MCLAREN PORT HURON: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- MCLAREN PORT HURON (EIN 38-1369611)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-08-15
- IRS object ID
- 201722279349302402
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-08-15T11:44:36-05:00 | ReturnTs |
| Tax Period End | 2016-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 750 Trade Centre Way Ste 300 | AddressLine1Txt |
| City | Portage | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49002 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381369611 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCLAREN PORT HURON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MCLA | BusinessNameControlTxt |
| Phone | 8109875000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1221 pine grove avenue | AddressLine1Txt |
| City | port huron | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48060 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRIDGET SHOLTIS | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8109875000 | PhoneNum |
| Signature | 2017-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Carol LaLonde CPA | PreparerPersonNm |
| PTIN | P00181637 | PTIN |
| Phone | 2695674500 | PhoneNum |
| Preparation | 2017-08-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JENNIFER MONTGOMERY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1221 pine grove avenue | AddressLine1Txt |
| City | port huron | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48060 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $201,339,197 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.porthuronhospital.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1879 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | PROVISION OF ACUTE MEDICAL CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 1595 | TotalEmployeeCnt |
| Total Volunteers | 170 | TotalVolunteersCnt |
| Total Gross UBI | $4,446,534 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$141,205 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,900,344 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,149,259 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $175,555,221 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $191,879,414 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,664,365 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,662,818 | CYInvestmentIncomeAmt |
| PY Other Revenue | $996,684 | PYOtherRevenueAmt |
| CY Other Revenue | $2,600,266 | CYOtherRevenueAmt |
| PY Total Revenue | $189,116,614 | PYTotalRevenueAmt |
| CY Total Revenue | $201,291,757 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $81,038,050 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $80,218,428 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $86,716,494 | PYOtherExpensesAmt |
| CY Other Expenses | $101,783,708 | CYOtherExpensesAmt |
| PY Total Expenses | $167,754,544 | PYTotalExpensesAmt |
| CY Total Expenses | $182,002,136 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $21,362,070 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $19,289,621 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $159,247,647 | TotalAssetsBOYAmt |
| Total Assets EOY | $323,419,677 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $94,803,347 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $148,300,170 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $64,444,300 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $175,119,507 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MCLAREN HEALTHCARE, THROUGH ITS SUBSIDIARIES, WILL BE THE BEST VALUE IN HEALTHCARE AS DEFINED BY QUALITY OUTCOMES AND COST. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $136,119,830 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $187,515,425 | RevenueAmt |
| Desc | FOR FISCAL YEAR OCTOBER 1, 2015 TO SEPTEMBER 30, 2016, 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 $114,208 WAS PROVIDED DURING THE YEAR. MCLAREN PORT HURON PROVIDED $357,433,389 IN THIRD PARTY DISCOUNTS. IN TOTAL, THIS REPRESENTS 65.1 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 376 EVENTS/PROGRAMS TO APPROXIMATELY 283,180 PEOPLE OF THE COMMUNITY. | Desc |
| Total Program Service Expenses | $136,119,830 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 111 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1595 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIDGET SHOLTIS CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8109893737 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1221 PINE GROVE AVENUE | AddressLine1Txt |
| City | PORT HURON | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48060 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MONA ARMSTRONG | ||||||||||
| CHAIRMAN | 3.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JOHN OGDEN | ||||||||||
| VICE-CHAIRMAN | 3.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| KARL TOMION | ||||||||||
| SECRETARY | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DAVID MAZURKIEWICZ | ||||||||||
| TREASURER | 1.00 | 42.30 | Yes (X) | Yes (X) | $0 | $1,379,015 | $27,116 | |||
| JENNIFER MONTGOMERY | ||||||||||
| PRESIDENT & CEO | 40.00 | 1.00 | Yes (X) | Yes (X) | $300,535 | $0 | $30,812 | |||
