MCLAREN MACOMB: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- MCLAREN MACOMB (EIN 38-1218516)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-15
- IRS object ID
- 201132279349303053
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-15T12:31:54-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Plante & Moran PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 750 TRADE CENTRE WAY STE 300 | AddressLine1 |
| City | PORTAGE | City |
| State | MI | State |
| ZIP Code | 49002 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381218516 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mount Clemens Regional Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MOUN | NameControl |
| Phone | 5867414282 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 Harrington | AddressLine1 |
| City | Mount Clemens | City |
| State | MI | State |
| ZIP Code | 48043 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARK O'HALLA | Name |
| Title | CEO | Title |
| Phone | 5867414282 | Phone |
| Date Signed | 2011-08-11 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SUSAN R MIENCIER | Name |
| Phone | 2695674500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MARK O'HALLA | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 Harrington | AddressLine1 |
| City | Mount Clemens | City |
| State | MI | State |
| ZIP Code | 48043 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 320897448 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.mcrmc.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1946 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | PROVIDER OF HEALTH CARE SERVICES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2274 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 3692084 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -395662 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 442964 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 421635 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 269823296 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 278937391 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1364822 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2635504 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 6216672 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2588063 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 277847754 | TotalRevenuePriorYear |
| Total Revenue Current Year | 284582593 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 475825 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 5161374 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 116120361 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 118366925 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 149546134 | OtherExpensePriorYear |
| Other Expenses Current Year | 155730927 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 266142320 | TotalExpensesPriorYear |
| Total Expenses Current Year | 279259226 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 11705434 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 5323367 | RevenuesLessExpensesCY |
| Total Assets BOY | 286849050 | TotalAssetsBOY |
| Total Assets EOY | 299463348 | TotalAssetsEOY |
| Total Liabilities BOY | 213709127 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 220565719 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 73139923 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 78897629 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO BE MICHIGAN'S BEST VALUE IN HEALTH CARE AS DEFINED BY QUALITY OUTCOMES AND COST. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 199868080 | Expense |
| Grants | 5161374 | Grants |
| Revenue | 275245307 | Revenue |
| Description | MOUNT CLEMENS REGIONAL MEDICAL CENTER OBTAINED THE FOLLOWING FIGURES WITHIN FISCAL YEAR 2010: Patient Days 62,835. Outpatient Registrations 85,176. Physician Practice visits 37,984. Emergency Room Visits 56,593. lab courier registrations 145,010. | Description |
| Total Program Service Expense | 199868080 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 263 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2274 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | mark o'halla | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5864938090 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 HARRINGTON | AddressLine1 |
