetsOrFundBalancesEOY
Mission DescriptionTO BE MICHIGAN'S BEST VALUE IN HEALTH CARE AS DEFINED BY QUALITY OUTCOMES AND COST.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense200071614Expense
Grants6034259Grants
Revenue285772332Revenue
DescriptionMOUNT CLEMENS REGIONAL MEDICAL CENTER OBTAINED THE FOLLOWING FIGURES WITHIN FISCAL YEAR 2011: PATIENT DAYS 62,804. OUTPATIENT REGISTRATIONS 84,979. PHYSICIAN PRACTICE VISITS 37,615. EMERGENCY ROOM VISITS 62,197. LAB COURIER REGISTRATIONS 150,922.Description
Total Program Service Expense200071614TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 With1096285NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2274NumberOfEmployees
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
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
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
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
MARK O'HALLA
PRESIDENT; CEO40.00XX0658132101077
PETER AJLUNI DO
TRUSTEE1.00X000
CAROLYN DORIAN
TRUSTEE - SECRETARY1.00XX000
JAMES GEORGE
TRUSTEE - VICE CHAIRMAN1.00XX0140000
PHILIP INCARNATI
TRUSTEE1.00X05565975619868
JAMES E JOHNSON DO
TRUSTEE1.00X000
MATTHEW MOROUN
TRUSTEE1.00X000
CHRIS PEYERK
TRUSTEE1.00X000
THOMAS SCHWANITZ
TRUSTEE - TREASURER1.00XX000
HON GEORGE C STEEH
HONORABLE JUDGE1.00X000
TED WAHBY
TRUSTEE - CHAIRMAN1.00XX000
JOHN PAUL HUNT
TRUSTEE1.00X000
DEAN PETITPREN
TRUSTEE1.00X000
ALBERT PRZYBYLSKI
TRUSTEE1.00X000
MONROE ADAMS DO
TRUSTEE1.00X000
CYNTHIA HOUSEL DO
TRUSTEE1.00X000
MICHAEL SMITH DO
VP MEDICAL AFFAIRS; CMO40.00X321059012655
SUSAN DURST
VP OPERATIONS40.00X220189021497
SHARYL SMITH
VP MARKETING & PLANNING40.00X14497500
DAMON SORENSEN
VP FINANCE; CFO - AS OF 08/1140.00X000
DONNA KOPINSKI
VP FINANCE; CFO - PART YEAR40.00X225953022036
KATHLEEN M DEBAKER
VP CLINICAL SERVICES; CNO - THRU 2/6/1140.00X208066013325
GREG PURTEL
VP HR - THROUGH 7/201040.00X163066020416
LAURA GIBBARD
VP HR - AS OF 11/201040.00X1847201744
RONALD IRWIN MD
PHYSICIAN40.0076014702517X
JEFFREY BALAZSY
PHYSICIAN40.008122140291X
PRAVEEN DALMIA PHYSICIST
CHIEF RADIATION PHYSICIST40.00274328036761X
PAUL PORTER
PHYSICIAN40.00552393018423X
DAVID MARKIEWICZ
CRNA40.00217338018987X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3918200TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs6238107TotalReportableCompFrmRltdOrgs
Total Other Compensation889597TotalOtherCompensation
Number Individuals GT100 K68NumberIndividualsGT100K
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
SODEXO
4880 PAYSHERE CIRCLECHICAGOIL60674FOOD SERVICE6496748
AMERICAN RED CROSS BLOOD SERVICES SOUTH
PO BOX 73013CHICAGOIL60673NURSE SERVICES1417644
PUBLICOM
333 ALBERT AVE STE 400EAST LANSINGMI48823ADVERTISING817105
HEMA TECH SERVICES INC
PO BOX 911FARMINGTONMI48332DIALYSIS667895
MLABS UNIVERSITY OF MICHIGAN
PO BOX 77000 DEPT 77174DETROITMI48277LAB TESTING456808
FieldValueIRS element (for citing)
Number Of Contractors GT100 K30NumberOfContractorsGT100K
Related Organizations115003RelatedOrganizations
Total Contributions115003TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICES6221102855453832839893191556064
LAB REVENUE90009912607391260739
PHARMACY REVENUE90009914071407
FieldValueIRS element (for citing)
Total Program Service Revenue286807529TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2198162TotalRevenueColumn
Exclusion$2,198,162ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2948482Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1515440Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1433042Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1433042TotalRevenueColumn
Unrelated Business Revenue-6127UnrelatedBusinessRevenue
Exclusion$1,439,169ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities47Securities
Other21200Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other5245Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities47Securities
Other15955Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column16002TotalRevenueColumn
Exclusion$16,002ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
MISCELLANEOUS900099454898454898
CAFETERIA REVENUE7222106596965969
RESEARCH REVENUE54170031591$31,591
FieldValueIRS element (for citing)
Total Other Revenue552458TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column291122196TotalRevenueColumn
Related Or Exempt Function Income285772332RelatedOrExemptFunctionIncome
Unrelated Business Revenue1549937UnrelatedBusinessRevenue
Exclusion$3,684,924ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total6034259Total
Program Services6034259ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1373239Total
Program Services978295ProgramServices
Management And General394944ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total102860712Total
Program Services73277971ProgramServices
Management And General29582741ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2071306Total