| PHILIP INCARNATI | ||||||||||
| PRESIDENT & CEO MCLAREN CORP | 1.00 | 53.00 | Yes (X) | Yes (X) | $0 | $6,165,080 | $447,301 | |||
| GLENN BETRUS MD | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JANICE ROSE | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| F WILLIAM COOP MD | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| VASKEN ARTINIAN MD | ||||||||||
| CHIEF ELECT | 1.00 | 0.00 | Yes (X) | $17,250 | $0 | $0 | ||||
| DAVID KEYES | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| SURESH TUMMA MD | ||||||||||
| CHIEF OF STAFF | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID A THOMPSON | ||||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BASSAM H NASR MD | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD LEVEILLE | ||||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID C WHIPPLE | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN V BROOKS MD | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES C LARSEN | ||||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JANET TURNER LOMASNEY DO | ||||||||||
| TRUSTEE - 1ST PART YEAR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID TRACY MD | ||||||||||
| TRUSTEE - 1ST PART YEAR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| BRIDGET SHOLTIS | ||||||||||
| CFO & ASSISTANT TREASURER | 40.00 | 1.00 | Yes (X) | $127,793 | $0 | $21,248 | ||||
| DAVID MCEWEN | ||||||||||
| CHIEF OPERATING OFFICER- PART YEAR | 40.00 | 1.00 | $259,489 | $0 | $31,242 | Yes (X) | ||||
| JOHN LISTON | ||||||||||
| CHIEF OPERATING OFFICER | 40.00 | 3.00 | $351,623 | $0 | $36,670 | Yes (X) | ||||
| MICHAEL TAWNEYDO | ||||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 1.00 | $364,499 | $0 | $40,735 | Yes (X) | ||||
| DORIS SEIDL | ||||||||||
| VP OF HUMAN RESOURCES | 40.00 | 1.00 | $210,565 | $0 | $27,699 | Yes (X) | ||||
| THOMAS L BROZOVICH | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $274,440 | $0 | $13,508 | Yes (X) | ||||
| SARA LITER-KUESTER | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $242,450 | $0 | $5,132 | Yes (X) | ||||
| JOSEPH A GIZONI | ||||||||||
| CRNA | 40.00 | 0.00 | $230,893 | $0 | $3,883 | Yes (X) | ||||
| BRIAN BARKLEY | ||||||||||
| CRNA | 40.00 | 0.00 | $211,943 | $0 | $7,482 | Yes (X) | ||||
| DAVID S ANDERSON | ||||||||||
| CRNA | 40.00 | 0.00 | $210,005 | $0 | $4,959 | Yes (X) | ||||
| THOMAS DEFAUW | ||||||||||
| FORMER PRESIDENT & CEO | 0.00 | 0.00 | $346,646 | $0 | $92,363 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,148,131 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,544,095 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $790,150 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 68 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PHYSICIAN HEALTHCARE NETWORK | |||||
| 3050 COMMERCE DRIVE | FORT GRATIOT | MI | 48059 | MEDICAL SERVICES | $960,313 |
| LOCUMTENENSCOM LLC | |||||
| 2655 NORTHWINDS PARKWAY | ALPHARETTA | GA | 30009 | MEDICAL STAFF SERVICES | $916,795 |
| MICHIGAN CO-TENANCCY LABORATORY | |||||
| DEPT CH 14271 | PALATINE | IL | 600554271 | LAB TESTING SERVICES | $726,677 |
| AHSAAMERICAN HEALTHCARE SERVICES | |||||
| PO BOX 945 | TRAVERSE CITY | MI | 49685 | MEDICAL STAFF SERVICES | $423,416 |
| HEALOGICS WOUND CARE & HYPERBARATIC | |||||
| 5220 BELFORT ROAD SUITE 130 | JACKSONVILLE | FL | 32256 | MEDICAL/ADM SERVICES | $342,882 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 14 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $5,149,259 | RelatedOrganizationsAmt |
| Total Contributions | $5,149,259 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT REVENUE | 621500 | $150,007,040 | $150,007,040 | |
| LABORATORY | 621500 | $41,757,648 | $37,393,659 | $4,363,989 |
| OPERATING REVENUE | 621500 | $95,842 | $95,842 | |
| RENT - RELATED PARTY | 531390 | $18,884 | $18,884 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $191,879,414 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,031,756 | TotalRevenueColumnAmt |
| Exclusion | $1,031,756 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $37,656 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $37,656 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,656 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $25,000 | UnrelatedBusinessRevenueAmt |
| Exclusion | $12,656 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $678,502 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $47,440 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $678,502 | SecuritiesAmt |
| Other | -$47,440 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $631,062 | TotalRevenueColumnAmt |
| Exclusion | $631,062 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| ELEC HEALTH RECORD | 900000 | $1,315,563 | $1,315,563 | |
| CAFETERIA | 722210 | $774,072 | $774,072 | |
| LAUNDRY | 812300 | $444,171 | $386,626 | $57,545 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $28,804 | TotalRevenueColumnAmt |
| Exclusion | $28,804 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,562,610 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $201,291,757 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $187,515,425 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $4,446,534 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,180,539 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,081,203 | TotalAmt |