| City | MOUNT CLEMENS | City |
| State | MI | State |
| ZIP Code | 48043 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| Mark O'Halla | ||||||||
| President; CEO | 40.00 | X | X | 0 | 625351 | 53280 | ||
| Monroe Adams DO | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| Peter Ajluni DO | ||||||||
| Trustee | 1.00 | X | 33000 | 0 | 0 | |||
| Carolyn Dorian | ||||||||
| Trustee - Secretary | 1.00 | X | X | 0 | 0 | 0 | ||
| James George | ||||||||
| Trustee - Vice Chairman | 1.00 | X | 0 | 0 | 0 | |||
| Cynthia Housel DO | ||||||||
| Trusteee | 1.00 | X | 3140 | 0 | 0 | |||
| Philip Incarnati | ||||||||
| Trustee | 1.00 | X | 0 | 14617609 | 520640 | |||
| James E Johnson DO | ||||||||
| Trustee | 1.00 | X | 70832 | 0 | 0 | |||
| Matthew Moroun | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| Chris Peyerk | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| Thomas Schwanitz | ||||||||
| Trustee - Treasurer | 1.00 | X | X | 0 | 0 | 0 | ||
| Hon George C Steeh | ||||||||
| Honorable Judge | 1.00 | X | 0 | 0 | 0 | |||
| Ted Wahby | ||||||||
| Trustee - Chairman | 1.00 | X | 0 | 0 | 0 | |||
| Michael Smith DO | ||||||||
| VP Medical Affairs; CMO | 40.00 | X | 243900 | 0 | 12655 | |||
| Donna Kopinski | ||||||||
| VP Finance; CFO | 40.00 | X | 188358 | 0 | 22036 | |||
| Susan Durst | ||||||||
| VP Operations | 40.00 | X | 178856 | 0 | 21497 | |||
| Kathleen M DeBaker | ||||||||
| VP Clinical Services; CNO | 40.00 | X | 168572 | 0 | 13325 | |||
| Greg Purtel | ||||||||
| VP Human Resources | 40.00 | X | 159221 | 0 | 20417 | |||
| Sharyl Smith | ||||||||
| VP Marketing & Planning | 40.00 | X | 104256 | 0 | 0 | |||
| Ronald Irwin MD | ||||||||
| MEDICAL DIRECTOR | 40.00 | 759675 | 0 | 17670 | X | |||
| Jeffrey Balazsy | ||||||||
| PHYSICIAN | 40.00 | 726186 | 0 | 5112 | X | |||
| David M Viviano | ||||||||
| PHYSICIAN | 40.00 | 490537 | 0 | 0 | X | |||
| David R Markiewicz | ||||||||
| CRNA | 40.00 | 251442 | 0 | 12138 | X | |||
| Praveen Dalmia Physicist | ||||||||
| PHYSICIST | 40.00 | 306812 | 0 | 24064 | X | |||
| Janice Cosby | ||||||||
| VP | 40.00 | 0 | 0 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3684787 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 15242960 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 722834 | TotalOtherCompensation |
| Number Individuals GT100 K | 88 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SODEXO | |||||
| 4880 PAYSHERE CIRCLE | CHIcago | IL | 60674 | FOOD SERVICE | 6380682 |
| AMERICAN RED CROSS BLOOD SERVICES SOUTH | |||||
| PO BOX 73013 | Chicago | IL | 60673 | NURSE SERVICES | 1485789 |
| PUBLICOM | |||||
| 333 ALBERT AVE STE 400 | EAST LANSING | MI | 48823 | ADVERTISING | 1200609 |
| Hema Tech Services Inc | |||||
| PO Box 911 | Farmington | MI | 48332 | Dialysis | 836690 |
| MLABS UNIVERSITY OF MICHIGAN | |||||
| PO BOX 77000 DEPT 77174 | DETROIT | MI | 48277 | LAB TESTING | 694427 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 35 | NumberOfContractorsGT100K |
| Related Organizations | 189810 | RelatedOrganizations |
| All Other Contributions | 231825 | AllOtherContributions |
| Total Contributions | 421635 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Patient Services | 622110 | 277550849 | 273858765 | 3692084 |
| PHARMACY REVENUE | 900099 | 1386542 | 1386542 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 278937391 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2046380 | TotalRevenueColumn |
| Exclusion | $2,046,380 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1212890 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1212890 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1212890 | TotalRevenueColumn |
| Exclusion | $1,212,890 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 36732469 | Securities |
| Other | 171510 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 36143854 | Securities |
| Other | 171001 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 588615 | Securities |
| Other | 509 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 589124 | TotalRevenueColumn |
| Exclusion | $589,124 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| Miscellaneous | 900099 | 1276963 | $1,276,963 |
| Cafeteria Revenue | 722210 | 63178 | $63,178 |