Program Services1475598ProgramServices
Management And General595708ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total12946453Total
Program Services9223053ProgramServices
Management And General3723400ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7253088Total
Program Services5167100ProgramServices
Management And General2085988ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total881662Total
Program Services628096ProgramServices
Management And General253566ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total74741Total
Management And General74741ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total19220Total
Management And General19220ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total35689297Total
Program Services23630490ProgramServices
Management And General12058807ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total858810Total
Program Services611816ProgramServices
Management And General246994ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total850634Total
Program Services605174ProgramServices
Management And General245460ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7830053Total
Program Services5578130ProgramServices
Management And General2251923ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total59889Total
Program Services42665ProgramServices
Management And General17224ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total119485Total
Program Services85121ProgramServices
Management And General34364ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total6728598Total
Management And General6728598ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total16656227Total
Program Services11865896ProgramServices
Management And General4790331ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total638488Total
Program Services454859ProgramServices
Management And General183629ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES460683043281906013249244
BAD DEBTS24224191172573146966877
QAAP67282326728232
EQUIP REPAIR & MAINT476802433967421371282
MEMBERSHIP DUES29722921174385486

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total285032141Total
Program Services200071614ProgramServices
Management And General84960527ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1128986BOY
EOY11240529EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY33625817BOY
EOY40577966EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4322214BOY
EOY4609175EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1244514BOY
EOY1315337EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis373304458LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec256997342LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY124061678BOY
EOY116307116EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY108952972BOY
EOY100416693EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY23887233BOY
EOY23596119EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2239934BOY
EOY7022509EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY299463348BOY
EOY305085444EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY41241012BOY
EOY46563088EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY193500BOY
EOY187586EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY150221512BOY
EOY148028525EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY28909695BOY
EOY34456772EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY220565719BOY
EOY229235971EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY78653419BOY
EOY75567363EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY244210BOY
EOY282110EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY78897629BOY
EOY75849473EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY299463348BOY
EOY305085444EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses6090055ReconcilationRevenueExpenses
Reconcilation Other Changes-9138211ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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$19,220OtherActivitiesAmount
Total Lobbying Expenditures IIB19220TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I: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 Basis3489378OtherCostOrOtherBasis
Book Value3489378BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis138715001OtherCostOrOtherBasis
Depreciation80931842Depreciation
Book Value57783159BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1120868OtherCostOrOtherBasis
Depreciation1007063Depreciation
Book Value113805BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis221117725OtherCostOrOtherBasis
Depreciation169467615Depreciation
Book Value51650110BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8861486OtherCostOrOtherBasis
Depreciation5590822Depreciation
Book Value3270664BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings116307116TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
