2021-08-11T09:04:48-05:00 2020-09-30 381357951 PLANTE & MORAN PLLC 3000 TOWN CENTER SUITE 100 SOUTHFIELD MI 48075 990 2019-10-01 382397643 MCLAREN HEALTH CARE CORPORATION MCLA 8103422000 ONE MCLAREN PARKWAY GRAND BLANC MI 48439 DAVID MAZURKIEWICZ EXECUTIVE VICE PRESIDENT & CFO 8103422000 2021-08-09 1 DAVID LOWENTHAL P00378651 2483522500 2021-08-06 2019 2022-09-23 18:48:47Z MCLAREN HEALTH CARE DAVID MAZURKIEWICZ ONE MCLAREN PARKWAY GRAND BLANC MI 48439 321351863 0 X WWW.MCLAREN.ORG X 1981 MI TO PROVIDE PLANNING AND ADMINISTRATIVE SERVICES TO RELATED ENTITIES. 12 11 884 0 0 245241 0 0 311326834 317305051 2442512 2012852 1741826 1630590 315511172 320948493 8500000 5000000 0 0 77396906 82729785 0 0 0 211601398 222555289 297498304 310285074 18012868 10663419 665681957 726362672 614473581 672422355 51208376 53940317 MCLAREN HEALTH CARE, THROUGH ITS SUBSIDIARIES, WILL BE MICHIGAN'S BEST VALUE IN HEALTHCARE AS DEFINED BY QUALITY OUTCOMES AND COST. 0 0 259039523 5000000 317843982 PLANNING, ADMINISTRATIVE AND SUPPORT SERVICES PROVIDED TO RELATED HEALTH CARE ORGANIZATIONS. 259039523 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 234 0 1 884 1 1 1 1 CJ 0 0 0 0 0 0 0 0 1 0 X 12 11 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MI X DAVID MAZURKIEWICZ 8103422000 ONE MCLAREN PARKWAY GRAND BLANC MI 48439 PHILIP INCARNATI PRESIDENT AND CEO 42.70 7.30 X X 7968695 0 186859 GREGORY LANE CAO, SECRETARY 45.00 5.00 X 1837180 0 102578 MARK O'HALLA FORMER COO EXECUTIVE VP 48.49 1.51 X 1869563 0 25872 DAVID MAZURKIEWICZ TREASURER, EXECUTIVE VP & CFO 39.70 10.30 X 1591411 0 30379 MICHAEL MCKENNA CMO EXECUTIVE VP 48.70 1.30 X 1539878 0 30004 MICHAEL LACUSTA SENIOR VP BUSINESS DEVELOP 50.00 0.00 X 1289050 0 31810 KEVIN TOMPKINS SENIOR VP MARKETING 45.70 4.30 X 1039243 0 129985 RONALD STRACHAN CIO SENIOR VP 50.00 0.00 X 929498 0 30412 WILLIAM PETERSON SENIOR VP HR 50.00 0.00 X 913016 0 29518 ROBERT FLORA CHIEF ACADEMIC OFFICER 40.00 0.00 X 540733 0 29428 MATTHEW ELSEY CORPORATE CONTROLLER 50.00 0.00 X 444722 0 32209 SONJA WILCOX-BERRIEL VP INSURANCE RISK MANAGEMENT 40.00 0.00 X 422118 0 32045 DAN MEDRANO VP FACILITIES 40.00 0.00 X 408958 0 20690 HARRY CRANE VP REVENUE CYCLE 40.00 0.00 X 389532 0 26081 DANIEL BOGE CHAIRPERSON 1.00 0.25 X X 33500 0 0 JOE SERRA DIRECTOR 1.00 0.00 X 25500 0 0 DAVID A THOMPSON VICE CHAIRPERSON 1.00 1.00 X X 25000 0 0 JAMES GEORGE SECRETARY 1.00 1.00 X X 25000 0 0 DOMINIC MONASTIERE DIRECTOR 1.00 3.00 X 24305 0 0 LEONARD DAVE FRESCOLN DIRECTOR 1.00 1.00 X 24000 0 0 THOMAS ROBINET THRU 1120 DIRECTOR 1.00 2.00 X 24000 0 0 TIM MONAHAN DIRECTOR 1.00 2.00 X 24000 0 0 RALPH SHAHEEN DIRECTOR 1.00 1.50 X 18000 0 0 E JAMES BARRETT THRU 1119 FORMER DIRECTOR 1.00 1.50 X 16000 0 0 TONY HAIN THRU 1119 FORMER DIRECTOR 1.00 1.00 X 15500 0 0 HONORABLE LEO BOWMAN DIRECTOR 1.00 1.00 X 15000 0 0 HONORABLE JUSTUS SCOTT DIRECTOR 1.00 0.00 X 0 0 0 21453402 0 737870 151 1 1 0 ATOS DIGITAL HEALTH SOLUTIONS INC DEPT 772066 PO BOX 78000 DETROIT MI 48278 IT SERVICES 102724824 PHARMACY SYSTEMS