| Research Revenue | 541700 | 35032 | $35,032 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1375173 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 284582593 | TotalRevenueColumn |
| Related Or Exempt Function Income | 275245307 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 3692084 | UnrelatedBusinessRevenue |
| Exclusion | $5,223,567 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5161374 | Total |
| Program Services | 5161374 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1150135 | Total |
| Program Services | 602722 | ProgramServices |
| Management And General | 547413 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 95199131 | Total |
| Program Services | 85860442 | ProgramServices |
| Management And General | 9338689 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2112258 | Total |
| Program Services | 1113160 | ProgramServices |
| Management And General | 999098 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13096093 | Total |
| Program Services | 11624547 | ProgramServices |
| Management And General | 1471546 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6809308 | Total |
| Program Services | 6142794 | ProgramServices |
| Management And General | 666514 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1006195 | Total |
| Program Services | 71304 | ProgramServices |
| Management And General | 934891 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 159268 | Total |
| Management And General | 159268 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45869996 | Total |
| Program Services | 16858541 | ProgramServices |
| Management And General | 29011455 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 798606 | Total |
| Program Services | 598268 | ProgramServices |
| Management And General | 200338 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2441258 | Total |
| Program Services | 1664141 | ProgramServices |
| Management And General | 777117 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7569801 | Total |
| Program Services | 6528129 | ProgramServices |
| Management And General | 1041672 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50799 | Total |
| Program Services | 29665 | ProgramServices |
| Management And General | 21134 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 141208 | Total |
| Program Services | 44293 | ProgramServices |
| Management And General | 96915 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7045037 | Total |
| Management And General | 7045037 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16007452 | Total |
| Program Services | 14563682 | ProgramServices |
| Management And General | 1443770 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 231880 | Total |
| Program Services | 51167 | ProgramServices |
| Management And General | 180713 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Medical Supplies | 43625056 | 43579790 | 45266 |
| Bad Debts | 25930189 | 841151 | 25089038 |
| EQUIP REPAIR & MAINT | 4404484 | 4229968 | 174516 |
| Membership Dues | 308670 | 161914 | 146756 |
| other | 141028 | 141028 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 279259226 | Total |
| Program Services | 199868080 | ProgramServices |
| Management And General | 79391146 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 872053 | BOY |
| EOY | 1128986 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27840238 | BOY |
| EOY | 33625817 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4032492 | BOY |
| EOY | 4322214 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1429230 | BOY |
| EOY | 1244514 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 366828208 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 242766530 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 139806745 | BOY |
| EOY | 124061678 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 91177328 | BOY |
| EOY | 108952972 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19682916 | BOY |
| EOY | 23887233 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2008048 | BOY |
| EOY | 2239934 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 286849050 | BOY |
| EOY | 299463348 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37949766 | BOY |
| EOY | 41241012 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 254699 | BOY |
| EOY | 193500 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 156640170 | BOY |
