2022-08-12T08:12:35-05:00 2021-09-30 381357951 PLANTE & MORAN PLLC 3000 TOWN CENTER SUITE 100 SOUTHFIELD MI 48075 990 2020-10-01 381369611 MCLAREN PORT HURON MCLA 8109875000 1221 PINE GROVE AVENUE PORT HURON MI 48060 ERIC CECAVA PRESIDENT & CEO 8109875000 2022-08-05 1 ERIC CECAVA 999009999 AMY CIMINELLO P00796388 2483522500 2022-08-02 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z ERIC CECAVA 1221 PINE GROVE AVENUE PORT HURON MI 48060 279433793 0 X WWW.MCLAREN.ORG/PORTHURON X 1879 MI MCLAREN HEALTHCARE, THROUGH ITS SUBSIDIARIES, WILL BE THE BEST VALUE IN HEALTHCARE AS DEFINED BY QUALITY OUTCOMES AND COST. 16 11 1625 110 10489207 0 13547312 15491113 221274873 254558717 4361588 7091596 2354200 2113608 241537973 279255034 112814 515711 0 0 92317447 113097541 0 0 0 136625678 128312134 229055939 241925386 12482034 37329648 415112432 443072333 167993159 149143384 247119273 293928949 X MCLAREN HEALTHCARE, THROUGH ITS SUBSIDIARIES, WILL BE THE BEST VALUE IN HEALTHCARE AS DEFINED BY QUALITY OUTCOMES AND COST. 0 0 172922917 515711 244379133 FOR FISCAL YEAR OCTOBER 1, 2020 TO SEPTEMBER 30, 2021, MCLAREN PORT HURON PROVIDED HEALTH CARE SERVICES TO THE POOR AND TO THE BROADER COMMUNITY FOR WHICH THE COST OF PROVIDING SUCH SERVICES EXCEEDED THE RELATED REVENUE. CHARITY CARE IN THE AMOUNT OF $3,567,960 WAS PROVIDED DURING THE YEAR. MCLAREN PORT HURON PROVIDED $452,337,420 IN THIRD PARTY DISCOUNTS. IN TOTAL, THIS REPRESENTS 64.09 PERCENT OF THE GROSS PATIENT REVENUE FOR THIS YEAR. MCLAREN PORT HURON ALSO PROVIDED THE COMMUNITY WITH OPPORTUNITIES TO PARTICIPATE IN NUMEROUS EDUCATIONAL, WELLNESS, SCREENING, AND SUPPORTIVE PROGRAMS AT EITHER NO COST OR AT A NOMINAL CHARGE. THE HOSPITAL PROVIDED A TOTAL OF 636 EVENTS/PROGRAMS TO APPROXIMATELY 72,815 PEOPLE OF THE COMMUNITY. 172922917 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 154 0 1 1625 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 16 11 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 1 0 X ERIC CECAVA PRESIDENT & CEO 8109893737 1221 PINE GROVE AVENUE PORT HURON MI 48060 TOM BRISSE TRUSTEE 1.00 45.00 X 0 1166811 29848 DAVID MAZURKIEWICZ TREASURER 1.00 49.00 X X 0 1683972 30080 VASKEN ARTINIAN MD TRUSTEE 1.00 40.00 X 0 894139 59291 ERIC CECAVA PRESIDENT & CEO MCLAREN 40.00 2.00 X X 166782 182071 67766 MONA ARMSTRONG CHAIRMAN - PART YEAR 3.00 0.00 X X 0 0 0 RICHARD LEVEILLE SECRETARY 1.00 1.00 X X 0 0 0 GREG BUSDICKER CHAIR 1.00 0.00 X X 0 0 0 SCOTT SHIGLEY VICE-CHAIR 1.00 0.00 X X 0 0 0 DAVID A THOMPSON TRUSTEE 1.00 1.00 X 0 22500 0 KATHLEEN SMITH TRUSTEE 1.00 0.00 X 0 0 0 GLENN BETRUS MD TRUSTEE - PART YEAR 1.00 0.00 X 0 0 0 KEELY BARIBEAU TRUSTEE 1.00 0.00 X 0 0 0 EDWARD MAUCH MD TRUSTEE 1.00 0.00 X 0 0 0 AMANDA HURTUBISE MD TRUSTEE 1.00 0.00 X 0 0 0 GARY JAMES DO TRUSTEE 1.00 0.00 X 0 0 0 HILARY GEORGIA TRUSTEE 1.00 0.00 X 0 0 0 EVAN WILKINS TRUSTEE 1.00 0.00 X 0 0 0 JON LENSMEYER MD TRUSTEE 1.00 1.00 X 0 0 0 BRIDGET SHOLTIS CFO & ASSISTANT TREASURER 40.00 1.00 X 256487 0 59306 JOHN V BROOKS MD CHIEF MEDICAL OFFICER 40.00 0.00 X 314311 0 16005 CHRISTINE SAMSON CHIEF NURSING OFFICER - PART YEAR 40.00 0.00 X 221787 0 9549 SARA LITER-KUESTER PHYSICIAN 40.00 0.00 X 310312 0 19570 BENJAMIN A CATT MEDICAL PHYSICIST 40.00 0.00 X 183533 0 43890 KIMBERLY HOLLANDSWORTH EDUCATOR PATIENT CARE 40.00 0.00 X 111808 0 12336 TODD MAY DIRECTOR REHAB SERVICES 40.00 0.00 X 129276 0 20322 JACK BELYEA DIRECTOR FACILITIES 40.00 0.00 X 157184 0 32204 JENNIFER MONTGOMERY FORMER PRESIDENT & CEO 0.00 44.00 X 0 749644 202145 1851480 4699137 602312 61 1 1 0 ASA STAFFING INC 1990 UNION LAKE RD STE 500 COMMERCE TWP MI 48382 CONTRACT ANESTHESIA 2268141 SOUND PHYSICIANS OF MICHIGAN 1498 PACIFIC AVE STE 400 TACOMA WA 98402 CONTRACT PHYSICIAN SERVICES 2121375 AHSA AMERICAN HEALTH SERVICE ASSOCIATIO 3051 WILLOWWOOD ROAD EDMOND OK 73034 CONTRACT PHYSICIAN SERVICES 1415908 LOCUMTENENSCOM LLC 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 CONTRACT PHYSICIAN SERVICES 842129 PHYSICIAN HEALTHCARE NETWORK 3050 COMMERCE DR FORT GRATIOT MI 48059 CONTRACT PHYSICIAN SERVICES 556726 127 5595633 9895480 220 15491113 PATIENT REVENUE 621500 194248123 194248123 LABORATORY 621500 56259724 45781596 10478128 AUXILARY REVENUE 621990 3456086 3456086 EMS TRANSPORT SERVICE REVENUE 621910 594784 594784 254558717 7042278 7042278 514834 178759 336075 336075 10303 325772 49318 0 49318 49318 49318 PARKVIEW PROPERTY MGMT 531310 978558 978558 CAFETERIA 722210 499467 499467 LAUNDRY 812300 964 776 188 298544 298544 1777533 279255034 244379133 10489207 8895581 515711 515711 2569908 2569908 91975766 75921562 16054204 3028912 2477484 551428 10388586 8439916 1948670 5134369 4199569 934800 21268295 13362493 7905802 2405 2405 80022 80022 7041 7041 283380 283380 10804211 3647326 7156885 610907 610907 467501 431109 36392 7368274 37493 7330781 4482504 1341892 3140612 100059 48065 51994 25049 16229 8820 1566445 1566445 14043640 1783400 12260240 2216975 98099 2118876 MEDICAL/FOOD SUPPLY 43727524 43231056 496468 BAD DEBTS 9835902 9835902 QAAP TAX 6373217 6373217 REPAIRS & MAINTENANCE 4206597 347366 3859231 842186 815028 27158 241925386 172922917 69002469 0 105184847 99754274 87024701 101192264 21683454 14249784 8947048 39766885 6287924 6446149 825971 870729 245065900 67557127 182732227 177508773 1997685 2656272 120272 155901 308303 471302 415112432 443072333 65559520 61427439 29771348 21520833 11484651 8604282 53799820 52742358 7377820 4848472 167993159 149143384 X 247119273 293928949 247119273 293928949 415112432 443072333 X 37329648 9480028 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 7041 7041 0 PART II-B, LINE 1: PORTION OF MICHIGAN HEALTH HOSPITAL ASSOCATION DUES TO LOBBYING. 