DescriptionINVESTMENTS IN AND ADVANCES TO AFFILIATESDescription
Book Value23596119BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Program Related23596119TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
PROFESSIONAL LIABILITY INSURANCE$11,891,293
WORKERS COMPENSATION INSURANCE$466,673
MINIMUM PENSION LIABILITY$1,881,851
ACCRUED PENSION$17,963,450
COST REPORT SETTLEMENTS PAYABLE$2,253,505
FieldValueIRS element (for citing)
Total Of Amounts34456772TotalOfAmounts
Total Revenue291122196TotalRevenue
Total Expenses285032141TotalExpenses
Excess Or Deficit For Year6090055ExcessOrDeficitForYear
Net Unrealized GL On Investments-2863120NetUnrealizedGLOnInvestments
Other-$6,275,091OtherAmount
Total Adjustments-9138211TotalAdjustments
Excess Or Deficit Per FS-3048156ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE CORPORATION AND SUBSTANTIALLY ALL 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 CORPORATION ADOPTED ACCOUNTING STANDARDS RELATED TO UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, REVIEWED ALL TAX POSITIONS. THE ACCOUNTING STANDARD THAT REFERS TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES IS EFFECTIVE FOR FISCAL YEARS BEGINNING AFTER DECEMBER 15, 2006 FOR NONPUBLIC ENTITIES THAT HOLD PUBLIC DEBT. THE STANDARD ADDRESSES THE DETERMINATION OF HOW TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED ON THE CONSOLIDATED FINANCIAL STATEMENT. 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 EXAMINATION BY TAXING AUTHORITIES; HOWEVER, NO EXAMINATIONS ARE IN PROGRESS. MANAGEMENT BELIEVES THE CORPORATION IS NOT SUBJECT TO TAX EXAMINATIONS FOR YEARS PRIOR TO SEPTEMBER 30, 2008.
PART XI, LINE 8 - OTHER ADJUSTMENTS:UNREALIZED GAIN ON INVESTMENT IN JOINT VENTURES 1,774,476. MINIMUM PENSION LIABILITY ADJUSTMENT -8,049,567.

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 Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available0ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1294334TotalCommunityBenefitExpense
Net Community Benefit Expense1294334NetCommunityBenefitExpense
Percent Of Total Expense0.00500PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense35163357TotalCommunityBenefitExpense
Direct Offsetting Revenue31063615DirectOffsettingRevenue
Net Community Benefit Expense4099742NetCommunityBenefitExpense
Percent Of Total Expense0.01570PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense345397TotalCommunityBenefitExpense
Direct Offsetting Revenue98829DirectOffsettingRevenue
Net Community Benefit Expense246568NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense36803088TotalCommunityBenefitExpense
Direct Offsetting Revenue31162444DirectOffsettingRevenue
Net Community Benefit Expense5640644NetCommunityBenefitExpense
Percent Of Total Expense0.02160PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense15926642TotalCommunityBenefitExpense
Direct Offsetting Revenue5102545DirectOffsettingRevenue
Net Community Benefit Expense10824097NetCommunityBenefitExpense
Percent Of Total Expense0.04150PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense212737TotalCommunityBenefitExpense
Net Community Benefit Expense212737NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense91002TotalCommunityBenefitExpense
Net Community Benefit Expense91002NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense16230381TotalCommunityBenefitExpense
Direct Offsetting Revenue5102545DirectOffsettingRevenue
Net Community Benefit Expense11127836NetCommunityBenefitExpense
Percent Of Total Expense0.04260PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense53033469TotalCommunityBenefitExpense
Direct Offsetting Revenue36264989DirectOffsettingRevenue
Net Community Benefit Expense16768480NetCommunityBenefitExpense
Percent Of Total Expense0.06420PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served318PersonsServed
Total Community Building Expense42846TotalCommunityBuildingExpense
Net Community Building Expense42846NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served60PersonsServed
Total Community Building Expense69TotalCommunityBuildingExpense
Net Community Building Expense69NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served378PersonsServed
Total Community Building Expense42915TotalCommunityBuildingExpense
Net Community Building Expense42915NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$7,601,861BadDebtExpenseAmount
Amount Attributable To5473340AmountAttributableTo
Amount Reimbursed By Medicare81424432AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare67267432CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall14157000MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy0WrittenDebtCollectionPolicy

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 Line1NOT REQURIEDBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 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, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 24224191.
