2017-08-11T12:48:52-05:00 2016-09-30 381357951 PLANTE & MORAN PLLC 750 Trade Centre Way Ste 300 Portage MI 49002 990 2015-10-01 381218516 MCLAREN MACOMB MCLA 5867414282 1000 Harrington Mount Clemens MI 48043 BRIAN BALUTANSKI CFO 5867414282 2017-08-10 1 David Lowenthal P00378651 2695674500 2017-08-10 2015 2021-01-29 14:40:06Z BRIAN BALUTANSKI 1000 Harrington Mount Clemens MI 48043 364488135 0 X www.mcrmc.org X 1946 MI MCLAREN MACOMB PROVIDES A FULL RANGE OF HEALTH CARE SERVICES INCLUDING CANCER AND CARDIOVASCULAR CARE IN THE COMMUNITIES WE SERVE. 12 9 2603 9 2037784 -32874 685763 801185 324487559 355556572 -9029006 3083149 381995 1470413 316526311 360911319 0 0 0 0 145102396 154268061 0 0 0 152683924 169079617 297786320 323347678 18739991 37563641 346503688 395130571 199001012 210912322 147502676 184218249 MCLAREN MACOMB'S MISSION IS TO BE THE BEST VALUE IN HEALTH CARE AS DEFINED BY QUALITY OUTCOMES AND COST. 0 0 293053251 353518788 MCLAREN MACOMB PROVIDES A FULL RANGE OF HEALTH CARE SERVICES INCLUDING CANCER AND CARDIOVASCULAR CARE. MCLAREN MACOMB PROVIDED INPATIENT CARE TO 16,000 PATIENTS RESULTING IN OVER 63,325 PATIENT DAYS. MCLAREN MACOMB PERFORMED OVER 1,100 BIRTHS, 68,000 EMERGENCY VISITS AND 258,000 OUTPATIENT VISITS. 293053251 1 1 0 1 0 0 0 0 0 0 1 0 1 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 234 0 1 2603 1 1 1 0 0 0 0 0 0 0 0 0 X 12 9 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 1 0 X BRIAN BALUTANSKI 5864938090 1000 HARRINGTON MOUNT CLEMENS MI 48043 TOM BRISSE PRESIDENT/CEO 50.00 6.00 X X 0 509422 123898 JAMES GEORGE TRUSTEE - CHAIRMAN 1.00 1.00 X X 0 15500 0 CAROLYN DORIAN TRUSTEE - VICE CHAIRMAN 1.00 0.00 X X 0 0 0 MATTHEW MOROUN TRUSTEE - TREASURER 1.00 0.00 X X 0 0 0 DEAN S PETITPREN TRUSTEE - SECRETARY 1.00 0.00 X X 0 0 0 TED WAHBY TRUSTEE - CHAIRMAN (PARTIAL YEAR) 1.00 0.00 X X 0 0 0 ROBERT CANNON TRUSTEE 1.00 0.00 X 0 0 0 JOHN PAUL HUNT TRUSTEE 1.00 0.00 X 0 0 0 JAMES LARKIN TRUSTEE 1.00 0.00 X 0 0 0 MARK O'HALLA TRUSTEE & COO MCLAREN 4.00 45.09 X 0 1634969 30087 ALBERT PRZYBYLSKI TRUSTEE 1.00 0.00 X 129165 0 0 STEPHEN SAPH TRUSTEE 1.00 0.00 X 0 0 0 GEORGE STEEH TRUSTEE 1.00 0.00 X 0 0 0 HENRY W SAAD TRUSTEE (PARTIAL YEAR) 1.00 0.00 X 0 0 0 ANDREW STARICCO TRUSTEE (PARTIAL YEAR) 1.00 0.00 X 0 0 0 BRIAN BALUTANSKI CFO - AS OF 1/2016 40.00 0.50 X 0 0 0 ANDREA PHILLIPS CNO 40.00 0.00 X 176293 0 19886 CHRIS CANDELA COO 40.00 0.50 X 216609 0 22176 LAURA GIBBARD VP HUMAN RESOURCES 32.00 0.00 X 227391 0 24393 SHARYL SMITH VP MARKETING & PLANNING 32.00 0.00 X 207453 0 19685 DAVID PINELLI CMO (PARTIAL YEAR) 40.00 0.00 X 177492 0 18258 CHRISTOPHER SCHNURER DIRECTOR OF MEDICAL EDUCATION 40.00 0.00 X 289845 0 26267 GAIL ABRAHAM PHYSICIAN 40.00 0.00 X 297155 0 20015 KIM POLUDNIANYK PHYSICIAN 40.00 0.00 X 602724 0 18319 JEFFREY BALAZSY PHYSICIAN 40.00 0.00 X 413145 0 9926 BRIAN WALCZAK PHYSICIAN (PARTIAL YEAR) 40.00 0.00 X 282108 0 15753 PETER AJLUNI