5495017 5495017 167728005 29950956 137777049 2912515 1348377 1564138 53627957 35818832 17809125 15302406 438962 14863444 177508773 CLAIM LIABILITY 4848472 4848472 1 1 X 1 X 1 X 1 1 0 1 1 1126179 1126179 0.00490 43910010 41481380 2428630 0.01050 45036189 41481380 3554809 0.01540 467736 4500 463236 0.00200 93560 93560 0.00040 561296 4500 556796 0.00240 45597485 41485880 4111605 0.01780 64 14344 14344 0.00010 64 14344 14344 0.00010 1 9835902 57319280 60495114 -3175834 X 1 1 1 1 MCLAREN PORT HURON 1221 PINE GROVE AVENUE PORT HURON MI 48060 WWW.MCLAREN.ORG/PORTHURON 1060000087 X X X MCLAREN PORT HURON 1 0 0 1 X X X X X X X X X X 18 1 1 1 1 X HTTPS://TINYURL.COM/YAWXCYL4 X X 1 18 1 HTTPS://TINYURL.COM/YAWXCYL4 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X X 1 X HTTPS://TINYURL.COM/YYA9C5OC X HTTPS://TINYURL.COM/YYA9C5OC X HTTPS://TINYURL.COM/YYA9C5OC X X X X X X 1 X 0 X X X X 1 X 0 0 MCLAREN PORT HURON PART V, SECTION B, LINE 3J: DATA THAT CONTRIBUTED TO OUR CORE AREAS OF FOCUS INCLUDED: LEADING CAUSES OF DEATH, TOP CANCER SITES, HOSPITAL DISCHARGES AND HEALTHY BEHAVIOR RANKINGS IN OUR TWO COUNTIES COMPARED TO STATEWIDE DATA AND LEADING US PERFORMERS.THE CHNA ALSO INCLUDED A LISTING OF COMMUNITY HEALTH ASSETS OTHER RESOURCES SUCH AS MCLAREN PORT HURON'S TODAY'S HEALTH TELEVISION PROGRAM THAT FOCUSES ON A VARIETY OF HEALTH EDUCATION AND PREVENTION PROGRAMS. ADDITIONALLY, THIS CHNA PROVIDES AN EVALUATION OF OUR PREVIOUS CHNA. MCLAREN PORT HURON PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS VIA COMMUNITY GROUPS, HEALTH PROVIDERS, KEY INFORMANT INTERVIEWS, AND FOCUS GROUPS. INDIVIDUALS WITH THE KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED. THESE INDIVIDUALS INCLUDED REPRESENTATIVES FROM THE LOCAL HEALTH DEPARTMENT, LOCAL HUMAN AND SOCIAL SERVICE AGENCIES AS WELL AS LEADERS, REPRESENTATIVES, OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. ADDITIONALLY, WHERE APPLICABLE, OTHER INDIVIDUALS WITH EXPERTISE OF LOCAL HEALTH NEEDS WERE CONSULTED. COMMUNITY INPUT WAS SOUGHT FROM COMMUNITY GROUPS, AND PATIENTS WHO PARTICIPATED IN VARIOUS HEALTH SCREENINGS AND SEMINARS OFFERED THROUGH MCLAREN PORT HURON IN 2019. METHODS USED TO COLLECT DATA INCLUDED COMMUNITY CONVERSATION MEETINGS, REGIONAL MEETINGS, PARTICIPANT SURVEYS, AND HEALTH CARE PROVIDER FEEDBACK. ADDITIONALLY, FOCUS GROUPS WERE CONDUCTED BY COMMUNITY MEMBERS AND MEMBERS OF OUR WOMEN'S & CHILDREN'S COMMUNITY ADVISORY BOARD AND THE COMMUNITY EDUCATION & OUTREACH COMMITTEE AT MCLAREN PORT HURON.A COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON THE HOSPITAL'S WEBSITE LOCATED AT HTTPS://WWW.MCLAREN.ORG/MAIN/COMMUNITY-HEALTH-NEEDS-ASSESSMENT MCLAREN PORT HURON PART V, SECTION B, LINE 6A: LAKE HURON MEDICAL CENTER AND ASCENSION RIVER DISTRICT HOSPITAL. MCLAREN PORT HURON PART V, SECTION B, LINE 6B: BLUE WATER COMMUNITY ACTION AGENCY, COMMUNITY FIRST HEALTH CENTERS, ST. CLAIR COUNTY COMMUNITY MENTAL HEALTH, ST. CLAIR COUNTY HEALTH DEPARTMENT, AND THE UNITED WAY OF ST. CLAIR COUNTY. MCLAREN PORT HURON PART V, SECTION B, LINE 7D: COPIES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT ARE AVAILABLE UPON REQUEST, FREE OF CHARGE. ADDITIONALLY, MEMBERS OF THE COMMUNITY ARE ENCOURAGED TO OFFER SUGGESTIONS FOR FUTURE HEALTH PROGRAMS, SCREENINGS AND SEMINARS AND ARE ENCOURAGED TO VISIT OUR WEBSITE AT WWW.MCLAREN.ORG/PHCONTACT TO SEND COMMENTS TO MCLAREN PORT HURON COMMUNITY EDUCATION AND OUTREACH PERSONNEL. MCLAREN PORT HURON PART V, SECTION B, LINE 11: MCLAREN PORT HURON'S CHNA IMPLEMENTATION STRATEGY OUTLINES THE HOSPITAL'S APPROACH TO ADDRESS THE IDENTIFIED NEEDS OF THE COMMUNITY. IN ADDITION TO HOSPITAL DIRECTED STRATEGIES LISTED BELOW, WE WILL WORK IN PARTNERSHIP WITH PUBLIC AND COMMUNITY RESOURCES. THE OVERALL GOAL OF THE ACTION PLAN IS TO IMPROVE THE OVERALL HEALTH FACTORS AND BEHAVIORS OF ST. CLAIR AND SANILAC COUNTIES, LEADING TO IMPROVEMENTS IN HEALTH BEHAVIORS AND OUTCOMES.THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED THREE SIGNIFICANT HEALTH NEEDS. THESE INCLUDE PROMOTING HEALTHY BEHAVIORS WHILE ADDRESSING OBESITY & OVERWEIGHT, SMOKING & VAPING AND OPIOID MISUSE AND ABUSE; CHRONIC DISEASE PREVENTION, MAINTENANCE AND TREATMENT; AND ACCESS TO HIGH QUALITY HEALTH CARE AND PREVENTION SERVICES. STRATEGIES INCLUDE: -PROVIDE EDUCATION ON THE IMPORTANCE OF OBESITY PREVENTION; INCLUDING PROGRAMS THAT ADDRESS HEALTHY EATING AND PHYSICAL ACTIVITY.-PROMOTE REFERRALS FOR OBESITY PREVENTION AND TREATMENT.-PARTICIPATE IN COMMUNITY COALITIONS AND PARTNERSHIPS THAT PROMOTE COMMUNITY-WIDE CAMPAIGNS ON THE BENEFITS OF HEALTHY EATING AND PHYSICAL ACTIVITY AS PART OF A BROAD MULTICOMPONENT APPROACH.-CONTINUE TO PROVIDE AND MONITOR THE BARIATRIC PROGRAM; INCLUDING NUTRITION COUNSELING, SUPPORT PROGRAMS, AND EVALUATING IMMERGING TRENDS IN WEIGHT MANAGEMENT.-PROVIDE HEALTHY FOODS AND BEVERAGE OPTIONS AND PROMOTE HEALTHY HOSPITAL ENVIRONMENTS, INCLUDING WATER REFILL STATIONS.