| EOY | 150221512 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62228 | BOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18802264 | BOY |
| EOY | 28909695 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 213709127 | BOY |
| EOY | 220565719 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73139923 | BOY |
| EOY | 78653419 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 244210 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73139923 | BOY |
| EOY | 78897629 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 286849050 | BOY |
| EOY | 299463348 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $9,265 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 9265 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i: | Identifier |
| Return Reference | Explanation of Other Lobbying Activities: | ReturnReference |
| Explanation | A PORTION OF DUES PAID TO MICHIGAN HEALTH AND HOSPITAL ASSOCIATION SUPPORT LOBBYING ACTIVITIES. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3489378 | OtherCostOrOtherBasis |
| Book Value | 3489378 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 138344081 | OtherCostOrOtherBasis |
| Depreciation | 76299002 | Depreciation |
| Book Value | 62045079 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1103164 | OtherCostOrOtherBasis |
| Depreciation | 960076 | Depreciation |
| Book Value | 143088 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 215030099 | OtherCostOrOtherBasis |
| Depreciation | 160326372 | Depreciation |
| Book Value | 54703727 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8861486 | OtherCostOrOtherBasis |
| Depreciation | 5181080 | Depreciation |
| Book Value | 3680406 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 124061678 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Investments In And Advances to Affiliates | Description |
| Book Value | 23887233 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 23887233 | TotalOfBookValueProgramRelated |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Professional Liability Insurance | $8,745,209 |
| Workers Compensation Insurance | $526,840 |
| Minimum Pension Liability | $1,731,661 |
| Accrued Pension | $12,433,124 |
| Cost Report Settlements Payable | $5,472,861 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 28909695 | TotalOfAmounts |
| Total Revenue | 284582593 | TotalRevenue |
| Total Expenses | 279259226 | TotalExpenses |
| Excess Or Deficit For Year | 5323367 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 4849675 | NetUnrealizedGLOnInvestments |
| Other | -$4,415,335 | OtherAmount |
| Total Adjustments | 434340 | TotalAdjustments |
| Excess Or Deficit Per FS | 5757707 | ExcessOrDeficitPerFS |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part XI, Line 8 - Other Adjustments: | Identifier |
| Explanation | UNREALIZED GAIN ON INVESTMENT IN JOINT VENTURES: 1663589. Minimum Pension Liability Adjustment: -5675353. TRANSFER TO PREMIER: -403571. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 0 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 925629 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 925629 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00370 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 36682106 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 33476845 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3205261 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01270 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 33980 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7064 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 26916 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 37641715 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 33483909 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4157806 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01650 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1192256 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1192256 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00470 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16159335 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4963750 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11195585 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04420 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 