FORMER TRUSTEE 1.00 0.00 X 27000 0 0 PHILIP INCARNATI FORMER PRESIDENT/CEO - MCLAREN 1.00 53.00 X 0 6165080 447301 DAMOM SORENSEN FORMER CFO 0.00 46.00 X 172796 161297 24976 3219176 8486268 820940 58 1 1 0 BARTON MALOW CHRISTMAN JOINT VENTURE 26500 AMERICAN DR SOUTHFIELD MI 48034 CONSTRUCTION 9101433 MORRISON MANAGEMENT SPECIALISTS INC 5801 PEACHTREE DUNWOODY RD ATLANTA GA 30342 CLEANING SERVICE 4232367 GREAT LAKES PHYSICIAN RESOURCES LLC 16000 W NINE MILE RD STE 601 SOUTHFIELD MI 48075 PHYSICIAN COVERAGE 2352171 REGIONAL TRAUMA CARE PC PO BOX 44047 DETROIT MI 48244 PHYSICIAN COVERAGE 1011600 CLIENT FINANCIAL SERVICES 209 SOUTH ALLOY DR FENTON MI 48430 AR MGMT SERVICES 597938 23 713412 87773 801185 PATIENT SERVICES 622110 349381131 349381131 lab revenue 621500 2450470 412686 2037784 MISCELLANEOUS 900099 1483684 1483684 EHR INCENTIVE 900099 1416208 1416208 AFFILIATED RENTAL INCOME 532000 806260 806260 18819 18819 355556572 3251766 3251766 663375 0 663375 663375 663375 3325199 83000 3326836 249980 -1637 -166980 -168617 -168617 CAFETERIA 722210 807038 807038 807038 360911319 353518788 2037784 4553562 1395968 277708 1118260 127024143 116567775 10456368 3048999 2798982 250017 14661702 13458533 1203169 8137249 7469995 667254 235074 235074 121997 121997 9233 9233 28798302 26437989 2360313 1225377 1124896 100481 5486845 5296658 190187 13056544 11985907 1070637 8764490 8027581 736909 345460 317132 28328 4733257 4733257 16686969 15318638 1368331 630934 579197 51737 Medical Supplies 51316023 47026375 4289648 BAD DEBT 15070274 15070274 QAAP 8760507 8760507 EQUIP REPAIR & MAINT 6721954 6170754 551200 7116377 6364350 752027 323347678 293053251 30294427 0 32919915 67289518 17324360 21461587 6686543 6998069 2147570 2286533 370675169 260130750 114221922 110544419 143404441 156149535 24134842 24731897 733500 652000 4930595 5017013 346503688 395130571 24452543 30889041 1824546 280542 142595763 139910546 30128160 39832193 199001012 210912322 X 147167629 183828892 335047 389357 147502676 184218249 346503688 395130571 X 37563641 9747158 -10595226 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 9233 9233 0 Part II-B, Line 1: A PORTION OF DUES PAID TO MICHIGAN HEALTH AND HOSPITAL ASSOCIATION SUPPORT LOBBYING ACTIVITIES. 3481104 3481104 151043462 101541799 49501663 2617044 1445526 1171518 193297361 149187223 44110138 20236198 7956202 12279996 110544419 Investments In And Advances to Affiliates 24731897 F 24731897 Professional Liability Insurance 4314583 Workers Compensation Insurance 274039 Minimum Pension Liability 25521449 Accrued Pension 27740 COST REPORT SETTLEMENTS PAYABLE 1171678 OTHER LIABILITIES 8522704 39832193 1 1 X 0 1 X 1 1 1 0 1 1 481406 481406 0.00160 57587682 53605671 3982011 0.01290 0 58069088 53605671 4463417 0.01450 1359584 1359584 0.00440 12815426 5084946 7730480 0.02510 0 162485 162485 0.00050 194016 194016 0.00060 14531511 5084946 9446565 0.03060 72600599 58690617 