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: AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE CORPORATION'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. 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 FROM CERTAIN PAYORS. WE USED OUR BAD DEBT EXPENSE PER OUR FINANCIAL STATEMENTS AND CONVERTED TO ESTIMATED COST USING OUR OVERALL COST TO CHANGE RATIO. LINE 3 WAS ESTIMATED 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: AT THIS TIME WE DO NOT HAVE A FORMAL DEBT COLLECTION POLICY BUT WILL BE ATTEMPTING TO DEVELOP A FORMAL PLOICY. 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 MEDICAL ELIGIBILITY.
PART VI, LINE 2: PRIMARY AND SECONDARY MARKET RESEARCH IS CONDUCTED BY AND THROUGH COMMUNITY-BASED HEALTH COALITIONS, ACADEMIC INSTITUTIONS, THIRD PARTY DATA ANALYTICS ORGANIZATIONS, HEALTH NEEDS ASSESSMENTS AND SURVEYS, HISTORIC HEALTH SERVICES UTILIZATION PATTERNS, DEMOGRAPHIC ANALYSIS AND POPULATION-BASED HEALTH CARE SERVICES UTILIZATION FORECASTS.
PART VI, LINE 3: AVAILABILITY OF FINANCIAL ASSISTANCE INFORMATION AND EDUCATION IS PROVIDED AT ALL INPATIENT AND OUTPATIENT REGISTRATION POINTS-OF-SERVICE. INFORMATION AND EDUCATION IS ALSO AVAILABLE THROUGH THE ORGANIZATIONS 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 6: 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 7: 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 ORGANIZATIONS 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 MEDICAL MANAGEMENT INC
401 S BALLENGER HWYFLINTMI48532382988086501(C)(3)4915235GENERAL SUPPORT
MCLAREN HEALTH CARE CORPORATION
401 S BALLENGER HWYFLINTMI48532382397643501(C)(3)1119024PROGRAM SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

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)
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 (12 entries)

Base 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
04597000149800048632081205019872075920900
PHILIP INCARNATI
0131442201231316030202370612326075420618584300
MICHAEL SMITH DO
28439003666900000126550333714000
SUSAN DURST
19615402403500090160124810241686000
DONNA KOPINSKI
20048702546600095390124970247989000
KATHLEEN M DEBAKER
1853330227330008444048810221391000
GREG PURTEL
13818302488300080860123300183482000
RONALD IRWIN MD
758647000150000025170762664000
JEFFREY BALAZSY
802214010000000002910812505000
PRAVEEN DALMIA PHYSICIST
2743280000033000037610311089000
PAUL PORTER
45685409553900016500019230570816000
DAVID MARKIEWICZ
2173380000016500024870236325000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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 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 SINGLE 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.
PART IIISCH 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.SUPPLEMENTAL INFORMATION

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ANTHELIO (PREVIOUSLY PHNS)
PHILIP INCARNATI, BOARD MEMBER AND SHAREHOLDER OF ANTHELIO3705239MHCC IS THE CO-FOUNDER AND HAS A MINORITY INTEREST IN ANTHELIO (PREVIOUSLY PHNS). 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
MARIJEAN SMITH
SPOUSE OF MICHAEL SMITH, D.O. AND GIFT SHOP EMPLOYEE23239PART-TIME EMPLOYEE OF ORGANIZATION0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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.