201093 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 201093 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 120591 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 120591 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17673275 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4963750 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12709525 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05020 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 55314990 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 38447659 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16867331 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06670 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 13 | NumberOfActivitiesOrPrograms |
| Persons Served | 25 | PersonsServed |
| Total Community Building Expense | 7461 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 7461 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 6595 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 6595 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 3118 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 3118 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 18 | NumberOfActivitiesOrPrograms |
| Persons Served | 25 | PersonsServed |
| Total Community Building Expense | 17174 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 17174 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $8,313,287 | BadDebtExpenseAmount |
| Amount Attributable To | 449164 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 81514208 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 66019324 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 15494884 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 0 | WrittenDebtCollectionPolicy |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MT CLEMENS REGIONAL MEDICAL CENTER HEALTH PARTNERS LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | MEDICAL OFFICE BUILDING | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.66670 | OrganizationProfitOrOwnership |
| Physicans Profit Or Ownership | 0.33330 | PhysicansProfitOrOwnership |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNT CLEMENS REGIONAL MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 HARRINGTON | AddressLine1 |
| City | MOUNT CLEMENS | City |
| State | MI | State |
| ZIP Code | 48043 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | 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. | IncomeBasedCriteria |
| Annual Community Benefit Expln | 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. | AnnualCommunityBenefitExpln |
| Costing Method Used | Part I, Line 7: COSTING METHODOLOGY - USED COST TO CHANGE RATIO PER OUR COST REPORTS. | CostingMethodUsed |
| Percent Of Total Expense Expln | Part I, Line 7f: THE COST OF BAD DEBT FOR THE CORPORATION FOR THE YEARS ENDED SEPTEMBER 30, 2010 AND 2009 WAS APPROXIMATELY $36,738,000 AND $33,586,000, RESPECTIVELY, WHICH IS REFLECTED IN THE CONSOLIDATED STATEMENT OF OPERATIONS AS CHARGES OF $108,817,000 AND $99,816,000, RESPECTIVELY. BAD DEBT EXPENSE AT COST WAS DERIVED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | 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. FOOTNOTE FROM AUDIT REPORT. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | 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. | DebtCollectionPolicy |
| Needs Assessment | 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. | NeedsAssessment |
| Patient Education Assistance | 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. | PatientEducationAssistance |
| Community Information | 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% | CommunityInformation |
| Community Building Activities | Part VI, Line 5: 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. | CommunityBuildingActivities |
| Other Information | 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. | OtherInformation |
| Affiliated Health Care System | 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. | AffiliatedHealthCareSystem |
| Reports Filed With States | MI | ReportsFiledWithStates |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|---|---|
| MCLAREN MEDICAL MANAGEMENT INC | ||||||||||
| 401 S BALLENGER HWY | FLINT | MI | 48532 | 382988086 | 501(C)(3) | 5150574 | 0 | N/A | N/A | GENERAL SUPPORT |