13909982 0.04510 11037 11037 0.00000 11037 11037 0 15070274 1450903 124530851 115626684 8904167 X 1 1 1 MT CLEMENS REGIONAL MEDICAL CENTER HEALTH PARTNERS LLC MEDICAL OFFICE BUILDING 0.66670 0.33330 1 1 MOUNT CLEMENS REGIONAL MEDICAL CENTER 1000 HARRINGTON MOUNT CLEMENS MI 48043 WWW.MCRMC.ORG 1060000090 X X X X TRAUMA LEVEL II MCLAREN MACOMB 1 0 0 1 X X X X X X X X X 15 1 0 0 1 X FULL WEBSITE LISTED IN PART V SECTION C X 1 15 1 FULL WEBSITE LISTED IN PART V SECTION C 0 0 1 X 200.000000000000 X X X X X X 1 1 X X 1 X HTTP://WWW.MCLAREN.ORG/MACOMB/FINANCIAL-SERVICES.ASPX X HTTP://WWW.MCLAREN.ORG/MACOMB/FINANCIAL-SERVICES.ASPX X HTTP://WWW.MCLAREN.ORG/MACOMB/FINANCIAL-SERVICES.ASPX X X X X X 1 X 0 X X X 1 X 0 0 MCLAREN MACOMB Part V, Section B, Line 5: THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BOARD INTERESTS OF THE COMMUNITY SERVED, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. COMMUNITY OUTREACH WAS EXTENDED TO SPECIFIC POPULATIONS WITHIN MACOMB COUNTY. A QUESTIONNAIRE WAS CREATED BASED ON THE BEHAVIORAL RISK FACTOR SURVEY CONDUCTED IN MACOMB COUNTY IN 2009. FOCUS GROUPS WERE HELD WITHIN VARIOUS LOCATIONS THROUGHOUT THE COUNTY TO CONDUCT A SURVEY AND COLLECT DATA. THE SITES INCLUDED TWO SENIOR CENTERS, A YMCA, AND TWO ETHNIC-FOCUSED CHURCHES. THREE MAIN POPULATION GROUPS WERE ADDRESSED: SENIORS, AFRICAN AMERICANS, AND HISPANICS. IN ADDITION, INTERNAL FOCUS GROUPS WERE HELD WITH KEY DEPARTMENT DIRECTORS WITHIN THE HOSPITAL TO DETERMINE OBSTACLES TO RECEIVING CARE. THE KEY SERVICE LINES INCLUDED IN THE GROUPS WERE DIABETES, RESPIRATORY CARE, AND THE HEART FAILURE CLINIC. MCLAREN MACOMB Part V, Section B, Line 7d: THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN CAN BE FOUND ON THE ORGANIZATIONS WEBSITE AT HTTP://WWW.MCLAREN.ORG/MACOMB/HEALTH-COMMUNITY-NEEDS.ASPX MCLAREN MACOMB Part V, Section B, Line 11: McLaren Macomb is addressing the four significant health needs identified in the 2013 CHNA.McLaren Macomb determined the prioritized needs based upon both primary and secondary data to determine the following health issues:These conditions emerged as the top health care concerns: High Blood Pressure/Heart Disease Diabetes Cancer Trauma/Unintentional AccidentsEfforts to address these concerns include: Offering educational materials and seminars at community sites, workplaces and McLaren Macomb. Each of the identified health needs has a support group that meets at McLaren Macomb to address particular concerns for the disease. Top health concerns are featured in articles in community newsletters promoting educational and screening opportunities. McLaren Macomb participates in local cable and radio interviews to promote healthy living, prevention, screening and educational opportunities. In addition to the services and programs offered, McLaren Macomb continues to partner with Macomb County Health Department and other organizations in the community to