-PROMOTE REFERRALS TO TOBACCO CESSATION PROGRAMS; SUCH AS TOBACCO QUIT LINE, SELF-HELP PAMPHLETS OR BEHAVIORAL SUPPORT PROGRAMS.-SUPPORT STATE AND COMMUNITY-LEVEL CESSATION AND PREVENTION INTERVENTIONS SUCH AS TOBACCO 21 INITIATIVES.-COLLABORATE WITH COMMUNITY PARTNERS TO PROMOTE COMMUNITY AWARENESS AND EDUCATION TO REDUCE TOBACCO & VAPING USE.-PARTICIPATE IN COMMUNITY COALITIONS AND PARTNERSHIPS TO ADDRESS BEHAVIORAL HEALTH INCLUDING TRAINING, INTERVENTION AND TREATMENT AS PART OF A BROAD MULTICOMPONENT APPROACH.-COLLABORATE WITH COMMUNITY PARTNERS TO PROMOTE COMMUNITY AWARENESS AND EDUCATION TO REDUCE NON-MEDICAL PRESCRIPTION DRUG USE/ABUSE.-PROVIDE EVIDENCE-BASED SCREENINGS FOR EARLY IDENTIFICATION OF CHRONIC DISEASE.-PROVIDE PROGRAMS TO TEACH PATIENTS ABOUT CHRONIC DISEASE, HEALTHY BEHAVIOR CHANGES, MEDICATION ADHERENCE, SKILLS FOR SELF-MANAGEMENT AND SUPPORT.-COLLABORATE WITH OTHER REGIONAL STAKEHOLDERS TO IMPROVE HEALTH OUTCOMES RELATED TO CHRONIC DISEASE.-PROVIDE FALL PREVENTION EDUCATION PROGRAMS AND SCREENINGS.-PROVIDE HELMET SAFETY EDUCATION AND HELMET DISTRIBUTION THROUGH SCHOOLS AND COMMUNITY PROGRAMS.-PROVIDE EVIDENCE-BASED SCREENINGS FOR EARLY IDENTIFICATION OF MENTAL HEALTH CONDITIONS.-PROVIDE A FULL SPECTRUM OF PSYCHIATRIC AND MENTAL HEALTH SERVICES INCLUDING EMERGENCY, INPATIENT, AND OUTPATIENT BEHAVIORAL COUNSELING.-COLLABORATE WITH MENTAL HEALTH, PRIMARY CARE, AND OTHER COMMUNITY STAKEHOLDERS TO ADDRESS BEHAVIORAL HEALTH INTERVENTION AND TREATMENT.-MONITOR TRENDS IN PRIMARY AND SPECIALTY CARE PROVIDERS AND CONTINUE TO RECRUIT, ESPECIALLY IN TARGETED COMMUNITIES.-MONITOR INSURANCE COVERAGE RATES AND ACCESS TO THE ENTIRE CARE CONTINUUM (FROM CLINICAL PREVENTIVE SERVICES TO LONG-TERM AND PALLIATIVE CARE).-MONITOR AND ADDRESS DISPARITIES THAT AFFECT ACCESS TO HEALTH CARE (E.G., RACE, ETHNICITY, SOCIOECONOMIC STATUS, AGE, SEX, DISABILITY STATUS, SEXUAL ORIENTATION, GENDER IDENTITY, AND RESIDENTIAL LOCATION).-EXPLORE AND MONITOR THE USE OF TELEHEALTH AS AN EMERGING METHOD OF DELIVERING HEALTH CARE.-CONTINUE TO SOLICIT AND CONSIDER INPUT FROM THE COMMUNITY THROUGH SURVEYS AND/OR FOCUS GROUPS.UNADDRESSED SIGNIFICANT HEALTH NEEDS AND RATIONALETHE 2016 ST. CLAIR COUNTY CHNA AND 2019 CHIP INCLUDED HEALTH NEEDS THAT WILL NOT BE ADDRESSED BY THE MCLAREN PORT HURON CHNA AND IMPLEMENTATION STRATEGY REPORT. THESE INCLUDE:IMMUNIZATIONS: THE ST. CLAIR COUNTY HEALTH DEPARTMENT CONTINUES TO MONITOR IMMUNIZATION RATES AND THE NUMBER OF IMMUNIZATION WAVERS. IMMUNIZATIONS ARE OFFERED THROUGHOUT THE COMMUNITY. MCLAREN PORT HURON WILL SHARE INFORMATION AND PROVIDE EDUCATION ON IMMUNIZATIONS AS APPROPRIATE. LACK OF DENTISTS ACCEPTING MEDICAID: PROPER DENTAL CARE IS VITAL TO HEALTH. MCLAREN PORT HURON WILL CONTINUE TO MONITOR THE NEED FOR DENTISTS AND SUPPORT INITIATIVES TO IMPROVE ACCESS TO DENTAL CARE IN OUR COMMUNITY. QUALITY OF NEIGHBORHOODS: WHILE THE QUALITY OF NEIGHBORHOODS IS A VERY IMPORTANT PART OF OUR COMMUNITY PROFILE, IMPROVEMENT IS BEYOND THE SCOPE OF THE HOSPITAL SERVICES. MCLAREN PORT HURON PART V, SECTION B, LINE 13B: FINANCIAL ASSISTANCE GUIDELINES ARE BASED ON 200%-400% OF THE FEDERAL POVERTY GUIDELINES PUBLISHED ANNUALLY IN THE FEDERAL REGISTER. DESIGNATED PERSONNEL WILL ACCESS THE FEDERAL REGISTER AND UPDATE THE FINANCIAL ASSISTANCE GUIDELINES ANNUALLY. THE DISCOUNT IS BASED ON FAMILY SIZE AND ANNUAL INCOME. MCLAREN PORT HURON PART V, SECTION B, LINE 15E: FINANCIAL ASSISTANCE INFORMATION AND APPLICATION ARE ON MCLAREN'S PUBLIC WEBSITE. AT THE POINT OF REGISTRATION, IN OUR EMERGENCY DEPARTMENT, OR IN ANY OF OUR FINANCIAL COUNSELOR OR CASHIER OFFICES. MCLAREN PORT HURON PART V, SECTION B, LINE 16J: PAMPHLETS ARE DISPLAYED AND AVAILABLE IN EMERGENCY ROOM 19 1 - MPH ST CLAIR HEALTH CENTER 1163 S CARNEY DR ST CLAIR MI 48079 FAMILY MEDICINE 2 - MPH FAMILY MEDICINE 1216 RICHARDSON ST PORT HURON MI 48060 FAMILY MEDICINE 3 - MPH PULMONARY CRITICAL CARE AND SLEEP ME 1231 PINE GROVE AVE SUITE 2B PORT HURON MI 48060 PULMONARY/SLEEP 4 - MPH THORACIC AND CARDIOVASCULAR SURGERY 1107 STONE ST SUITE 1 PORT HURON MI 48060 CARDIO THORACIC 5 - MPH ADVANCED ORTHOPEDICS 1231 PINE GROVE AVE SUITE 1A PORT HURON MI 48060 ORTHOPEDICS 6 - PHYSICIAN HEALTHCARE NETWORK DR ROBERT 1231 PINE GROVE AVE SUITE 1B PORT HURON MI 48060 FAMILY MEDICINE 7 - MPH CAPAC FAMILY MEDICINE 4316 CAPAC RD MUSSEY MI 48014 FAMILY MEDICINE 8 - MPH INTERNAL MEDICINE 1205 RICHARDSON ST SUITE 1 PORT HURON MI 48060 INTERNAL MEDICINE 9 - MPH FORT GRATIOT INTERNAL MEDICINE 5979 LAKESHORE RD FORT GRATIOT MI 48059 INTERNAL MEDICINE 10 - MPH UROLOGY ASSOCIATES 1037 WATER STREET SUITE 1 PORT HURON MI 48060 UROLOGY 11 - DR ROBERT DEMBOSKY 1750 BUSHA HWY MARYSVILLE MI 48040 INTERNAL MEDICINE 12 - MPH INDUSTRIAL HEALTH 1644 STONE ST PORT HURON MI 48060 INDUSTRIAL HEALTH 13 - WOMEN'S WELLNESS 1221 PINE GROVE AVE PORT HURON MI 48060 HOSPITAL DEPT 14 - CARDIO THORACIC 1221 PINE GROVE AVE PORT HURON MI 48060 HOSPITAL DEPT 15 - BREAST CARE SURGERY 1221 PINE GROVE AVE PORT HURON MI 48060 HOSPITAL DEPT 16 - WOUND CARE 1221 PINE GROVE AVE PORT HURON MI 48060 HOSPITAL DEPT 17 - NEUROLOGY 1221 PINE GROVE AVE PORT HURON MI 48060 HOSPITAL DEPT 18 - PEDIATRIC HOSPITALISTS 1221 PINE GROVE AVE PORT HURON MI 48060 HOSPITAL DEPT 19 - PSYCH LOCUM TENENS 1221 PINE GROVE AVE PORT HURON MI 48060 HOSPITAL DEPT PART I, LINE 3C: INCOME CRITERIA IS BASED UPON 200% OF THE FEDERAL POVERTY GUIDELINES PER THE FEDERAL REGISTER. COLLECTIONS MAY BE CONSIDERED IF THE PATIENT HAS SUFFICIENT LIQUID ASSETS. PART I, LINE 6A: OUR PARENT, MCLAREN HEALTH CARE CORPORATION, PREPARES AN ANNUAL REPORT OF ITS MEMBER HOSPITALS. THIS ANNUAL REPORT IS AVAILABLE ON OUR WEBSITE. PART I, LINE 7: A COST TO CHARGE RATIO WAS USED TO COMPLETE THE CHARITY CARE (LINE 7A) AND MEANS-TESTED GOVERNMENT PROGRAMS (LINE 7B). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 THAT ACCOMPANIES THE INSTRUCTIONS TO THIS SCHEDULE. THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO COMPLETE THE COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS AND CASH CONTRIBUTIONS (LINES 7E AND 7I). PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $9,835,902. PART II, COMMUNITY BUILDING ACTIVITIES: THE PORT HURON COMMUNITY HAS ALWAYS HOSTED A VIBRANT DISCUSSION ON COMMUNITY-BUILDING AND ITS INFLUENCE ON COMMUNITY HEALTH. MCLAREN PORT HURON, WITH OTHER COMMUNITY AGENCIES SUCH AS THE COMMUNITY FOUNDATION, THE HEALTH DEPARTMENT, COMMUNITY MENTAL HEALTH, PUBLIC SAFETY, CLERGY AND OTHER COMMUNITY HOSPITALS REGULARLY COME TOGETHER AROUND COMMON INTERESTS. COLLECTIVELY, THERE IS A CONSENSUS AMONG THESE GROUPS- AND OTHERS- THAT A COMMUNITY'S "HEALTH" IS DEFINED BY MUCH BROADER MEASUREMENTS THAN TRADITIONAL VITAL HEALTH STATISTICS. OBESITY, DEPRESSION, DIABETES, TEEN PREGNANCY ARE ISSUES THAT HAVE GARNERED OUR COLLECTIVE ACTION, BUT OTHER ISSUES SUCH AS UNEMPLOYMENT, IMPROVED ACCESS TO PARKS, AVAILABILITY OF FRESH PRODUCE, YOUTH MENTORING ALSO GAIN OUR ATTENTION. MCLAREN PORT HURON, IN PARTICULAR, INFLUENCES, INFORMS AND DRAWS FROM THESE CONVERSATIONS. OUR MANAGEMENT TEAM, COMPRISED OF ABOUT 50 INDIVIDUALS, IS INVOLVED IN (AND OFTEN PROVIDES LEADERSHIP TO) OVER 50 COMMUNITY SERVICE AGENCIES SUCH AS ROTARY CLUBS, CHAMBERS OF COMMERCE, THE YMCA, THE COMMUNITY COLLEGE, SCHOOL AND CHURCH BOARDS, CHILD ADVOCACY GROUPS, THE UNITED WAY, COUNCILS ON AGING, HUMAN SERVICES COORDINATING COUNCILS, ECONOMIC DEVELOPMENT, AND AREA MUSEUMS. THESE RELATIONSHIPS- AND THEIR LEADERS- REGULARLY INFORM A LESS FORMAL, BUT MORE MEANINGFUL, COMMUNITY NEEDS ASSESSMENT. THE LEADERSHIP AT MCLAREN PORT HURON CLEARLY COMMUNICATES ITS EXPECTATION THAT EVERY MANAGER IS COMMITTED TO AT LEAST ONE SUCH COMMUNITY SERVICE GROUP AND THE HOSPITAL, IN TURN, SUPPORTS THOSE MANAGERS IN THEIR ROLES. ADDITIONALLY, MCLAREN PORT HURON TAKES PRIDE IN ITS SUPPORT OF OTHER AGENCIES' FUNDRAISING AND COMMUNITY-BUILDING ACTIVITIES SUCH AS THE MARCH OF DIMES' JAIL-N-BAIL, WALK FOR SUMMER READING, AMERICAN HEART WALK, UNITED WAY, BACKPACK/SCHOOL SUPPLIES GIVEAWAYS AND THE CHILD ABUSE AND NEGLECT ROOFSIT. THESE EVENTS PROMOTE WELLNESS AND HEALTHIER LIFESTYLES, OFFER HEALTH SCREENINGS AND RAISE FUNDS FOR AGENCIES WHOSE MISSIONS ARE ALIGNED WITH THE HOSPITAL'S. PART III, LINE 2: THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2, IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX. PART III, LINE 4: ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF THE CORPORATION'S FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE CORPORATION'S ABILITY TO COLLECT OUTSTANDING AMOUNTS.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE CORPORATION RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. PART III, LINE 8: MCLAREN PORT HURON APPLIES THE COST TO CHARGE RATIO METHODOLOGY AS REQUIRED. ALL OF THE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT DUE TO THE ELDERLY POPULATION IN THE HOSPITAL'S SERVICE AREA. PART III, LINE 9B: IF A PATIENT PARTICIPATES IN THE CHARITY CARE PROCESS, THE ACCOUNT IS WRITTEN OFF THE CHARITY AS PER THE CHARITY CARE PROCESS. HOWEVER, IF THE PATIENT IS NON-PARTICIPATIVE IN THE CHARITY CARE PROCESS, THE NORMAL COLLECTION PROCESS WILL ENSUE. PART VI, LINE 2: IN ADDITION TO THOSE METHODS DESCRIBED IN PART II AND PART V, THE HOSPITAL UTILIZES MANY MORE METHODS TO ASSESS - AND ADDRESS - THE HEALTH CARE NEEDS OF OUR COMMUNITY. VARIOUS ONGOING AND AD-HOC EFFORTS INCLUDE: - PARTICIPATION IN VARIOUS FORMAL COUNTY-WIDE NEEDS ASSESSMENTS WITH THE ST.CLAIR COUNTY HEALTH DEPARTMENT (INCLUDING EMERGENCY MANAGEMENT) - WITH THE MICHIGAN INPATIENT DATABASE, AN ANNUAL GAP ANALYSIS FOR COMMUNITY OUTMIGRATION FOR HEALTHCARE SERVICES NOT OFFERED IN COUNTY (WHICH TO AN ANALYSIS AND COMMITMENT TO INVESTMENT IN INCREASED CANCER TREATMENT SERVICES) - PERIODIC CONSUMER PERCEPTION AND PREFERENCE SURVEYS (SUCH AS EPIC MRA, PRESS GANEY) - A COMMUNITY ADVISORY BOARD THAT PROVIDES THE HOSPITAL WITH DIRECTION AND TIMELY FEEDBACK REGARDING WOMEN'S HEALTH NEEDS (RECENTLY DIRECTED THE HOSPITAL TO INVEST IN DIGITAL MAMMOGRAPHY TECHNOLOGY) - AN ANNUAL STRATEGIC PLANNING PROCESS THAT INCORPORATES INPUT FROM THE COMMUNITY, MANAGERS, PHYSICIANS, TRUSTEES AND PATIENTS FEEDBACK - FEEDBACK AND DIRECTION FROM THE HOSPITAL'S "55-PLUS" MEMBERSHIP GROUP, WHICH DIRECTED THE HOSPITAL'S ATTENTION TO SCREENINGS AND SUPPORT GROUPS THAT ARE NOT TYPICALLY PAID FOR BY HEALTH PLANS - KEY COMMUNITY CONSTITUENTS - WHO HAVE SUPPORTED THE HOSPITAL'S EDUCATION AND OUTREACH MISSION - ULTIMATELY RESULTING IN CLASSROOMS PROMINENTLY POSITIONED IN THE HOSPITAL'S MAIN LOBBY, THAT PROVIDE EDUCATIONAL RESOURCES, SUPPORT AND INSTRUCTION TO COMMUNITY