| Management And General | $3,081,203 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,451,650 | TotalAmt |
| Program Services | $56,770,081 | ProgramServicesAmt |
| Management And General | $7,681,569 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,295,992 | TotalAmt |
| Program Services | $1,141,531 | ProgramServicesAmt |
| Management And General | $154,461 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,716,534 | TotalAmt |
| Program Services | $5,916,034 | ProgramServicesAmt |
| Management And General | $800,500 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,673,049 | TotalAmt |
| Program Services | $4,116,099 | ProgramServicesAmt |
| Management And General | $556,950 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,848 | TotalAmt |
| Management And General | $23,848 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,896 | TotalAmt |
| Management And General | $91,896 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,278 | TotalAmt |
| Management And General | $3,278 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,529 | TotalAmt |
| Management And General | $222,529 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,872,839 | TotalAmt |
| Program Services | $15,286,002 | ProgramServicesAmt |
| Management And General | $11,586,837 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $760,737 | TotalAmt |
| Program Services | $172,064 | ProgramServicesAmt |
| Management And General | $588,673 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,187,095 | TotalAmt |
| Program Services | $862,447 | ProgramServicesAmt |
| Management And General | $324,648 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,465,597 | TotalAmt |
| Program Services | $65,359 | ProgramServicesAmt |
| Management And General | $6,400,238 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $989,761 | TotalAmt |
| Program Services | $591,695 | ProgramServicesAmt |
| Management And General | $398,066 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,797 | TotalAmt |
| Program Services | $99,726 | ProgramServicesAmt |
| Management And General | $73,071 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,894 | TotalAmt |
| Program Services | $43,266 | ProgramServicesAmt |
| Management And General | $15,628 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $585,693 | TotalAmt |
| Management And General | $585,693 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,626,666 | TotalAmt |
| Program Services | $6,699 | ProgramServicesAmt |
| Management And General | $6,619,967 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $558,741 | TotalAmt |
| Program Services | $4,100 | ProgramServicesAmt |
| Management And General | $554,641 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MED SUPPLY & MINOR EQUI | $36,024,706 | $35,383,437 | $641,269 |
| BAD DEBTS | $9,852,354 | $9,852,354 | |
| QAAP TAX | $5,210,498 | $5,210,498 | |
| UTILITIES | $1,642,319 | $86,888 | $1,555,431 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,433,460 | TotalAmt |
| Program Services | $511,550 | ProgramServicesAmt |
| Management And General | $3,921,910 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $182,002,136 | TotalAmt |
| Program Services | $136,119,830 | ProgramServicesAmt |
| Management And General | $45,882,306 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,698,454 | BOYAmt |
| EOY | $32,415,006 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,695,709 | BOYAmt |
| EOY | $54,566,763 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,634,708 | BOYAmt |
| EOY | $8,922,895 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,826,688 | BOYAmt |
| EOY | $138,469,001 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,721,617 | BOYAmt |
| EOY | $5,860,416 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $383,806 | BOYAmt |
| EOY | $637,792 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $95,077,949 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $15,461,904 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,397,963 | BOYAmt |
| EOY | $79,616,045 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,627,861 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,381,449 | BOYAmt |
| EOY | $1,839,087 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,000 | BOYAmt |
| EOY | $225,778 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $777,392 | BOYAmt |
| EOY | $866,894 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $159,247,647 | BOYAmt |
| EOY | $323,419,677 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,206,203 | BOYAmt |
| EOY | $74,609,191 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,410,284 | BOYAmt |
| EOY | $23,162,233 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,824 | BOYAmt |
| EOY | $49,378,726 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,182,036 | BOYAmt |
| EOY | $1,150,020 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,803,347 | BOYAmt |
| EOY | $148,300,170 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,444,300 | BOYAmt |