address these identified health issues.THE CHNA WAS COMPLETED AND APPROVED DURING 2016, DUE TO SOFTWARE LIMITATIONS A DATE OF 2015 HAS BEEN INCLUDED AS THE CHNA COMPLETION DATE. MCLAREN MACOMB Part V, Section B, Line 13b: Presumptive financial assistance may be applied based on third party information or a prior financial assistance determination. Designated personnel will make reasonable effort to notify the individual of assistance. MCLAREN MACOMB Part V, Section B, Line 22d: FAP-ELIGIBLE PATIENTS WHO WERE WITHIN 200% OF THE FEDERAL POVERTY GUIDELINE RECEIVED 75% OFF OF CHARGES. PATIENTS WITHIN 250% OF THE FEDERAL POVERTY GUIDELINE RECEIVED 50% DISCOUNT FROM CHARGES. Part I, Line 3c: INCOME CRITERIA IS BASED UPON 200% OF THE FEDERAL POVERTY GUIDELINES PER THE FEDERAL REGISTER. COLLECTIONS MAY BE CONSIDERED IF THE PATIENT HAS SUFFICIENT LIQUID ASSETS. Part I, Line 6a: OUR PARENT, MCLAREN HEALTH CARE CORPORATION, PREPARES AN ANNUAL REPORT OF ITS MEMBER HOSPITALS. THIS ANNUAL REPORT IS AVAILABLE ON OUR WEBSITE. Part I, Line 7: COSTING METHODOLOGY - USED COST TO CHARGE RATIO FOR LINES 7A, B, AND C AND ACTUAL COST PER BOOKS FOR LINE 7F. Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 15,070,274. Part II, Community Building Activities: COMMUNITY-BUILDING ACTIVITIES ARE DESIGNED AND IMPLEMENTED BASED ON COMMUNITY NEEDS ASSESSMENTS AND INPUT FROM COMMUNITY-BASED ORGANIZATIONS AND OTHER COMMUNITY STAKEHOLDERS, INCLUDING BUSINESS VENDORS, RELIGIOUS ORGANIZATIONS AND POLITICAL LEADERS. EACH ORGANIZATION DEFINES ANNUAL COMMUNITY-BUILDING AND OUTREACH ACTIVITY PLANS. THESE PLANS ARE DESIGNED TO ADDRESS THE SPECIFIC HEALTH PREVENTION, EDUCATION, DIAGNOSIS, TREATMENT AND FOLLOW-UP CARE REQUIREMENTS OF UNIQUE DISEASE, DEMOGRAPHIC AND GEOGRAPHIC COMMUNITIES IDENTIFIED BY ONGOING NEEDS ASSESSMENTS DESCRIBED ABOVE. Part III, Line 2: BAD DEBT EXPENSE IS 100% OF ALL SELF PAY ACCOUNT RECEIVABLE ACCOUNTS GREATER THAN 30 DAYS. IT IS INCLUDED AS A COMMUNITY BENEFIT BECAUSE IT IS THE AMOUNT OF SERVICES RENDERED THAT WE WILL NOT RECEIVE PAYMENT. Part III, Line 3: THIS IS THE COST ASSOCIATED WITH THE BAD DEBT EXPENSE FROM PART III, LINE 2. IT IS THE BAD DEBT EXPENSE TIMES THE RATIO OF PATIENT CARE COST TO CHARGES. Part III, Line 4: ACCOUNTS RECEIVABLE FROM PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. 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 BY CERTAIN PAYORS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE CORPORATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH 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 A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES, IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. Part III, Line 8: COSTING METHODOLOGY USED IS THE COST TO CHARGE RATIO AS REQUIRED FOR THE MEDICARE COST REPORT. Part III, Line 9b: CURRENTLY, OUR PROCESS INCLUDES having SELF AND PRIVATE PAY PATIENT ACTIVITY SENT TO A VENDOR FOR