INC 5050 BRADENTON AVE DUBLIN OH 43017 LAB SERVICES 8348830 CHANGE HEALTHCARE LLC 5995 WINDWARD PWY ALPHARETTA GA 30005 PATIENT PAY, IT SERVICES 6593100 CLIENT FINANCIAL SERVICES LLC 209 S ALLOY DR PO BOX 350 FENTON MI 48430 PATIENT PAY, COLLECTIONS 5909606 CENTER FOR CARDIOVASCULAR & THORACIC SUR 22201 MOROSS RD SUITE 356 DETROIT MI 48236 CARDIOTHORACIC SERVICES 5864256 71 HEALTH SYSTEM SERVICE REVENUE 900099 311385985 311385985 RENTAL TO AFFILIATED EXEMPT ORG 900099 5919066 5919066 317305051 2011884 2011884 92218 408231 128388 274982 -36170 133249 97079 97079 968 0 968 968 968 PATIENT CLINICAL TRIALS 900099 780455 780455 JV INCOME 900099 674976 538931 136045 CAFETERIA INCOME 722514 78080 78080 1533511 320948493 317843982 0 3104511 X 5000000 5000000 281083 281083 68342034 68342034 6565656 6565656 3841309 3841309 3699703 3699703 1194842 1194842 2585809 2585809 367792 367792 376365 376365 70288551 70288551 5499560 5499560 3531201 3531201 100907876 75451428 25456448 4967738 4967738 739746 739746 191261 191261 3978697 3978697 20748088 18636104 2111984 4733791 4733791 PATIENT BILLING 785010 785010 DUES & MEMBERSHIPS 387148 387148 RECRUITING 272720 272720 UBIT TAXES 45694 45694 953400 953400 310285074 259039523 51245551 0 22052459 32979424 194742 24202378 294007371 286143728 17009997 21484031 5363260 6504676 1709557 8755256 6955418 313913097 160475863 160946672 153437234 121851166 133206001 4046467 6099586 24963783 29572629 6490784 24068010 665681957 726362672 63767602 86324021 4790226 1408890 110823816 110148724 269218246 275697161 165873691 198843559 614473581 672422355 X 47927008 50468306 3281368 3472011 51208376 53940317 665681957 726362672 X 10663419 -8625672 694194 X X 0 1 X 1 0 X X 15 MCLAREN FLINT 382383119 3 1 0 0 MCLAREN MEDICAL GROUP 382988086 3 0 0 0 MCLAREN GREATER LANSING 381434090 3 1 0 0 MCLAREN BAY REGION 381976271 3 1 0 0 MCLAREN LAPEER REGION 382689033 3 1 0 0 VISITING NURSE SERVICES OF MICHIGAN 383491714 10 1 0 0 MCLAREN HEALTH PLAN 383383640 3 0 0 0 MCLAREN MACOMB 381218516 3 1 0 0 MCLAREN CENTRAL MICHIGAN 381420305 3 1 0 0 MCLAREN OAKLAND 381428164 3 1 0 0 MCLAREN NORTHERN MICHIGAN 382445613 3 1 0 0 MCLAREN PORT HURON 381369611 3 1 5000000 0 KARMANOS CANCER INSTITUTE 381613280 7 1 0 0 CARO COMMUNITY HOSPITAL 383426063 3 0 0 0 HURON MEMORIAL HOSPITAL 381474929 3 0 0 0 15 5000000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 1: ALL SUPPORTED ORGANIZATIONS ARE LISTED BY NAME IN THE ORGANIZATION'S GOVERNING DOCUMENTS EXCEPT FOR MCLAREN HEALTH PLAN, MCLAREN MEDICAL GROUP, CARO COMMUNITY HOSPITAL AND HURON MEMORIAL HOSPITAL (NON-LISTED ENTITIES). THE ORGANIZATION IS THE SOLE MEMBER OF ALL FOUR NON-LISTED ENTITIES. ALL FOUR NON-LISTED ENTITIES SHARE A SIMILAR PURPOSE AND ARE PART OF A COMMON CLASS OF ORGANIZATIONS IDENTICAL TO THE OTHER SUPPORTED ORGANIZATIONS. 