| EOY | $175,119,507 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,444,300 | BOYAmt |
| EOY | $175,119,507 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $159,247,647 | BOYAmt |
| EOY | $323,419,677 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $19,289,621 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,065,590 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $89,319,996 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $3,278 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,278 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | PORTION OF MICHIGAN HEALTH HOSPITAL ASSOCATION DUES TO LOBBYING, | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,866,519 | OtherCostOrOtherBasisAmt |
| Book Value | $3,866,519 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,646,525 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,594,022 | DepreciationAmt |
| Book Value | $31,052,503 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $43,891,756 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,867,882 | DepreciationAmt |
| Book Value | $32,023,874 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,673,149 | OtherCostOrOtherBasisAmt |
| Book Value | $12,673,149 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $79,616,045 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CLAIM LIABILITY | Desc |
| Amt | $1,150,020 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,150,020 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | 0 | FPGReferenceFreeCareInd |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,056 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $34,056 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,437,641 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,584,192 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$2,146,551 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,971,403 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,459,683 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,511,720 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02480 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,443,100 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $32,043,875 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,399,225 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02500 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $672,344 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,910 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $648,434 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00360 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $124,084 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $124,084 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $796,428 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,910 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $772,518 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00430 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,239,528 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $32,067,785 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,171,743 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02930 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 110 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $10,578 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,578 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 18 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $11,548 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,548 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $2,677 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,677 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 20 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $933 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $933 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 156 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $25,736 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $25,736 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $9,852,354 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $107,775 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $58,364,632 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $58,256,792 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $107,840 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCLAREN PORT HURON | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1221 PINE GROVE AVENUE | AddressLine1Txt |
| City | PORT HURON | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48060 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.mclaren.org/porthuron | WebsiteAddressTxt |