ASSISTANCE. SELF PAY PATIENTS REQUESTING FINANCIAL ASSISTANCE AT REGISTRATION ARE GIVEN A FINANCIAL ASSISTANCE APPLICATION WHICH IS EVALUATED TO DETERMINE IF CHARITY CARE IS APPLICABLE AND AN ATTEMPT IS ALSO MADE TO ASSIST PATIENTS FOR FINANCIAL ASSISTANCE POLICY ELIGIBILITY.THE HOSPITAL HAS A WRITTEN PATIENT COLLECTION POLICY THAT PROVIDES FOR A REVIEW OF THE PATIENT'S RECORDS BY THE HOSPITAL TO DETERMINE THAT REASONABLE EFFORTS WERE UNDERTAKEN TO ENSURE THAT FINANCIAL ASSISTANCE WAS OFFERED AND/OR FINANCIAL ASSISTANCE WAS REQUESTED. THE SPECIFIC ACTIONS TO BE TAKEN ARE OUTLINED IN THE POLICY. Part VI, Line 2: PRIMARY AND SECONDARY MARKET RESEARCH IS CONDUCTED BY AND THROUGH COMMUNITY-BASED HEALTH COALITIONS, ACADEMIC INSTITUTIONS, THIRD PARTY DATA ANALYTICS ORGANIZATIONS, HEALTH NEEDS ASSESSMENTS AND SURVEYS, HISTORIC HEALTH SERVICES UTILIZATION PATTERNS, DEMOGRAPHIC ANALYSIS AND POPULATION-BASED HEALTH CARE SERVICES UTILIZATION FORECASTS. Part VI, Line 3: AVAILABILITY OF FINANCIAL ASSISTANCE INFORMATION AND EDUCATION IS PROVIDED AT ALL INPATIENT AND OUTPATIENT REGISTRATION POINTS-OF-SERVICE. INFORMATION AND EDUCATION IS ALSO AVAILABLE THROUGH THE ORGANIZATION'S WEBSITE(S). FINANCIAL AND APPLICATION FORMS ARE AVAILABLE AT ALL INPATIENT AND OUTPATIENT POINTS-OF-SERVICE, INCLUDING PROVIDING ASSISTANCE IN COMPLETING THE APPLICATION. ORGANIZATION AND ITS SUBSIDIARIES/AFFILIATES ALSO PROVIDE SPECIALLY-TRAINED COUNSELORS TO ASSIST PATIENTS AND REVIEW ELIGIBILITY FOR FEDERAL, STATE AND OTHER GOVERNMENT PROGRAMS, INCLUDING, BUT NOT LIMITED TO, MEDICAID, DISABILITY, SOCIAL SECURITY, AND ANY OTHER FORMS OF THIRD PARTY PAYMENT. Part VI, Line 4: THE SERVICE AREA OF MCLAREN MACOMB 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%BACHELOR?S DEGREE OR GREATER 19.4%HOUSEHOLD INCOME DISTRIBUTION<$15K 9.0%$15 - 25K 8.9%$25 - 50K 25.5%$50 - 75K 21.3%$75 - 100K 15.5%OVER $100K 19.8%RACE/ETHNICITYWHITE NON-HISPANIC 85.0%BLACK NON-HISPANIC 9.0%HISPANIC 2.3%ASIAN & PACIFIC IS. NON-HISPANIC 1.5%ALL OTHERS 2.2% Part VI, Line 5: THE PARENT ORGANIZATION AND EACH OF ITS SUBSIDIARY/AFFILIATE MEMBERS MAINTAIN A LOCAL COMMUNITY-BASED BOARD WITH POWERS, RESPONSIBILITIES AND ACCOUNTABILITIES FOR THE OVERSIGHT OF THE OPERATION OF THEIR RESPECTIVE ORGANIZATIONS. EACH SUBSIDIARY/AFFILIATE ORGANIZATION MAINTAINS AN OPEN MEDICAL STAFF ALLOWING ANY PHYSICIAN OR OTHER CARE PROVIDER WITH PROPER CREDENTIALS TO JOIN THE STAFF AND PROVIDE APPROVED CARE. THE ORGANIZATION FUNDS AND MAINTAINS OVER 500 MEDICAL RESIDENCY AND FELLOWSHIP PROGRAMS TO TRAIN FUTURE GENERATIONS OF PHYSICIANS; ORGANIZATION FUNDS, OPERATES AND MAINTAINS NUMEROUS HEALTH CARE EDUCATION PROGRAMS AT THE HIGH SCHOOL, COMMUNITY COLLEGE, UNIVERSITY AND POST-GRADUATE LEVELS OF EDUCATION. ORGANIZATION PROVIDES SPONSORSHIP (FINANCIAL AND IN-KIND RESOURCES) SUPPORT TO COMMUNITY-LEVEL ACTIVITIES (HEALTH WALKS AND RACES, FITNESS TRAINING, DISEASE AWARENESS