THE CORPORATE COMPLIANCE DEPARTMENT, IN ACCORDANCE WITH THE MCLAREN HEALTH CARE (MHC) BOARD CONFLICT OF INTEREST POLICY, ANNUALLY DISTRIBUTES THE CONFLICT OF INTEREST DISCLOSURE SURVEY TO ALL MHC CORPORATE AND SUBSIDIARY ORGANIZATION BOARD MEMBERS, EXECUTIVES AND OTHER LEADERSHIP EMPLOYEES. THE CORPORATE COMPLIANCE DEPARTMENT, THROUGH THE GOVERNANCE COMMITTEE, COMPILES AND ANALYZES SURVEY DATA BY ORGANIZATION, INVESTIGATES, AND REVIEWS POTENTIAL CONFLICTS WITH THE ORGANIZATION'S CEO AND BOARD CHAIR, AND WHEN NECESSARY, RECOMMENDS ACTIONS TO BE TAKEN TO RESOLVE IDENTIFIED CONFLICTS. A COMPLETE REPORT OF ALL CORPORATE AND SUBSIDIARY BOARD MEMBER AND EXECUTIVE DISCLOSURES, CONFLICTS IDENTIFIED AND ACTIONS TAKEN IS REVIEWED BY THE MHC GOVERNANCE COMMITTEE AND EACH SUBSIDIARY CEO AND BOARD CHAIR RECEIVES A REPORT SPECIFIC TO THEIR ORGANIZATION'S BOARD MEMBERS AND EXECUTIVES. CONFLICTS ARE DISCLOSED TO THE FULL BOARD AND BOARD COMMITTEES SO APPROPRIATE ACTIONS CAN BE TAKEN. ACTIONS MAY INCLUDE PROHIBITING A BOARD MEMBER FROM PARTICIPATING IN DELIBERATIONS INVOLVING TRANSACTIONS WITH A COMPANY WITH WHICH THEY CONDUCT FINANCIAL TRANSACTIONS; BOARD MEMBERS FAILING TO COMPLETE A DISCLOSURE SURVEY OR INTENTIONALLY FAILING TO REPORT A KNOWN CONFLICT OF INTEREST ARE ASKED TO RESIGN.FORM 990, PART VI, SECTION B, LINE 12C
THE 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 2011.FORM 990, PART VI, SECTION B, LINE 15
DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
MARK O'HALLA AND PHILIP INCARNATI EACH WORKED AN AVERAGE OF AT LEAST 0 AND 40 HOURS PER WEEK AT MCHLAREN HEALTH CARE CORPORATION, RESPECTIVELY.FORM 990, PART VII:
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -2,863,120. UNREALIZED GAIN ON INVESTMENT IN JOINT VENTURES 1,774,476. MINIMUM PENSION LIABILITY ADJUSTMENT -8,049,567. TOTAL TO FORM 990, PART XI, LINE 5: -9,138,211.FORM 990, PART XI, LINE 5:
THERE HAS BEEN NO CHANGE IN PROCESS FROM PRIOR YEAR.FORM 990, PART XII, LINE 2C:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (24 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
GREAT LAKES CANCER INSTITUTE
401 S BALLENGER HWYFLINTMI48532383584572CANCER CARE CENTERMI501(C)(3)LINE 7MCLAREN HEALTH CARE CORPORATION1
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 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
MCLAREN REGIONAL MEDICAL CENTER
401 S BALLENGER HWYFLINTMI48532382383119HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATION1
MOUNT CLEMENS REGIONAL HEALTHCARE FOUNDATION
PO BOX 326MOUNT CLEMENSMI48046382578873FOUNDATIONMI501(C)(3)LINE 9MOUNT CLEMENS REGIONAL MEDICAL CENTER1
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