GROUPS, PHYSICIANS, HOSPITAL STAFF - "TODAY'S HEALTH" - A WEEKLY HEALTH INFORMATION TELEVISION AND CABLE SHOW - PROVIDES EDUCATIONAL CONTENT THAT IS ALIGNED WITH COMMUNITY NEED - HEALTH ACCESS - A MEDIUM THROUGH WHICH THE HOSPITAL IS ABLE TO ANSWER SPECIFIC EDUCATIONAL INTERESTS, PROVIDE EMERGENCY DIRECTION, PROMOTE THE AVAILABILITY OF HEALTH OUTREACH RESOURCES AND FACILITATE CLASS ENROLLMENT - COUNTY EMERGENCY MANAGEMENT, "REGION 2" HOMELAND SECURITY, LOCAL PUBLIC SAFETY - THESE AGENCIES ROUTINELY ADVISE THE HOSPITAL ON NEEDED PREPARATIONS FOR SPECIFIC EMERGENCY PLANNING THAT IS IN THE COMMUNITY'S INTEREST. IN ADDITION TO ACTUAL EVENTS AND EXERCISES FOR FIRE, TORNADO AND HAZARDOUS MATERIALS EXPOSURES, THESE AGENCIES ASSISTED THE HOSPITAL IN TESTING ITS ABILITY TO CARE FOR AN H1N1 EPIDEMIC, MANAGE AN "ACTIVE SHOOTER" SCENARIO AND CONDUCTING AN INFANT ABDUCTION DRILL. FINALLY, THE HOSPITAL'S HISTORY OF PUBLIC ACCOUNTABILITY FACILITATES A REGULAR DIALOG WITH THE COMMUNITY REGARDING THE HOSPITAL'S COMMITMENT TO COMMUNITY BENEFIT. EACH YEAR, THE HOSPITAL PUBLISHES AND DISTRIBUTES AN ANNUAL REPORT, WHICH IS SHARED WITH TRUSTEES AND OTHER COMMUNITY REPRESENTATIVES. MORE CONCURRENTLY, THE HOSPITAL REPORTS ON NUMEROUS COMMUNITY BENEFIT RESOURCES IN A HALF-PAGE AD THAT IS PUBLISHED MONTHLY IN THE LOCAL NEWSPAPER UNDER A "YOUR PARTNER IN HEALTH" SERIES. PART VI, LINE 3: AVAILABILITY OF FINANCIAL ASSISTANCE INFORMATION AND EDUCATION IS PROVIDED AT ALL INPATIENT AND OUTPATIENT REGISTRATION POINTS-OF-SERVICE. INFORMATION AND EDUCATION IS ALSO AVAILABLE THROUGH THE ORGANIZATION'S WEBSITE. FINANCIAL AND APPLICATION FORMS ARE AVAILABLE AT ALL INPATIENT AND OUTPATIENT REGISTRATION POINTS-OF-SERVICE, INCLUDING PROVIDING ASSISTANCE IN COMPLETING THE APPLICATION. ORGANIZATION AND ITS SUBSIDIARIES/AFFILIATES ALSO PROVIDE SPECIFICALLY-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: FOR THE PURPOSE OF THIS ASSESSMENT, COMMUNITY IS DEFINED AS PRIMARY AND SECONDARY SERVICES AREAS, INCLUDING ST. CLAIR AND SANILAC COUNTIES. THE TARGET POPULATION OF THE ASSESSMENT REFLECTS AN OVERALL REPRESENTATION OF THE COMMUNITIES SERVED BY MCLAREN PORT HURON. MCLAREN PORT HURON IS LOCATED IN NORTH-EAST ST. CLAIR COUNTY. MARKET SHARE ANALYSIS INDICATES THE LARGEST AREA SURROUNDING PORT HURON AND HEADING WEST AND NORTH INTO SANILAC COUNTY. DATA ON POPULATION, AGE, RACE AND POVERTY LEVELS PROVIDED ADDITIONAL INFORMATION ABOUT OUR SERVICE AREA AND THE PEOPLE WE SERVE. IN JULY 2018, THE TOTAL POPULATION BETWEEN THE TWO COUNTIES WAS 200,519. IN TERMS OF RACE AND ETHNICITY, 94.1% ARE WHITE IN ST. CLAIR COUNTY AND 97.2% ARE WHITE IN SANILAC COUNTY. THE MEDIAN HOUSEHOLD INCOME IS $53,641 IN ST. CLAIR COUNTY AND $44,417 IN SANILAC COUNTY. PART VI, LINE 5: THE PARENT ORGANIZATION AND EACH OF ITS SUBSIDIARY/AFFILIATE MEMBERS MAINTAIN A LOCAL COMMUNITY-BASED BOARD WITH POWERS, RESPONSIBILITIES AND ACCOUNTABILITIES FOR THE OVERSIGHT OF THE OPERATION OF THEIR RESPECTIVE ORGANIZATIONS. EACH SUBSIDIARY/AFFILIATE ORGANIZATION MAINTAINS AN OPEN MEDICAL STAFF ALLOWING ANY PHYSICIAN OR OTHER CARE PROVIDER WITH PROPER CREDENTIALS TO JOIN THE STAFF AND PROVIDE APPROVED CARE. THE ORGANIZATION FUNDS AND MAINTAINS OVER 500 MEDICAL RESIDENCY AND FELLOWSHIP PROGRAMS TO TRAIN FUTURE GENERATIONS OF PHYSICIANS; ORGANIZATION FUNDS, OPERATES AND MAINTAINS NUMEROUS HEALTH CARE EDUCATION PROGRAMS AT THE HIGH SCHOOL, COMMUNITY COLLEGE, UNIVERSITY AND POST-GRADUATE LEVELS OF EDUCATION. ORGANIZATION PROVIDES SPONSORSHIP (FINANCIAL AND IN-KIND RESOURCES) SUPPORT TO COMMUNITY-LEVEL ACTIVITIES (HEALTH WALKS AND RACES, FITNESS TRAINING, DISEASE AWARENESS EVENTS, CULTURAL EVENTS AND OTHER HEALTH-RELATED NON-PROFIT ACTIVITIES, EVENTS AND ORGANIZATIONS). ORGANIZATION ALSO DIRECTS, FUNDS, SUPPORTS AND PARTICIPATES IN FUNDRAISING ACTIVITIES THAT SUPPORT HEALTH PREVENTION/EDUCATION, DIAGNOSIS AND TREATMENT PROVIDED BY OTHER NON-PROFIT COMMUNITY ORGANIZATIONS. PART VI, LINE 6: THE ROLE OF THE PARENT ORGANIZATION IS TO SET THE VISION AND STRATEGIC DIRECTION FOR THE ORGANIZATION AS A WHOLE. THIS INCLUDES THE DEVELOPMENT OF THE ANNUAL STRATEGIC PLAN WHICH DEFINES THE STRATEGIC PRIORITIES FOR THE ORGANIZATION AND ITS MEMBERS, THE METRICS TO BE MEASURED FOR EACH STRATEGIC PROGRAMS AND THE BENCHMARK OR TARGET/GOALS FOR EACH METRIC. STRATEGIC PRIORITIES DIRECTLY ADDRESS AND MEASURE (AT A SUBSIDIARY LEVEL) CLINICAL QUALITY AND CLINICAL OUTCOMES; PATIENT, PHYSICIAN, EMPLOYEE AND COMMUNITY SATISFACTION WITH THE ORGANIZATION AND ITS SUBSIDIARY/AFFILIATE MEMBERS; AND DEVELOPMENT OF NEW SERVICES TO IMPROVE ACCESS TO, QUALITY OF, AND COST OF HEALTH SERVICES.THE ROLE OF THE ORGANIZATION'S SUBSIDIARIES/AFFILIATES IS THE DEVELOPMENT AND IMPLEMENTATION OF ANNUAL STRATEGIC AND OPERATIONAL PLANS THAT SUPPORT AND ADVANCE THE STRATEGIC PLAN OF THE PARENT ORGANIZATION. ALL LOCAL PLANS ARE DEVELOPED AND DESIGNED TO REFLECT THE UNIQUE POPULATION-BASED HEALTH CARE NEEDS AND REQUIREMENTS OF THE COMMUNITIES SERVED BY THE SUBSIDIARY/AFFILIATE ORGANIZATION.ALL LOCAL SUBSIDIARIES/AFFILIATES HAVE FULL AUTHORITY AND DECISION-MAKING POWERS TO DEFINE AND EXECUTE THE STRATEGIC AND OPERATIONAL PLANS INTENDED TO IMPROVE THE HEALTH AND WELFARE OF THE COMMUNITIES THEY SERVE. PART VI, LINE 7, REPORTS FILED WITH STATES MI 1 CITY OF PORT HURON 100 MCMORRAN