EVENTS, CULTURAL EVENTS AND OTHER HEALTH-RELATED NON-PROFIT ACTIVITIES, EVENTS AND ORGANIZATIONS). ORGANIZATION ALSO DIRECTS, FUNDS, SUPPORTS AND PARTICIPATES IN FUNDRAISING ACTIVITIES THAT SUPPORT HEALTH PREVENTION/EDUCATION, DIAGNOSIS AND TREATMENT PROVIDED BY OTHER NON-PROFIT COMMUNITY ORGANIZATIONS. Part VI, Line 6: THE ROLE OF THE PARENT ORGANIZATION IS TO SET THE VISION AND STRATEGIC DIRECTION FOR THE ORGANIZATION AS A WHOLE. THIS INCLUDES THE DEVELOPMENT OF THE ANNUAL STRATEGIC PLAN WHICH DEFINES THE STRATEGIC PRIORITIES FOR THE ORGANIZATION AND ITS MEMBERS, THE METRICS TO BE MEASURED FOR EACH STRATEGIC PROGRAMS AND THE BENCHMARK OR TARGET/GOALS FOR EACH METRIC. STRATEGIC PRIORITIES DIRECTLY ADDRESS AND MEASURE (AT A SUBSIDIARY LEVEL) CLINICAL QUALITY AND CLINICAL OUTCOMES; PATIENT, PHYSICIAN, EMPLOYEE AND COMMUNITY SATISFACTION WITH THE ORGANIZATION AND ITS SUBSIDIARY/AFFILIATE MEMBERS; AND DEVELOPMENT OF NEW SERVICES TO IMPROVE ACCESS TO, QUALITY OF, AND COST OF HEALTH SERVICES.THE ROLE OF THE ORGANIZATION'S SUBSIDIARIES/AFFILIATES IS THE DEVELOPMENT AND IMPLEMENTATION OF ANNUAL STRATEGIC AND OPERATIONAL PLANS THAT SUPPORT AND ADVANCE THE STRATEGIC PLAN OF THE PARENT ORGANIZATION. ALL LOCAL PLANS ARE DEVELOPED AND DESIGNED TO REFLECT THE UNIQUE POPULATION-BASED HEALTH CARE NEEDS AND REQUIREMENTS OF THE COMMUNITIES SERVED BY THE SUBSIDIARY/AFFILIATE ORGANIZATION.ALL LOCAL SUBSIDIARIES/AFFILIATES HAVE FULL AUTHORITY AND DECISION-MAKING POWERS TO DEFINE AND EXECUTE THE STRATEGIC AND OPERATIONAL PLANS INTENDED TO IMPROVE THE HEALTH AND WELFARE OF THE COMMUNITIES THEY SERVE. Part VI, Line 7, Reports Filed With States MI 0 1 0 0 0 0 0 0 0 TOM BRISSE PRESIDENT/CEO 0 467308 0 0 0 42114 0 121197 0 2701 0 633320 0 0 MARK O'HALLA TRUSTEE & COO MCLAREN 0 820096 0 414750 0 400123 0 13250 0 16837 0 1665056 0 0 ANDREA PHILLIPS CNO 173787 0 0 0 2506 0 8730 0 11156 0 196179 0 0 0 CHRIS CANDELA COO 186744 0 29367 0 498 0 8040 0 14136 0 238785 0 0 0 LAURA GIBBARD VP HUMAN RESOURCES 189976 0 36125 0 1290 0 9731 0 14662 0 251784 0 0 0 SHARYL SMITH VP MARKETING & PLANNING 184490 0 22139 0 824 0 5549 0 14136 0 227138 0 0 0 DAVID PINELLI CMO (PARTIAL YEAR) 177130 0 0 0 362 0 7175 0 11083 0 195750 0 0 0 CHRISTOPHER SCHNURER DIRECTOR OF MEDICAL EDUCATION 266781 0 20653 0 2411 0 12538 0 13729 0 316112 0 0 0 GAIL ABRAHAM PHYSICIAN 295099 0 0 0 2056 0 8919 0 11096 0 317170 0 0 0 KIM POLUDNIANYK PHYSICIAN 572443 0 30000 0 281 0 13250 0 5069 0 621043 0 0 0 JEFFREY BALAZSY PHYSICIAN 412500 0 0 0 645 0 7968 0 1958 0 423071 0 0 0 BRIAN WALCZAK PHYSICIAN (PARTIAL YEAR) 269398 0 0 0 12710 0 8186 0 7567 0 297861 0 0 0 PETER AJLUNI FORMER TRUSTEE 27000 0 0 0 0 0 0 0 0 0 27000 0 0 0 PHILIP INCARNATI FORMER PRESIDENT/CEO - MCLAREN 0 1451545 0 1950625 0 2762910 0 432935 0 14366 0 6612381 0 0 DAMOM SORENSEN FORMER CFO 119378 158654 52346 0 1072 2643 6765 6644 5354 6213 184915 174154 