| MOUNT CLEMENS REGIONAL HEALTH CARE FOUNDATION | ||||||||||
| PO BOX 326 | MOUNT CLEMENS | MI | 48046 | 382578873 | 501(C)(3) | 10800 | 0 | N/A | N/A | GENERAL SUPPORT |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mark O'Halla | |||||||||||||
| 0 | 448577 | 0 | 123750 | 0 | 53024 | 0 | 33650 | 0 | 19630 | 0 | 678631 | 0 | 0 |
| Philip Incarnati | |||||||||||||
| 0 | 1247074 | 0 | 1119378 | 0 | 12251157 | 0 | 507159 | 0 | 13481 | 0 | 15138249 | 0 | 2998959 |
| Michael Smith DO | |||||||||||||
| 243900 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 12655 | 0 | 256555 | 0 | 0 | 0 |
| Donna Kopinski | |||||||||||||
| 167678 | 0 | 20680 | 0 | 0 | 0 | 9539 | 0 | 12497 | 0 | 210394 | 0 | 0 | 0 |
| Susan Durst | |||||||||||||
| 161029 | 0 | 17827 | 0 | 0 | 0 | 9016 | 0 | 12481 | 0 | 200353 | 0 | 0 | 0 |
| Kathleen M DeBaker | |||||||||||||
| 151712 | 0 | 16860 | 0 | 0 | 0 | 8444 | 0 | 4881 | 0 | 181897 | 0 | 0 | 0 |
| Greg Purtel | |||||||||||||
| 141323 | 0 | 17898 | 0 | 0 | 0 | 8086 | 0 | 12331 | 0 | 179638 | 0 | 0 | 0 |
| Ronald Irwin MD | |||||||||||||
| 749620 | 0 | 0 | 0 | 10055 | 0 | 4900 | 0 | 12770 | 0 | 777345 | 0 | 0 | 0 |
| Jeffrey Balazsy | |||||||||||||
| 700521 | 0 | 0 | 0 | 25665 | 0 | 0 | 0 | 5112 | 0 | 731298 | 0 | 0 | 0 |
| David M Viviano | |||||||||||||
| 488737 | 0 | 0 | 0 | 1800 | 0 | 0 | 0 | 0 | 0 | 490537 | 0 | 0 | 0 |
| David R Markiewicz | |||||||||||||
| 241442 | 0 | 0 | 0 | 10000 | 0 | 12138 | 0 | 0 | 0 | 263580 | 0 | 0 | 0 |
| Praveen Dalmia Physicist | |||||||||||||
| 278812 | 0 | 0 | 0 | 28000 | 0 | 12250 | 0 | 11814 | 0 | 330876 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 1a | THE CORPORATE CEO, SUBSIDIARY CEO'S AND CORPORATE VICE-PRESIDENTS IN SOME INSTANCES HAVE RECEIVED TAX INDEMNIFICATION FOR THE FOLLOWING BENEFITS: VEHICLE COSTS, GROUP TERM LIFE INSURANCE, SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS, AND HEALTH CLUB OR SOCIAL DUES. THESE BENEFITS HAVE BEEN INCLUDED IN TAXABLE COMPENSATION. THE FOLLOWING INDIVIDUAL HAS RECEIVED THESE BENEFITS: MARK O'HALLA AND PHILIP INCARNATI. | |
| Part I, Line 4b: | MCLAREN MAINTAINS TWO SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES (THE "SERPS"). THE OLD SERP WAS CLOSED TO NEW PARTICIPANTS ON OCTOBER 1, 2006, AND THE NEW SERP BECAME EFFECTIVE AS OF JANUARY 1, 2007. NO EMPLOYEE MAY PARTICIPATE IN BOTH OF THE SERPS. THE OLD SERP IS STRUCTURED AS A DEFINED BENEFIT PLAN THAT ESSENTIALLY REPLACES THE BENEFITS THE PARTICIPANT IS NOT PERMITTED TO RECEIVE UNDER MCLAREN'S QUALIFIED RETIREMENT PLAN DUE TO IRS LIMITATIONS APPLICABLE TO QUALIFIED PLANS. THE BENEFIT UNDER THE OLD SERP IS PAYABLE IN EITHER THE FORM OF A 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 6 | MCLAREN HEALTH CARE CORPORATION (MHCC) HAS A LEADERSHIP INCENTIVE PROGRAM FOR LEADERS OF THE CORPORATION, SUBSIDIARY EXECUTIVES AND DIRECTORS, AND CORPORATE MANAGERS. THE PURPOSE OF THE PLAN IS TO ENHANCE THE ORGANIZATION'S ABILITY TO ACHIEVE ITS GOALS BY PROVIDING TOP OFFICIALS AND THE BOARD OF DIRECTORS WITH A TOOL FOR (A) CLEARLY COMMUNICATING PERFORMANCE ON THE PART OF KEY LEADERS, (B) STIMULATING AND REWARDING SUPERIOR LEVELS OF PERFORMANCE ON THE PART OF KEY LEADERS WHICH WILL ULTIMATELY BENEFIT THE COMMUNITIES MHCC SERVES, AND (C) PROTECTING MHCC'S ABILITY TO COMPETE WITH OTHER EMPLOYERS FOR HIGH-TALENT LEADERS. | |
| Part III | SCH J, PART I, LINE 3: THE CEO/EXECUTIVE DIRECTOR WAS COMPENSATED BY A RELATED ORGANIZATION, AND THEREFORE NONE OF THE LINE 3 BOXES HAVE BEEN CHECKED. THE RELATED ORGANIZATION USED THE FOLLOWING METHODOLOGIES TO ESTABLISH THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. | Supplemental Information |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| PHNS | |||
| PHILIP INCARNATI, BOARD MEMBER AND OWNER OF PHNS | 2323330 | MHCC is the co-founder and has a minority interest in PHNS. As part of the agreement MHCC is entitled to appoint two directors to the PNHS board. MHCC appointed Philip Incarnati to hold one these positions. | 0 |
| MARIJEAN SMITH | |||
| SPOUSE OF OFFICER AND GIFT SHOP EMPLOYEE | 25261 | PART-TIME EMPLOYEE OF ORGANIZATION | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 6 | THE SOLE MEMBER OF THIS ORGANIZATION IS MCLAREN HEALTH CARE CORPORATION. |
| Form 990, Part VI, Section A, line 7a | THE MEMBER SHALL HAVE THE EXCLUSIVE RIGHT TO ELECT OR APPOINT THE DIRECTORS OF THE CORPORATION. |