0 1 0 0 0 0 0 0 1 376365 376365 0 PART II-B, LINE 1: CONTRACTED WITH CONSULTING FIRMS ON A FEDERAL AND STATE LEVEL REGARDING VARIOUS HEALTHCARE LEGISLATION. INCLUDED IN LINE 11 IS COMPENSATION PAID TO STAFF AS INDICATED ON LINE 1B. 29419658 29419658 19724139 3259652 16464487 11011525 6189967 4821558 242022774 149275213 92747561 11735001 1751031 9983970 153437234 ACCRUED PENSION COSTS 32806906 DEFERRED EQUIPMENT COSTS TO SUBSIDIARIES 82458394 FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 42072152 DEFERRED COMPENSATION 24476263 OPERATING LEASE LIABILITIES 17029844 198843559 1 MCLAREN PORT HURON 1221 PINE GROVE AVENUE PORT HURON MI 48060 381369611 501(C)(3) 5000000 N/A N/A GENERAL SUPPORT 1 0 PART I, LINE 2: CLIENT REVIEWS TAX-EXEMPT STATUS AND MONITORS OVERALL STANDING OF ORGANIZATION IN DETERMINING GRANTS. X X X X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 PHILIP INCARNATI PRESIDENT AND CEO 2197696 0 1470998 0 4300001 0 178353 0 8506 0 8155554 0 0 0 GREGORY LANE CAO, SECRETARY 868262 0 467990 0 500928 0 86187 0 16391 0 1939758 0 0 0 MARK O'HALLA FORMER COO EXECUTIVE VP 660092 0 298809 0 910662 0 14000 0 11872 0 1895435 0 0 0 DAVID MAZURKIEWICZ TREASURER, EXECUTIVE VP & CFO 921718 0 281529 0 388164 0 14000 0 16379 0 1621790 0 0 0 MICHAEL MCKENNA CMO EXECUTIVE VP 683985 0 447755 0 408138 0 14000 0 16004 0 1569882 0 0 0 MICHAEL LACUSTA SENIOR VP BUSINESS DEVELOP 455781 0 227194 0 606075 0 14000 0 17810 0 1320860 0 295286 0 KEVIN TOMPKINS SENIOR VP MARKETING 498692 0 186896 0 353655 0 114499 0 15486 0 1169228 0 0 0 RONALD STRACHAN CIO SENIOR VP 516878 0 145246 0 267374 0 14000 0 16412 0 959910 0 0 0 WILLIAM PETERSON SENIOR VP HR 526204 0 82707 0 304105 0 14000 0 15518 0 942534 0 0 0 ROBERT FLORA CHIEF ACADEMIC OFFICER 432845 0 107888 0 0 0 14000 0 15428 0 570161 0 0 0 MATTHEW ELSEY CORPORATE CONTROLLER 368499 0 76223 0 0 0 14000 0 18209 0 476931 0 0 0 SONJA WILCOX-BERRIEL VP INSURANCE RISK MANAGEMENT 339964 0 82154 0 0 0 14000 0 18045 0 454163 0 0 0 DAN MEDRANO VP FACILITIES 315569 0 93389 0 0 0 5600 0 15090 0 429648 0 0 0 HARRY CRANE VP REVENUE CYCLE 152767 0 76376 0 160389 0 10165 0 15916 0 415613 0 0 0 E JAMES BARRETT THRU 1119 FORMER DIRECTOR 16000 0 0 0 0 0 0 0 0 0 16000 0 0 0 TONY HAIN THRU 1119 FORMER DIRECTOR 15500 0 0 0 0 0 0 0 0 0 15500 0 0 0 PART I, LINE 1A 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, LINES 4A-B HENRY CRANE RECEIVED SEVERANCE PAYMENTS TOTALING $160,389 DURING THE TAX YEAR. PAYMENTS ARE MADE PER THE AGREEMENT SIGNED BY THE PARTIES. 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. A MICHIGAN STATE HOSPITAL FINANCE AUTHORITY 800596186 NONEAVAIL 2010-12-01 67125000 HOSPITAL EQUIPMENT & BUILDINGS 0 0 0 B MICHIGAN FINANCE AUTHORITY 800596186 59465HRJ7 2012-07-10 120819128 HOSPITAL EQUIPMENT & BUILDINGS. REFUND PRIOR BONDS ISSUED 0 0 0 C MICHIGAN FINANCE AUTHORITY 800596186 NONEAVAIL 2014-09-26 36220000 HOSPITAL EQUIPMENT & REFUNDING PRIOR BONDS ISSUED 0 0 0 D MICHIGAN FINANCE AUTHORITY 800596186 59447TAW3 2015-03-31 191447638 REFUND PRIOR BONDS ISSUED 0 0 0 A 67125000 118355 67006645 2012 0 0 1 1 B 50050000 120818128 1201399 11130746 108486983 2012 1 0 1 1 C 21732000 36220000 166679 20523048 15521273 2014 1 0 1 1 D 