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 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 6 MCLAREN HEALTH CARE CORPORATION (MHCC) HAS A LEADERSHIP INCENTIVE PROGRAM FOR LEADERS OF THE CORPORATION, SUBSIDIARY EXECUTIVES AND DIRECTORS, AND 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. PLAZA NOVA LLC ALBERT PRZYBYLSKI AND PETER AJLUNI, BOARD MEMBERS AND PART OWNERS OF PLAZA 105071 MCLAREN MACOMB IS A TENANT OF THE MEDICAL COMPLEX PLAZA NOVA, LLC. RENT IS PAID ON A MONTHLY BASIS TO PLAZA NOVA, LLC. 0 Form 990, Part VI, Section A, line 2 PHILIP INCARNATI AND MARK O'HALLA HAVE A BUSINESS RELATIONSHIP. 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 ENTITY CFO AND THE CORPORATE FINANCE LEADERSHIP OF MCLAREN HEALTH CARE CORPORATION (MHCC). COPIES OF DRAFT 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 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 PREREQUISITES OF THE OTHER MOST HIGHLY COMPENSATED OFFICERS (MHC VICE-PRESIDENTS AND MHC HOSPICE/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 53.4958-6(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 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. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS FISCAL YEAR 2016. Form 990, Part VI, Section C, line 19 DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. Form 990, Part XI, line 9: Minimum Pension Liability Adjustment -8,737,627. NET ASSETS TRANSFERRED -1,857,599. FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE IN PROCESS FROM PRIOR YEAR. MCLAREN BAY MEDICAL FOUNDATION 1900 COLUMBUS AVE BAY CITY MI 48708 382156534 FOUNDATION MI 501(c)(3) Line 11a, 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 11a, I MCLAREN BAY REGION 1 MCLAREN BAY SPECIAL CARE 1900 COLUMBUS AVE BAY CITY MI 48708 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 9 MCLAREN NORTHERN MICHIGAN 1 GREAT LAKES CANCER INSTITUTE 401 S BALLENGER HWY FLINT MI 48532 383584572 CANCER CARE CENTER MI 501(c)(3) Line 7 MCLAREN HEALTH CARE 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Suite B FLINT MI 48532 382397643 SUPPORTING ORG MI 501(c)(3) Line 11a, I N/A 0 MCLAREN HEALTH CARE VILLAGE FOUNDATION 401 S BALLENGER HIGHWAY FLINT MI 48532 262693350 SUPPORTING ORG MI 501(c)(3) Line 11a, I MCLAREN HEALTH CARE CORPORATION 1 MCLAREN HEALTH PLAN COMMUNITY G-3245 BEECHER ROAD SUITE 200 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 HEALTH CARE CORPORATION 1 MCLAREN HOSPICE & HOME CARE FOUNDATION 1515 CAL DR DAVISON MI 48423 463643089 FOUNDATION MI 501(c)(3) Line 11a, I VISITING NURSE SERVICES OF MICHIGAN 1 MCLAREN HOSPITALITY HOUSE 401 S BALLENGER HIGHWAY FLINT MI 48532 455567669 HOSPITALITY HOUSE MI 501(c)(3) Line 7 MCLAREN HEALTH CARE CORPORATION 1 MCLAREN MEDICAL GROUP 401 S BALLENGER HWY FLINT MI 48532 382988086 MANAGEMENT COMPANY MI 501(c)(3) Line 11a, I MCLAREN HEALTH CARE CORPORATION 1 MCLAREN NORTHERN MICHIGAN 416 CONNABLE AVENUE 