BLVD PORT HURON MI 48060 386004727 GOVERNMENT 24500 0 N/A N/A SPONSORSHIPS/DONATION PORT HURON HOSPITAL FOUNDATION 1221 PINE GROVEE AVE PORT HURON MI 48060 382777750 501C3 477011 0 N/A N/A FORGIVENESS OF DUE FROM WONDERFUL NEWS RADIO INC 908 MILITARY ST PORT HURON MI 48060 383377170 501C3 14200 0 N/A N/A SPONSORSHIPS 3 0 PART I, LINE 2: GRANT FUNDS ARE SPENT ACCORDING TO THE INTENT OF THE DONOR. MONITORING OF THESE FUNDS HAPPENS THROUGH THE OVERLAP IN MANAGEMENT OR BOARD MEMBERS OR DAILY OPERATIONS AS PER THE FOLLOWING PROCEDURE: FOUNDATION DIRECTOR TO VERIFY AVAILABILITY OF FUNDS AND USE OF FUNDS IS APPROPRIATE WITH DONOR'S INTENTION. A) FOUNDATION DIRECTOR WILL REVIEW REQUESTS RECEIVED BY FOUNDATION AND INITIATE A CHECK REQUEST UP TO $50,000. B) CHECK REQUESTS FOR PURCHASE AND/OR CAPITAL OVER $50,001 - $250,000 TO BE APPROVED BY FOUNDATION ASSISTANT TREASURER, BRIDGET SHOLTIS. C) CHECK REQUESTS FOR PURCHASE AND/OR CAPITAL OVER $250,001 TO BE APPROVED BY PRESIDENT, ERIC CECAVA. D) CAPITAL PURCHASES OVER $500,001 WILL BE PRESENTED TO NEXT SCHEDULED FOUNDATION BOARD MEETING FOR AUTHORIZATION TO DISTRIBUTE. E) CHECK REQUESTS WILL BE PROCESSED AND CREDITED INTO THE INDIVIDUAL DEPARTMENT ACCOUNTS OF FOUNDATION OPERATING REVENUE OR FOUNDATION EDUCATION REVENUE FOR NON-CAPITAL PURCHASES. 0 1 0 0 0 0 0 1 0 DAVID MAZURKIEWICZ TREASURER 0 933428 0 206531 0 544013 0 14250 0 15830 0 1714052 0 0 TOM BRISSE TRUSTEE 0 676285 0 196063 0 294463 0 14250 0 15598 0 1196659 0 0 VASKEN ARTINIAN MD TRUSTEE 0 894139 0 0 0 0 0 39000 0 20291 0 953430 0 0 JENNIFER MONTGOMERY FORMER PRESIDENT & CEO 0 512215 0 174763 0 62666 0 184277 0 17868 0 951789 0 0 ERIC CECAVA PRESIDENT & CEO MCLAREN 138841 163077 27941 0 0 18994 0 54612 0 13154 166782 249837 0 0 JOHN V BROOKS MD CHIEF MEDICAL OFFICER 251567 0 62744 0 0 0 0 0 16005 0 330316 0 0 0 SARA LITER-KUESTER PHYSICIAN 260399 0 49913 0 0 0 18746 0 824 0 329882 0 0 0 BRIDGET SHOLTIS CFO & ASSISTANT TREASURER 211550 0 44937 0 0 0 45500 0 13806 0 315793 0 0 0 CHRISTINE SAMSON CHIEF NURSING OFFICER - PART YEAR 221787 0 0 0 0 0 8995 0 554 0 231336 0 0 0 BENJAMIN A CATT MEDICAL PHYSICIST 183533 0 0 0 0 0 39000 0 4890 0 227423 0 0 0 JACK BELYEA DIRECTOR FACILITIES 143831 0 13353 0 0 0 22434 0 9770 0 189388 0 0 0 PART I, LINE 1A THE CEO/EXECUTIVE DIRECTOR WAS COMPENSATED BY A RELATED ORGANIZATION, AND THEREFORE NONE OF THE LINE 1 BOXES HAVE BEEN CHECKED. THE CORPORATE CEO, SUBSIDIARY CEOS AND CORPORATE EXECUTIVE & SENIOR 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. PART I, LINE 3 THE CEO/EXECUTIVE DIRECTOR WAS COMPENSATED BY A RELATED ORGANIZATION, AND THEREFORE NONE OF THE LINE 3 BOXES HAVE BEEN CHECKED. THE RELATED ORGANIZATION USED THE FOLLOWING METHODOLOGIES TO ESTABLISH THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B MCLAREN MAINTAINS TWO SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES (THE "SERPS"). THE OLD SERP WAS CLOSED TO NEW PARTICIPANTS ON OCTOBER 1, 2006, AND THE NEW SERP BECAME EFFECTIVE AS OF JANUARY 1, 2007. NO EMPLOYEE MAY PARTICIPATE IN BOTH OF THE SERPS. THE OLD SERP IS STRUCTURED AS A DEFINED BENEFIT PLAN THAT ESSENTIALLY REPLACES THE BENEFITS THE PARTICIPANT IS NOT PERMITTED TO RECEIVE UNDER MCLAREN'S QUALIFIED RETIREMENT PLAN DUE TO IRS LIMITATIONS APPLICABLE TO QUALIFIED PLANS. THE BENEFIT UNDER THE OLD SERP IS PAYABLE IN EITHER THE FORM OF A LUMP SUM DISTRIBUTION OR IN MONTHLY PAYMENTS EQUAL TO THE ACTUARIAL EQUIVALENT OF THE PARTICIPANT'S ACCRUED BENEFIT. THE BENEFIT IS PAID AT AGE 55, AND IF THE PARTICIPANT REMAINS EMPLOYED, THE BENEFIT IS PAID UPON TERMINATION OF EMPLOYMENT, REDUCED TO TAKE INTO ACCOUNT THE BENEFIT PREVIOUSLY PAID. THE NEW SERP IS STRUCTURED AS A DEFINED CONTRIBUTION PLAN, AND MCLAREN CONTRIBUTES 15 PERCENT OF EACH PARTICIPANT'S COMPENSATION TO THE PLAN EACH YEAR FOR ALLOCATION TO THE PARTICIPANT'S ACCOUNT. PARTICIPANTS IN THE NEW SERP BECOME VESTED IN THEIR ACCOUNTS UPON THE EARLIER OF FIVE YEARS OF PARTICIPATION IN THE PLAN OR ATTAINMENT OF AGE 60. PARTICIPANTS IN THE NEW SERP SELF-DIRECT THE INVESTMENT OF THEIR ACCOUNTS AND HAVE THE ACTUAL INVESTMENT RETURN CREDITED OR DEBITED TO THEIR ACCOUNTS. THE BENEFIT UNDER THE NEW SERP IS EQUAL TO THE PARTICIPANT'S ACCOUNT BALANCE, AND THE BENEFIT IS PAID IN A SINGLE SUM WITHIN 60 DAYS OF THE PARTICIPANT'S TERMINATION DATE. BENEFITS UNDER BOTH SERPS ARE PROVIDED ON A TAX-NEUTRAL BASIS. BOTH SERPS ARE DESIGNED TO COMPLY WITH INTERNAL REVENUE CODE SECTIONS 457(F) AND 409A. PART I, LINE 7 MCLAREN HEALTH CARE (MHC) HAS A LEADERSHIP INCENTIVE PROGRAM FOR LEADERS OF THE CORPORATION, SUBSIDIARY EXECUTIVES AND DIRECTORS, MANAGERS AND SUPERVISORS. 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 MHC SERVES, AND (C) PROTECTING MHC'S ABILITY TO COMPETE WITH OTHER EMPLOYERS FOR HIGH-TALENT LEADERS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS MCLAREN HEALTH CARE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER SHALL HAVE THE EXCLUSIVE RIGHT TO APPOINT AND REMOVE MEMBERS OF THE BOARD OF TRUSTEES. 