18215000 191447638 2574 191445064 2018 1 1 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 D 0 1 1 1 0 0.00990 0.00990 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 0 B 0 C 0 D 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MICHIGAN STATE HOSPITAL FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/01/2010 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/04/2015 A MICHIGAN FINANCE AUTHORITY 800596186 59447TDC4 2015-05-04 154160000 REFUND PRIOR BONDS ISSUED 0 0 0 B MICHIGAN FINANCE AUTHORITY 800596185 39447TJR5 2016-07-28 154140000 HOSPITAL EQUIPMENT & BUILDINGS 0 0 0 C MICHIGAN FINANCE AUTHORITY 800596186 59447TVE0 2019-06-25 654804563 HOSPITAL EQUIPMENT & BUILDINGS 0 0 0 A 11100000 154160000 1201391 152958609 2015 1 0 1 1 B 154140000 629990 153510010 2020 0 0 1 1 C 654804563 3952041 306823939 344028583 0 0 0 1 A 0 1 1 1 0 0.02890 0.00040 0.02930 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 A 0 0 0 1 1 1 PNC BANK 16.400000000000 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 0 B 0 C 0 PHILIP INCARNATI OFFICER PAYMENTS TREATED AS LOANS X 10988027 10988027 0 1 1 GREGORY LANE OFFICER PAYMENTS TREATED AS LOANS X 580520 580520 0 1 1 DAVID MAZURKIEWICZ OFFICER PAYMENTS TREATED AS LOANS X 2264553 2264553 0 1 1 MICHAEL MCKENNA KEY EMPLOYEE PAYMENTS TREATED AS LOANS X 1016921 1016921 0 1 1 MARK O'HALLA KEY EMPLOYEE PAYMENTS TREATED AS LOANS X 2325202 2325202 0 1 1 WILLIAM PETERSON KEY EMPLOYEE PAYMENTS TREATED AS LOANS X 1758915 1758915 0 1 1 RONALD STRACHAN KEY EMPLOYEE PAYMENTS TREATED AS LOANS X 746531 746531 0 1 1 KEVIN TOMPKINS KEY EMPLOYEE PAYMENTS TREATED AS LOANS X 1244906 1244906 0 1 1 MICHAEL LACUSTA KEY EMPLOYEE PAYMENTS TREATED AS LOANS X 407825 407825 0 1 1 MATT ELSEY KEY EMPLOYEE PAYMENTS TREATED AS LOANS X 150631 150631 0 1 1 21484031 SERRA AUTOMOTIVE SERRA AUTOMOTIVE IS OWNED >35% BY JOE SERRA, DIRECTOR. 24233 SERRA AUTOMOTIVE SOLD A VEHICLE TO MCLAREN HEALTH CARE 0 FORM 990, PART VI, SECTION A, LINE 2 DANIEL BOGE AND DAVE THOMPSON HAVE A BUSINESS RELATIONSHIP. 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 15 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 2020. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G HEALTH INFORMATION MANAGEMENT: PROGRAM SERVICE EXPENSES 32,134,248. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,134,248. PATIENT FINANCIAL SERVICES: PROGRAM SERVICE EXPENSES 15,908,122. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,908,122. PATIENT ACCESS: PROGRAM SERVICE EXPENSES 4,911,293. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,911,293. ALL OTHER: PROGRAM SERVICE EXPENSES 17,334,888. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,334,888. FORM 990, PART XI, LINE 9: MINIMUM PENSION LIABILITY ADJUSTMENT -848,442. CERNER CAPITAL TRANSFER 1,431,004. DB SERP ACTUARIAL ADJUSTMENT 111,632. FORM 990, PART XI, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, ADDITIONAL INFORMATION IN NOVEMBER 2014, BOARD OF DIRECTORS OF MCLAREN HEALTH CARE CORPORATION ("MHC"), ACTING WITH THE ADVICE OF A QUALIFIED ATTORNEY AND EMPLOYEE BENEFITS ADVISOR, ADOPTED THE MHC CAPITAL ACCUMULATION PROGRAM (THE "PROGRAM") AS A NEW EMPLOYEE BENEFIT PROGRAM FOR ITS EXECUTIVES AND ITS EMPLOYED AND INDEPENDENT CONTRACTOR PHYSICIANS. THE PLAN DOCUMENT WAS PREPARED BY THE ATTORNEY WHO ADVISED THE BOARD AND BECAME EFFECTIVE DECEMBER 1, 2014. UNDER THE PROGRAM, MHC AND THE PARTICIPANT, PURSUANT TO THE EMPLOYMENT CONTRACT AND PRIOR TO THE PERFORMANCE OF SERVICES, AGREE THAT MHC WILL PAY PREMIUMS ON UNIVERSAL LIFE INSURANCE POLICIES OWNED BY THE PARTICIPATING EXECUTIVE. UNDER TREASURY REGULATION SECTION 1.7872-15 AND THE PLAN DOCUMENT, THE PREMIUMS ARE TREATED AS LOANS THAT BEAR INTEREST AT THE LONG-TERM APPLICABLE FEDERAL RATE AND ARE SECURED BY COLLATERAL ASSIGNMENTS OF THE CASH VALUE AND DEATH BENEFITS. MHC HAS CONSISTENTLY REPORTED THE PREMIUMS PAID ON BEHALF OF THE EXECUTIVES AS LOANS ON MHC'S CORE FORM 990 ON PART X, LINE 5, AS: "LOANS AND OTHER RECEIVABLES FROM CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES." IN ADDITION, THE PREMIUMS TREATED AS LOANS HAVE BEEN REPORTED ON SCHEDULE L, TRANSACTIONS WITH INTERESTED PERSONS, ON PART II, LOANS TO AND/OR FROM INTERESTED PERSONS." IN THE FALL OF 2020, MHC SOUGHT THE ADVICE OF NEW OUTSIDE COUNSEL AND WAS ADVISED THAT THE AMOUNTS OF INSURANCE PREMIUMS TREATED AS LOANS UNDER TREASURY REGULATION SECTION 1.7872-15 MIGHT BE CONSIDERED LOANS TREATED AS AUTOMATIC EXCESS BENEFIT TRANSACTIONS UNDER SECTION 4958(C)(3)(A)(I)(II) OF THE INTERNAL REVENUE CODE (THE "CODE") SOLELY BECAUSE MHC IS A SUPPORTING ORGANIZATION DESCRIBED IN SECTION 509(A)(3) OF THE CODE. UPON LEARNING OF THIS POSSIBILITY, MHC CEASED PARTICIPATING IN THE PROGRAM DIRECTLY AS OF OCTOBER 1, 2020, AND CAUSED AN AFFILIATE TO PURCHASE ALL OUTSTANDING LOANS AND ACCRUED INTEREST. ON THIS FORM 990 AND SCHEDULE L, MHC CONTINUES TO DISCLOSE THE PREMIUMS AS LOANS BUT, ACTING ON THE ADVICE OF COUNSEL, HAS NOT REPORTED THE PREMIUMS TREATED AS LOANS AS EXCESS BENEFIT TRANSACTIONS BECAUSE, UNLIKE OTHER FEDERAL AGENCIES, THE INTERNAL REVENUE SERVICE (THE "IRS") HAS NEVER PROVIDED PUBLISHED GUIDANCE ON THE QUESTION OF WHETHER LOAN REGIME SPLIT DOLLAR LIFE INSURANCE ARRANGEMENTS IN THE COMPENSATORY EMPLOYEE BENEFIT CONTEXT SHOULD BE TREATED AS LOANS FOR SECTION 4958 PURPOSES. SEVERAL OTHER FEDERAL REGULATORY AGENCIES HAVE INTERPRETED STATUTORY LOAN PROHIBITIONS OR REGULATIONS PROHIBITING LOANS TO EXECUTIVES AS NOT BEING APPLICABLE TO SPLIT DOLLAR LOAN ARRANGEMENTS USED AS PART OF A COMPENSATORY EMPLOYEE BENEFIT PROGRAM. THE FEDERAL AGENCIES INCLUDE THE FEDERAL RESERVE BOARD, THE FEDERAL DEPOSIT INSURANCE CORPORATION, THE NATIONAL CREDIT UNION ADMINISTRATION AND THE SECURITIES AND EXCHANGE COMMISSION. MHC PLANS TO CONTINUE TO CONDUCT THE PROGRAM FOR THE BENEFIT OF ITS EXECUTIVES THROUGH ONE OR MORE NON-SECTION 509(A)(3) AFFILIATES UNTIL IT RECEIVES APPROPRIATE GUIDANCE FROM THE IRS THROUGH THE PRIVATE LETTER RULING PROCESS. 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