| Form 990, Part VI, Section A, line 7b | DECISIONS BY THE GOVERNING BODY ARE SUBJECT TO THE POWERS OF THE MEMBER. |
| Form 990, Part VI, Section B, line 11 | THE FORM 990 DATA IS PREPARED INTERNALLY AND SUBMITTED TO OUR AUDITING FIRM FOR RETURN PREPARATION. ONCE THE RETURNS HAVE BEEN COMPLETED, THE FORMS ARE REVIEWED BY 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 12c | THE CORPORATE COMPLIANCE DEPARTMENT, IN ACCORDANCE WITH THE MCLAREN HEALTH CARE (MHC) BOARD CONFLICT OF INTEREST POLICY, ANNUALLY DISTRIBUTES THE CONFLICT OF INTEREST DISCLOSURE SURVEY TO ALL MHC CORPORATE AND SUBSIDIARY ORGANIZATION BOARD MEMBERS, EXECUTIVES AND OTHER LEADERSHIP EMPLOYEES. THE CORPORATE COMPLIANCE DEPARTMENT, THROUGH THE GOVERNANCE COMMITTEE, COMPILES AND ANALYZES SURVEY DATA BY ORGANIZATION, INVESTIGATES, AND REVIEWS POTENTIAL CONFLICTS WITH THE ORGANIZATION'S CEO AND BOARD CHAIR, AND WHEN NECESSARY, RECOMMENDS ACTIONS TO BE TAKEN TO RESOLVE IDENTIFIED CONFLICTS. A COMPLETE REPORT OF ALL CORPORATE AND SUBSIDIARY BOARD MEMBER AND EXECUTIVE DISCLOSURES, CONFLICTS IDENTIFIED AND ACTIONS TAKEN IS REVIEWED BY THE MHC GOVERNANCE COMMITTEE AND EACH SUBSIDIARY CEO AND BOARD CHAIR RECEIVES A REPORT SPECIFIC TO THEIR ORGANIZATION'S BOARD MEMBERS AND EXECUTIVES. CONFLICTS ARE DISCLOSED TO THE FULL BOARD AND BOARD COMMITTEES SO APPROPRIATE ACTIONS CAN BE TAKEN. ACTIONS MAY INCLUDE PROHIBITING A BOARD MEMBER FROM PARTICIPATING IN DELIBERATIONS INVOLVING TRANSACTIONS WITH A COMPANY WITH WHICH THEY CONDUCT FINANCIAL TRANSACTIONS; BOARD MEMBERS FAILING TO COMPLETE A DISCLOSURE SURVEY OR INTENTIONALLY FAILING TO REPORT A KNOWN CONFLICT OF INTEREST ARE ASKED TO RESIGN. |
| Form 990, Part VI, Section B, line 15 | 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 2010. |
| Form 990, Part VI, Section C, line 19 | DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART VII: | MARK O'HALLA AND PHILIP INCARNATI EACH WORKED AN AVERAGE OF AT LEAST 40 HOURS PER WEEK AT MCLAREN HEALTH CARE CORPORATION. |
| FORM 990, PART XI, LINE 2C: | THERE HAS BEEN NO CHANGE IN PROCESS FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (24 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|
| BAY MEDICAL FOUNDATION | ||||||||||
| 1900 COLUMBUS AVE | BAY CITY | MI | 48708 | 382156534 | FOUNDATION | MI | 501(c)(3) | Line 11a, I | BAY REGIONAL MEDICAL CENTER | |
| BAY REGIONAL MEDICAL CENTER | ||||||||||
| 1900 COLUMBUS AVE | BAY CITY | MI | 48708 | 381976271 | HOSPITAL | MI | 501(c)(3) | Line 3 | MCLAREN HEALTH CARE CORPORATION | |
| BAY REGIONAL MEDICAL CENTER AUXILIARY | ||||||||||
| 1908 COLUMBUS AVENUE | BAY CITY | MI | 48708 | 386081235 | SUPPORTING ORGANIZATION | MI | 501(c)(3) | Line 11a, I | BAY REGIONAL MEDICAL CENTER | |
| BAY SPECIAL CARE HOSPITAL | ||||||||||
| 1900 COLUMBUS AVE | BAY CITY | MI | 48708 | 383161753 | HOSPITAL | MI | 501(c)(3) | Line 3 | BAY REGIONAL MEDICAL CENTER | |
| CENTRAL MICHIGAN COMMUNITY HOSPITAL | ||||||||||
| 1221 SOUTH DRIVE | MT PLEASANT | MI | 48858 | 381420304 | HOSPITAL | MI | 501(c)(3) | Line 3 | MCLAREN HEALTH CARE CORPORATION | |
| CENTRAL MICHIGAN COMMUNITY HOSPITAL RADIATION ONCOLOGY | ||||||||||
| 1000 HARRINGTON | MT PLEASANT | MI | 48858 | 300312172 | HOSPITAL | MI | 501(c)(3) | Line 3 | MCLAREN HEALTH CARE CORPORATION | |
| GREAT LAKES CANCER INSTITUTE | ||||||||||
| 401 S BALLENGER HWY | FLINT | MI | 48532 | 383584572 | CANCER CARE CENTER | MI | 501(c)(3) | Line 7 | MCLAREN HEALTH CARE CORPORATION | |
| INGHAM REGIONAL HEALTHCARE FOUNDATION | ||||||||||
| 401 S GREENLAWN AVE | LANSING | MI | 48910 | 382463637 | FOUNDATION | MI | 501(c)(3) | Line 7 | INGHAM REGIONAL MEDICAL CENTER | |
| INGHAM REGIONAL MEDICAL CENTER | ||||||||||
| 401 S GREENLAWN AVE | LANSING | MI | 48910 | 381434090 | HOSPITAL | MI | 501(c)(3) | Line 3 | MCLAREN HEALTH CARE CORPORATION | |
| LAPEER REGIONAL MEDICAL CENTER | ||||||||||
| 1375 N MAIN ST | LAPEER | MI | 48446 | 382689033 | HOSPITAL | MI | 501(c)(3) | Line 3 | MCLAREN HEALTH CARE CORPORATION | |
| LAPEER REGIONAL MEDICAL CENTER FOUNDATION | ||||||||||
| 1375 N MAIN ST | LAPEER | MI | 48446 | 382689603 | FOUNDATION | MI | 501(c)(3) | Line 11a, I | LAPEER REGIONAL MEDICAL CENTER | |
| MCLAREN HEALTH CARE CORPORATION | ||||||||||