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 11B 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 ENTITY CFO AND THE FINANCE LEADERSHIP OF MCLAREN HEALTH CARE (MHC). COPIES OF DRAFT RETURNS ARE MADE AVAILABLE TO THE MHC BOARD MEMBERS, WHO SERVE AS THE OVERALL GOVERNING BOARD. RETURNS ARE AVAILABLE FOR ALL CORPORATIONS OF WHICH MHC 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 MHC IS THE ULTIMATE ACCOUNTABLE ORGANIZATION FOR THE SYSTEM; AS SUCH IT IS THE OVERALL GOVERNING BOARD OF THE SYSTEM, WHOSE RESPONSIBILITIES INCLUDE 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 RELIEVED OF THEIR SERVICE TO MHC. FORM 990, PART VI, SECTION B, LINE 15B THE COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS TO REVIEW THE PERFORMANCE AND RECOMMEND THE TOTAL COMPENSATION PACKAGE OF THE MCLAREN HEALTHCARE CORPORATION'S CEO TO THE BOARD. FURTHER THE COMMITTEE ESTABLISHES THE SALARY RANGES AND PERQUISITES OF THE OTHER MOST HIGHLY COMPENSATED OFFICERS (MHC EXECUTIVE & SENIOR VICE-PRESIDENTS AND CEOS OF MHC SUBSIDIARY ORGANIZATIONS) TO THE BOARD. THE MEMBERS OF THE COMMITTEE MUST MEET THE INDEPENDENCE REQUIREMENTS OF THE APPLICABLE PROVISIONS OF SECTION 4958 OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED AND FINAL TREASURY REGULATIONS SECTION 53.4958-6(C)(1)(III). THE COMMITTEE RETAINS THE SERVICES ANNUALLY OF AN INDEPENDENT FIRM WITH SIGNIFICANT QUALIFICATIONS AND EXPERIENCE TO CONDUCT A REVIEW OF THE CORPORATION'S EXECUTIVE COMPENSATION PROGRAM. THE RETAINED FIRM UTILIZES APPROPRIATE COMPENSATION COMPARABILITY DATA. THE RETAINED FIRM CONDUCTS ANALYSIS OF THE COMPETITIVENESS OF THESE PROGRAMS AND EXPRESSES AN OPINION TO THE REASONABLENESS OF THESE COMPENSATION PROGRAMS. ALL DATA UTILIZED BY THE COMMITTEE, DELIBERATIONS OF THE COMMITTEE, AND FINAL COMPENSATION DECISIONS BY THE COMMITTEE ARE DOCUMENTED IN FORMAL REPORTS AND MINUTES. THE CORPORATE COMPENSATION COMMITTEE WORKS UNDER AND PERIODICALLY RENEWS THE MCLAREN HEALTH CARE CORPORATION COMPENSATION COMMITTEE CHARTER. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS FISCAL YEAR 2021. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY 11,765,106. TRANSFERS FROM RELATED ORGANIZATIONS -2,285,078. PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. MCLAREN BAY MEDICAL FOUNDATION 1900 COLUMBUS AVE BAY CITY MI 48708 382156534 FOUNDATION MI 501(C)(3) LINE 12A, I MCLAREN BAY REGION 1 MCLAREN BAY REGION 1900 COLUMBUS AVE BAY CITY MI 48708 381976271 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 BAY REGIONAL MEDICAL CENTER AUXILIARY 1908 COLUMBUS AVENUE BAY CITY MI 48708 386081235 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12A, I MCLAREN BAY REGION 1 MCLAREN BAY SPECIAL CARE 3250 E MIDLAND ROAD STE 1 BAY CITY MI 48706 383161753 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN BAY REGION 1 MCLAREN CENTRAL MICHIGAN 1221 SOUTH DRIVE MT PLEASANT MI 48858 381420304 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 CHARLEVOIX NURSING HOME CORPORATION DBA BOULDER PARK TERRACE 14676 WEST UPRIGHT CHARLEVOIX MI 49720 383038683 SKILLED NURSING FACILITY MI 501(C)(3) LINE 10 MCLAREN NORTHERN MICHIGAN 1 KARMANOS CANCER FOUNDATION 4100 JOHN R ST DETROIT MI 48201 383584572 FOUNDATION MI 501(C)(3) LINE 7 BARBARA ANN KARMANOS CANCER INSTITUTE 1 MCLAREN GREATER LANSING FOUNDATION 401 W GREENLAWN AVE LANSING MI 48910 382463637 FOUNDATION MI 501(C)(3) LINE 7 MCLAREN GREATER LANSING 1 MCLAREN GREATER LANSING 401 W GREENLAWN AVE LANSING MI 48910 381434090 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 BARBARA ANN KARMANOS CANCER HOSPITAL 4100 JOHN R ST DETROIT MI 48201 201649466 HOSPITAL MI 501(C)(3) LINE 3 BARBARA ANN KARMANOS CANCER INSTITUTE 1 BARBARA ANN KARMANOS CANCER INSTITUTE 4100 JOHN R ST DETROIT MI 48201 381613280 CANCER RESEARCH & CARE CENTER MI 501(C)(3) LINE 7 MCLAREN HEALTH CARE CORPORATION 1 MCLAREN LAPEER REGION 1375 N MAIN ST LAPEER MI 48446 382689033 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 MCLAREN LAPEER REGION FOUNDATION 1375 N MAIN ST LAPEER MI 48446 382689603 FOUNDATION MI 501(C)(3) LINE 12A, I MCLAREN LAPEER REGION 1 MARWOOD MANOR NURSING HOME PO BOX 5011 PORT HURON MI 48060 382683251 NURSING HOME MI 501(C)(3) LINE 10 PORT HURON HOSPITAL 1 MCLAREN HEALTH CARE CORPORATION ONE MCLAREN PARKWAY GRAND BLANC MI 48439 382397643 SUPPORTING ORG MI 501(C)(3) LINE 12A, I N/A 0 MCLAREN HEALTH CARE VILLAGE FOUNDATION 401 S BALLENGER HIGHWAY FLINT MI 48532 262693350 SUPPORTING ORG MI 501(C)(3) LINE 12A, I MCLAREN HEALTH CARE CORPORATION 1 MCLAREN HEALTH PLAN COMMUNITY G-3245 BEECHER ROAD FLINT MI 48532 272204037 INSURANCE MI 501(C)(4) MCLAREN HEALTH PLAN 1 MCLAREN HEALTH PLAN INC G-3245 BEECHER ROAD FLINT MI 48532 383252216 HEALTH CARE SERVICES MI 501(C)(4) MCLAREN INTEGRTAED HMO GROUP 1 MCLAREN HOSPICE AND HOME CARE FOUNDATION 1515 CAL DR DAVISON MI 48423 463643089 FOUNDATION MI 501(C)(3) LINE 12A, I MCLAREN HEALTH MANAGEMENT GROUP 1 MCLAREN MEDICAL GROUP 401 S BALLENGER HWY FLINT MI 48532 382988086 MANAGEMENT COMPANY MI 501(C)(3) LINE 12A, I MCLAREN HEALTH CARE CORPORATION 1 MCLAREN NORTHERN MICHIGAN 416 CONNABLE AVENUE PETOSKEY MI 49770 382146751 ACUTE CARE HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 MCLAREN NORTHERN MICHIGAN FOUNDATION 360 CONNABLE AVENUE PETOSKEY MI 49770 382445611 FOUNDATION MI 501(C)(3) LINE 7 MCLAREN NORTHERN MICHIGAN 1 MCLAREN FLINT 401 S BALLENGER HWY FLINT MI 48532 382383119 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 MICHIGAN CANCER SOCIETY 4100 JOHN R ST DETROIT MI 48201 382823451 CANCER RESEARCH MI 501(C)(3) LINE 7 BARBARA ANN KARMANOS CANCER INSTITUTE 1 