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CONNABLE AVENUE PETOSKEY MI 49770 262774689 PHYSICIAN PRACTICE MI 501(c)(3) Line 3 MCLAREN NORTHERN MICHIGAN 1 VISITING NURSE SERVICE OF MICHIGAN 1515 Cal Drive DAVISON MI 48423 383491714 HEALTH CARE SERVICES MI 501(c)(3) Line 9 MCLAREN HEALTH CARE CORPORATION 1 VITALCARE INC 761 LAFAYETTE AVENUE CHEBOYGAN MI 49721 382527255 HOSPICE CARE/HOME HEALTH SERVICES MI 501(c)(3) Line 9 MCLAREN NORTHERN MICHIGAN 1 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 1 MCLAREN - NORTHERN EQUITIES CANCER CENTER PROJECT LLC 39000 COUNTRY CLUB DRIVE FARMINGTON HILLS MI 48331 263112935 RENTAL REAL ESTATE MI N/A MOUNT CLEMENS REGIONAL HEALTH BUILDING HEALTH PARTNERS 1000 HARRINGTON ST MOUNT CLEMENS MI 48043 262524717 BUILDING MANAGEMENT MI MCLAREN MACOMB RELATED 8069872 0 1 0.66000 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 0 HEALTH ADVANTAGE INC G3245 BEECHER ROAD FLINT MI 48532 912141720 INSURANCE MI N/A C 0 HOSPITAL HEALTH CARE INC 50 NORTH PERRY STREET PONTIAC MI 48342 382643070 HEALTH CARE MI N/A C 0 MCLAREN INSURANCE COMPANY LTD 10 MAIN ST GRAND CAYMAN CJ INSURANCE CJ N/A C 0 MID-MICHIGAN PHYSICIANS PC 2510 KERRY STREET SUITE 200 LANSING MI 48912 383267121 PHYSICIAN PRACTICE MI N/A C 0 MCLAREN PHYSICIAN PARTNERS 50 NORTH PERRY STREET PONTIAC MI 48342 383136458 MANAGED CARE MI N/A C 0 RAPIN & RAPIN INC DBA PRESCRIPTION SERVICES PHARMACY 416 CONNABLE AVENUE PETOSKEY MI 49770 383465261 RETAIL PHARMACY 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 0 WILLOW ENTERPRISES PO BOX 5011 PORT HURON MI 48061 382491659 Occupational Health Clinic and Outpatient Pharmacies MI N/A C 0 0 1 1 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 MCLAREN HEALTH CARE CORPORATION K 1292698 Allocation of actual cost MCLAREN HEALTH CARE CORPORATION M 20426058 Allocation of actual cost MCLAREN HEALTH CARE CORPORATION P 25018819 Allocation of actual cost KARMANOS CANCER INSTITUTE P 283552 Allocation of actual cost KARMANOS CANCER INSTITUTE S 197282 Allocation of actual cost MCLAREN MEDICAL GROUP O 2467756 Cost of compensation MCLAREN MEDICAL GROUP P 8964642 Allocation of actual cost MCLAREN MEDICAL GROUP Q 2399065 Allocation of actual cost MCLAREN MEDICAL GROUP R 5190895 Cash MCLAREN MEDICAL GROUP S 2685488 Cash MCLAREN PORT HURON O 115580 Cost of compensation MICHIGAN MOBILE PET LLC N 900305 Allocation of actual cost MCLAREN OAKLAND J 305672 Allocation of actual cost MCLAREN OAKLAND O 1075315 Cost of compensation MCLAREN OAKLAND P 80615 Allocation of actual cost MCLAREN OAKLAND Q 1304986 Allocation of actual cost mount clemens regional healthcare foundation C 713412 cash mount clemens regional healthcare foundation O 263452 allOCATION OF ACTUAL COST VISITING NURSE SERVICE OF MICHIGAN J 73269 Allocation of actual cost VISITING NURSE SERVICE OF MICHIGAN P 5299612 Allocation of actual cost VISITING NURSE SERVICE OF MICHIGAN Q 277198 Allocation of actual cost