VISITING NURSE SERVICE OF MICHIGAN
401 S BALLENGER HWYFLINTMI48532383491714HEALTH CARE SERVICESMI501(C)(3)LINE 9MCLAREN HEALTH CARE CORPORATION1
WOMENS HOSPITAL ASSOCIATION OF FLINT MICHIGAN
401 S BALLENGER HIGHWAYFLINTMI48532381358053SUPPORTING ORGANIZATIONMI501(C)(3)LINE 11A, IMCLAREN HEALTH CARE CORPORATION1
REGIONAL EMERGENCY MEDICAL SERVICE INC
25400 W 8 MILE ROADSOUTHFIELDMI48034383255499AMBULANCE SERVICEMI501(C)(3)LINE 9MCLAREN MEDICAL MANAGEMENT INC1
NORTH OAKLAND NORTH MACOMB IMAGING INC
355 BARCLAY CIR STE AROCHESTER HILLSMI48307382807040MRI IMAGINGMI501(C)(3)LINE 3POH REGIONAL MEDICAL CENTER1
PRIMARY CARE
1900 COLUMBUS AVEBAY CITYMI48708202443604HEALTH CARE SERVICESMI501(C)(3)LINE 9BAY REGIONAL MEDICAL CENTER1
MCLAREN HEALTHCARE VILLAGE FOUNDATION
401 S BALLENGER HIGHWAYFLINTMI48532262693350SUPPORTING ORGANIZATIONMI501(C)(3)LINE 11A, IMCLAREN 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-566779267327010.66000

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
HEALTH ADVANTAGE INC
G3245 BEECHER ROADFLINTMI48532912141720HEALTH CARE SERVICESMIN/AC
CLARKSTON PROPERTY ASSOCIATES
50 NORTH PERRY STREETPONTIACMI48342432006072REAL ESTATEMIN/AC
HOSPITAL HEALTH CARE INC
50 NORTH PERRY STREETPONTIACMI48342382643070HEALTH CAREMIN/AC
PHYSICIAN ORGANIZED HEALTHCARE SYSTEM
50 NORTH PERRY STREETPONTIACMI48342383136458MANAGED CAREMIN/AC
MCLAREN HEALTH PLAN INSURANCE COMPANY
G-3245 BEECHER ROAD SUITE 200FLINTMI48532271780283INSURANCEMIN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
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
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 Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (15 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MCLAREN HEALTH CARE CORPORATION
L16212760ALLOCATION OF ACTUAL COST
MCLAREN HEALTH CARE CORPORATION
J812500ALLOCATION OF ACTUAL COST
MCLAREN HEALTH CARE CORPORATION
B1119024ALLOCATION OF ACTUAL COST
MCLAREN HEALTH PLAN
K1276385ALLOCATION OF ACTUAL COST
MCLAREN MEDICAL MANAGEMENT INC
B4915235CASH
MCLAREN HEALTH CARE CORPORATION
J1233828ALLOCATION OF ACTUAL COST
MCLAREN HEALTH CARE CORPORATION
O20866616ALLOCATION OF ACTUAL COST
VISITING NURSE SERVICE OF MICHIGAN
K383897ALLOCATION OF ACTUAL COST
MCLAREN MEDICAL MANAGEMENT INC
O4942922ALLOCATION OF ACTUAL COST
MCLAREN MEDICAL MANAGEMENT INC
L246126ALLOCATION OF ACTUAL COST
MCLAREN MEDICAL MANAGEMENT INC
A469424ALLOCATION OF ACTUAL COST
MOUNT CLEMENS REGIONAL HEALTH CARE FOUNDATION
C115003CASH
MOUNT CLEMENS REGIONAL HEALTH CARE FOUNDATION
P224580ACTUAL EXPENSE INCURRED
POH REGIONAL MEDICAL CENTER
Q227322ALLOCATION OF ACTUAL COST
POH REGIONAL MEDICAL CENTER
P69675ALLOCATION OF ACTUAL COST