| 401 S BALLENGER HWY | FLINT | MI | 48532 | 382397643 | SUPPORTING ORG | MI | 501(c)(3) | Line 11a, I | N/A | |
| MCLAREN HEALTH PLAN | ||||||||||
| G-3245 BEECHER ROAD | FLINT | MI | 48532 | 383383640 | HEALTH CARE SERVICES | MI | 501(c)(4) | MCLAREN HEALTH CARE CORPORATION | ||
| MCLAREN MEDICAL MANAGEMENT INC | ||||||||||
| 401 S BALLENGER HWY | FLINT | MI | 48532 | 382988086 | MANAGEMENT COMPANY | MI | 501(c)(3) | Line 11a, I | MCLAREN HEALTH CARE CORPORATION | |
| MCLAREN REGIONAL MEDICAL CENTER | ||||||||||
| 401 S BALLENGER HWY | FLINT | MI | 48532 | 382383119 | HOSPITAL | MI | 501(c)(3) | Line 3 | MCLAREN HEALTH CARE CORPORATION | |
| MOUNT CLEMENS REGIONAL HEALTHCARE FOUNDATION | ||||||||||
| PO BOX 326 | MOUNT CLEMENS | MI | 48046 | 382578873 | FOUNDATION | MI | 501(c)(3) | Line 9 | MOUNT CLEMENS REGIONAL MEDICAL CENTER | |
| POH REGIONAL MEDICAL CENTER | ||||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 381428164 | HOSPITAL | MI | 501(c)(3) | Line 3 | MCLAREN HEALTH CARE CORPORATION | |
| POH RILEY FOUNDATION | ||||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 200442217 | FOUNDATION | MI | 501(c)(3) | Line 11c, III-FI | POH REGIONAL MEDICAL CENTER | |
| VISITING NURSE SERVICE OF MICHIGAN | ||||||||||
| 401 S BALLENGER HWY | FLINT | MI | 48532 | 383491714 | HEALTH CARE SERVICES | MI | 501(c)(3) | Line 9 | MCLAREN HEALTH CARE CORPORATION | |
| WOMENS HOSPITAL ASSOCIATION OF FLINT MICHIGAN | ||||||||||
| 401 S BALLENGER HIGHWAY | FLINT | MI | 48532 | 381358053 | SUPPORTING ORGANIZATION | MI | 501(c)(3) | Line 11a, I | MCLAREN HEALTH CARE CORPORATION | |
| REGIONAL EMERGENCY MEDICAL SERVICE INC | ||||||||||
| 25400 W 8 MILE ROAD | SOUTHFIELD | MI | 48034 | 383255499 | AMBULANCE SERVICE | MI | 501(c)(3) | Line 9 | MCLAREN MEDICAL MANAGEMENT INC | |
| NORTH OAKLAND NORTH MACOMB IMAGING INC | ||||||||||
| 355 BARCLAY CIR STE A | ROCHESTER HILLS | MI | 48307 | 382807040 | MRI IMAGING | MI | 501(c)(3) | Line 3 | POH REGIONAL MEDICAL CENTER | |
| PRIMARY CARE | ||||||||||
| 1900 COLUMBUS AVE | BAY CITY | MI | 48708 | 202443604 | HEALTH CARE SERVICES | MI | 501(c)(3) | Line 9 | BAY REGIONAL MEDICAL CENTER | |
| MCLAREN HEALTHCARE VILLAGE FOUNDATION | ||||||||||
| 401 S BALLENGER HIGHWAY | FLINT | MI | 48532 | 262693350 | SUPPORTING ORGANIZATION | MI | 501(c)(3) | Line 11a, I | MCLAREN HEALTH CARE CORPORATION | |
Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MCLAREN - NORTHERN EQUITIES CANCER CENTER PROJECT LLC | |||||||||||||
| 39000 COUNTRY CLUB DRIVE | FARMINGTON HILLS | MI | 48331 | 263112935 | RENTAL REAL ESTATE | MI | N/A | ||||||
| JOINT VENTURE HOSPITAL LABORATORIES LLC | |||||||||||||
| 1633 FAIRLANE CIRCLE SUITE 300 | ALLEN PARK | MI | 48101 | 383018129 | LAB PROCEDURES | MI | UNRELATED THIRD PARTY | RELATED | -2699 | 12081 | 0 | 0 | |
| MOUNT CLEMENS REGIONAL HEALTH BUILDING HEALTH PARTNERS | |||||||||||||
| 1000 HARRINGTON ST | MOUNT CLEMENS | MI | 48043 | 262524717 | BUILDING MANAGEMENT | MI | MOUNT CLEMENS REGIONAL MEDICAL CENTER | RELATED | -51986 | 9298240 | 0 | 1 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| HEALTH ADVANTAGE INC | ||||||||
| G3245 BEECHER ROAD | FLINT | MI | 48532 | 912141720 | HEALTH CARE SERVICES | MI | N/A | C |
| CLARKSTON PROPERTY ASSOCIATES | ||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 432006072 | REAL ESTATE | MI | N/A | C |
| HOSPITAL HEALTH CARE INC | ||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 382643070 | HEALTH CARE | MI | N/A | C |
| PHYSICIAN ORGANIZED HEALTHCARE SYSTEM | ||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 383136458 | MANAGED CARE | MI | N/A | C |
| MCLAREN HEALTH PLAN INSURANCE COMPANY | ||||||||
| G-3245 BEECHER ROAD SUITE 200 | FLINT | MI | 48532 | 271780283 | INSURANCE | MI | N/A | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| MCLAREN HEALTH PLAN | |
| K | 1333595 |
| MCLAREN HEALTH CARE CORPORATION | |
| L | 15535812 |
| mcLAREN HEALTH CARE CORPORATION | |
| L | 742400 |
| MCLAREN MEDICAL MANAGEMENT INC | |
| B | 5150574 |
| MCLAREN HEALTH CARE CORPORATION | |
| L | 403571 |
| MCLAREN HEALTH CARE CORPORATION | |
| O | 22148490 |
| MCLAREN HEALTH CARE CORPORATION | |
| J | 1078116 |
| MOUNT CLEMENS REGIONAL HEALTHCARE FOUNDATION | |
| C | 189810 |
| MOUNT CLEMENS REGIONAL HEALTHCARE FOUNDATION | |
| P | 243144 |
| VISITING NURSE SERVICES OF MICHIGAN | |
| O | 155634 |