MOUNT CLEMENS REGIONAL HEALTHCARE FOUNDATION PO BOX 326 MOUNT CLEMENS MI 48046 382578873 FOUNDATION MI 501(C)(3) LINE 10 MCLAREN MACOMB 1 MCLAREN MACOMB 1000 HARRINGTON MOUNT CLEMENS MI 48043 381218516 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 NORTH OAKLAND NORTH MACOMB IMAGING INC 50 NORTH PERRY STREET PONTIAC MI 48342 382807040 MRI IMAGING MI 501(C)(3) LINE 3 MCLAREN OAKLAND 1 NORTHERN MICHIGAN HEMATOLOGY AND ONCOLOGY 416 CONNABLE AVENUE PETOSKEY MI 49770 320020293 PHYSICIAN PRACTICE MI 501(C)(3) LINE 3 MCLAREN NORTHERN MICHIGAN 1 NORTHERN MICHIGAN MEDICAL MANAGEMENT 416 CONNABLE AVENUE PETOSKEY MI 49770 208458840 PHYSICIAN PRACTICE MI 501(C)(3) LINE 3 MCLAREN NORTHERN MICHIGAN 1 MCLAREN OAKLAND FOUNDATION 50 NORTH PERRY STREET PONTIAC MI 48342 200442217 FOUNDATION MI 501(C)(3) LINE 12C, III-FI MCLAREN OAKLAND 1 MCLAREN OAKLAND 50 NORTH PERRY STREET PONTIAC MI 48342 381428164 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 PORT HURON HOSPITAL FOUNDATION PO BOX 5011 PORT HURON MI 48060 382777750 FOUNDATION MI 501(C)(3) LINE 12A, I PORT HURON HOSPITAL 1 THE CARDIAC INSTITUTE DBA MICHIGAN HEART & VASCULAR SPECIALISTS 416 CONNABLE AVENUE PETOSKEY MI 49770 262774689 PHYSICIAN PRACTICE MI 501(C)(3) LINE 3 MCLAREN NORTHERN MICHIGAN 1 MCLAREN HEALTH MANAGEMENT GROUP 1515 CAL DRIVE DAVISON MI 48423 383491714 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 MCLAREN HEALTH CARE CORPORATION 1 VITALCARE INC 761 LAFAYETTE AVENUE CHEBOYGAN MI 49721 382527255 HOSPICE CARE/HOME HEALTH SERVICES MI 501(C)(3) LINE 10 MCLAREN NORTHERN MICHIGAN 1 MCLAREN FLINT FOUNDATION 401 S BALLENGER HIGHWAY FLINT MI 48532 381358053 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12A, I MCLAREN FLINT 1 CARO COMMUNITY HOSPITAL 401 N HOOPER ST CARO MI 48723 383426063 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 CARO COMMUNITY HOSPITAL ENDOWMENT FOUNDATION 401 N HOOPER ST CARO MI 48724 382422995 FOUNDATION MI 501(C)(3) LINE 12C, III-FI CARO COMMUNITY HOSPITAL 1 MDWISE INC 2955 N MERIDIAN STREET SUITE 201 INDIANAPOLIS IN 46208 351931354 HEALTH MAINTENANCE ORGANIZATION IN 501(C)(4) MCLAREN INTEGRTAED HMO GROUP 1 MDWISE MEDICAID NETWORK INC 2955 N MERIDIAN STREET SUITE 201 INDIANAPOLIS IN 46208 473192307 INSURANCE IN 501(C)(4) MCLAREN INTEGRTAED HMO GROUP 1 HURON MEMORIAL HOSPITAL 1100 S VAN DYKE ROAD BAD AXE MI 48413 381474929 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 HURON MEMORIAL FOUNDATION 1100 S VAN DYKE ROAD BAD AXE MI 48413 382717147 FOUNDATION MI 501(C)(3) LINE 7 HURON MEMORIAL HOSPITAL 1 MCLAREN INTEGRATED HMO GROUP G-3245 BEECHER ROAD FLINT MI 48532 824449304 HEALTH CARE SERVICES MI 501(C)(4) MCLAREN HEALTH CARE CORPORATION 1 ST LUKE'S HOSPITAL 5901 MONCLOVA ROAD MAUMEE OH 43537 344428232 HOSPITAL OH 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 ST LUKE'S HOSPITAL FOUNDATION 5901 MONCLOVA ROAD MAUMEE OH 43537 341292849 FOUNDATION OH 501(C)(3) LINE 12A, I ST LUKE'S HOSPITAL 1 CARE ENTERPRISES INC 5901 MONCLOVA ROAD MAUMEE OH 43537 341366709 RENTAL REAL ESTATE OH 501(C)(3) LINE 12A, I ST LUKE'S HOSPITAL 1 LAKE ORION NURSING CENTER CORPORATION 50 NORTH PERRY STREET PONTIAC MI 48342 382895426 NURSING HOME MI 501(C)(3) LINE 10 MCLAREN OAKLAND 1 MCLAREN - NORTHERN EQUITIES CANCER CENTER PROJECT LLC 39000 COUNTRY CLUB DRIVE FARMINGTON HILLS MI 48331 263112935 RENTAL REAL ESTATE MI N/A 0 1 MOUNT CLEMENS REGIONAL HEALTH BUILDING HEALTH PARTNERS 1000 HARRINGTON ST MOUNT CLEMENS MI 48043 262524717 BUILDING MANAGEMENT MI N/A 0 1 SOUTH VAN DYKE MEDICAL COMPLEX-A 125 N HANSELMAN ST BAD AXE MI 48413 383372174 VARIOUS HEALTHCARE ACTIVITIES MI N/A 0 1 WATERVILLE MEDICAL CENTER LLC 5901 MONCLOVA ROAD MAUMEE OH 43537 320160784 RENTAL REAL ESTATE OH N/A 0 1 ST LUKES HOSPITAL PAIN MANAGEMENT LLC 5901 MONCLOVA ROAD MAUMEE OH 43537 833639701 PAIN MANAGEMENT OH N/A 0 0 CLARKSTON PROPERTY ASSOCIATES 50 NORTH PERRY STREET PONTIAC MI 48342 432006072 REAL ESTATE MI N/A C 0 DELPHINUS INVESTMENT INC 4100 JOHN R ST DETROIT MI 48075 454758176 HOLD PASSIVE INVESTMENT MI N/A C 1 HEALTH ADVANTAGE INC G3245 BEECHER ROAD FLINT MI 48532 912141720 INSURANCE MI N/A C 1 MCLAREN INSURANCE COMPANY LTD 10 MAIN ST GRAND CAYMAN CJ INSURANCE CJ N/A C 1 MID-MICHIGAN PHYSICIANS PC 2510 KERRY STREET SUITE 200 LANSING MI 48912 383267121 PHYSICIAN PRACTICE MI N/A C 1 MCLAREN PHYSICIAN PARTNERS ONE MCLAREN PARKWAY GRAND BLANC MI 48439 383136458 MANAGED CARE MI N/A C 0 VITALCARE HOME MEDICAL EQUIPMENT INC 761 LAFAYETTE AVENUE CHEBOYGAN MI 49721 382662954 SALE AND RENTAL OF DURABLE MEDICAL EQUIPMENT MI N/A C 1 HURON CLINIC CONDOMINIUMS OWNERS 125 N HANSELMAN ST BAD AXE MI 48413 412144341 VARIOUS HEALTHCARE ACTIVITIES MI N/A C 1 CARE HOLDINGS INC 5901 MONCLOVA ROAD MAUMEE OH 43537 341796790 HOLDING CO OH N/A C 0 PHYSICIANS ADVANTAGE MSO INC 5901 MONCLOVA ROAD MAUMEE OH 43537 061811760 PHYS MGMT SERVICE OH N/A C 0 1 1 1 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 MARWOOD MANOR NURSING HOME L 591536 ALLOCATION OF ACTUAL COST MARWOOD MANOR NURSING HOME O 71671 ALLOCATION OF ACTUAL COST PORT HURON HOSPITAL FOUNDATION C 595633 ALLOCATION OF ACTUAL COST PORT HURON HOSPITAL FOUNDATION O 284235 ALLOCATION OF ACTUAL COST PORT HURON HOSPITAL FOUNDATION L 54325 ALLOCATION OF ACTUAL COST PORT HURON HOSPITAL FOUNDATION B 477011 ALLOCATION OF ACTUAL COST