| State License | M420264 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCLAREN PORT HURON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, PAGE 7 | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, PAGE 7 | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http://www.mclaren.org/porthuron/financial-services.aspx | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | http://www.mclaren.org/porthuron/financial-services.aspx | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | http://www.mclaren.org/porthuron/financial-services.aspx | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Lowest Negotiated Rates | Yes (X) | LowestNegotiatedRatesInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MCLAREN PORT HURON | Part V, Section B, Line 5: IN EARLY 2016, MCLAREN PORT HURON PARTICIPATED IN A REGIONAL EFFORT WITH VARIOUS HEALTH AND HUMAN SERVICES AGENCIES ACROSS TWO COUNTIES IN THE THUMB OF MICHIGAN. THE COMMUNITY-SIDE ASSESSMENT INCLUDED REPRESENTATION AND INPUT FROM THE FOLLOWING PARTNERS: ST. CLAIR COUNTY HEALTH DEPARTMENT, COMMUNITY MENTAL HEALTH, ST. CLAIR COUNTY ECONOMIC DEVELOPMENT, ST. JOHN RIVER DISTRICT HOSPITAL, LAKE HURON MEDICAL CENTER, YMCA OF THE BLUE WATER AREA AND BEHAVIORAL RISK FACTOR SURVEY OF RESIDENTS OF ST. CLAIR COUNTY.ASIDE FROM THE COMMUNITY ASSESSMENT THAT BEGAN IN 2016, MCLAREN PORT HURON DEPLOYED A HOSPITAL WORKGROUP TO DEVELOP THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). COMMUNITY INPUT WAS SOUGHT FROM VARIOUS HEALTH PROVIDERS, COMMUNITY GROUPS, AND PATIENTS WHO PARTICIPATED IN VARIOUS HEALTH SCREENINGS AND SEMINARS OFFERED THROUGH MCLAREN PORT HURON IN 2016. ADDITIONALLY, MCLAREN PORT HURON HELD PUBLIC HEALTH MEETINGS RELATING TO THE CHNA, INCLUDING THE HOSPITAL'S CANCER COMMITTEE, COMMUNITY ADVISORY BOARD, COMMUNITY EDUCATION & OUTREACH COMMITTEE AND THE JUNE 2016 LUNCH WITH THE DOCTOR SEMINAR. METHODS USED TO COLLECT DATA INCLUDED COMMUNITY CONVERSATION MEETINGS, REGIONAL MEETINGS, PARTICIPANT SURVEYS, AND HEALTH CARE PROVIDER FEEDBACK, INCLUDING: 1) QUANTITATIVE DATA REVIEW AND ANALYSIS, 2) LITERATURE REVIEW TO IDENTIFY STATE AND NATIONAL BENCHMARKS AND EVIDENCE-BASED STRATEGIES THAT RELATE TO THE INDICATORS/METRICS MEASURED THROUGH THE QUANTITATIVE DATA SOURCE, AND 3) QUALITATIVE DATA PROVIDED THROUGH COMMUNITY DIALOGUE SESSIONS WITH LOCAL RESIDENTS. THIS ALLOWED FOR DATA COLLECTION ACROSS A BROAD RANGE OF INDICATORS RELATING TO OVERALL POPULATION HEALTH, SOCIAL DETERMINANTS OF HEALTH INCLUDING GEOGRAPHIC/LOCATION DIFFERENCE IN HEALTH OUTCOMES, AND THE NEEDS OF DISADVANTAGED POPULATIONS INCLUDING UNINSURED PERSONS, LOW-INCOME PERSONS, AND MINORITY GROUPS WITHIN ST. CLAIR AND SANILAC COUNTIES. |
| MCLAREN PORT HURON | Part V, Section B, Line 6a: ST. JOHN'S RIVER DISTRICT HOSPITAL AND LAKE HURON MEDICAL CENTER. |
| MCLAREN PORT HURON | Part V, Section B, Line 6b: ST CLAIR COUNTY HEALTH DEPARTMENT, COMMUNITY MENTAL HEALTH, ST CLAIR COUNTY ECONOMIC DEVELOPMENT, YMCA OF BLUE WATER AREA, BEHAVIORAL RISK FACTOR SURVEY OF RESIDENTS OF ST CLAIR COUNTY |
| MCLAREN PORT HURON | Part V, Section B, Line 7d: A COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON THE HOSPITALS WEBSITE LOCATED AT HTTP://WWW.MCLAREN.ORG/PORTHURON/HEALTH-COMMUNITY-NEEDS.ASPXIN ADDITION TO MAKING THE HOSPITAL'S CHNA AND IMPLEMENTATION PLAN AVAILABLE TO THE COMMUNITY VIA THE HOSPITAL'S WEBSITE AND SOCIAL MEDIA, THESE MATERIALS WERE ALSO PROVIDED VIA HARDCOPY TO HOSPITAL TRUSTEES AND THE BASIS FOR NUMEROUS PRESENTATIONS TO HOSPITAL MANAGERS AND COMMUNITY GROUPS. |
| MCLAREN PORT HURON | Part V, Section B, Line 11: THE CHNA TEAM AT MCLAREN PORT HURON EVALUATED DATA AND INPUT SOURCES COLLECTED TO PRIORITIZE THE MAJOR ISSUES IMPACTING THE COMMUNITY WE SERVE. CRITERIA INCLUDED THE NUMBER OF PERSONS AFFECTED BY THE VARIOUS FACTORS ANALYZED, THE SERIOUSNESS OF THE ISSUES, WHETHER THE HEALTH NEEDS PARTICULARLY AFFECTED PERSONS LIVING IN POVERTY OR REFLECTED OTHER DISPARITIES, AND AVAILABILITY OF COMMUNITY RESOURCES TO ADDRESS THE NEEDS. THIS PROCESS IDENTIFIED THE FOLLOWING PRIORITY ISSUES FOR THE COMMUNITY. STRATEGIC GOALS, COMMUNITY INPUT AND A REVIEW OF THE EXISTING COMMUNITY BENEFIT ACTIVITIES ALSO GUIDED THIS PLAN.FIVE SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED:1. POOR MANAGEMENT OF CHRONIC HEALTH CONDITIONS:-PROVIDE EVIDENCE BASED SCREENINGS FOR EARLY IDENTIFICATION-OFFER CHRONIC DISEASE MANAGEMENT PROGRAMS AND SUPPORT GROUPS INCLUDING DIABETES, CANCER, STROKE, BARIATRIC, HEART DISEASE, ALZHEIMER'S DISEASE AND PARKINSON'S DISEASE-EXPAND SERVICES THROUGH THE CANCER CENTER AND PROVIDE ACCESS TO CLINICAL TRIALS-MAINTAIN STANDARDS AND CERTIFICATIONS FOR CENTERS OF EXCELLENCE-DECREASE PREVENTABLE HOSPITAL ADMISSIONS THROUGH EDUCATION AND PARTNERSHIPS WITH LOCAL HOME CARE AGENCIES2. HIGH INCIDENCE OF UNHEALTHY BEHAVIORS:-CONTINUE TO OFFER SMOKING CESSATION PROGRAMS-CONTINUE TO OFFER BARIATRIC, NUTRITION SERVICES AND PHYSICAL ACTIVITY PROGRAMS-OUTPATIENT COUNSELING-COLLABORATE WITH COMMUNITY PARTNERS TO PROMOTE COMMUNITY AWARENESS AND EDUCATION TO REDUCE ALCOHOL, TOBACCO AND NON-MEDICAL PRESCRIPTION DRUG USE/ABUSE3. HIGH INCIDENCE OF INJURY/TRAUMA:-INCREASE THE NUMBER OF PRIMARY AND SPECIALTY CARE PROVIDERS IN TARGETED COMMUNITIES-CONTINUE TO COLLABORATE WITH HOSPITALS, HEALTH DEPARTMENT, AND OTHER REGIONAL STAKEHOLDERS TO IMPROVE HEALTH OUTCOMES-COLLABORATE WITH MENTAL HEALTH, PRIMARY CARE, AND OTHER COMMUNITY STAKEHOLDERS TO ADDRESS BEHAVIORAL HEALTH INCLUDING TRAINING, INTERVENTION AND TREATMENT4. LACK OF ACCESS TO PRIMARY AND SPECIALTY PROVIDERS:-INCREASE THE NUMBER OF PRIMARY AND SPECIALTY CARE PROVIDERS IN TARGETED COMMUNITIES-CONTINUE TO COLLABORATE WITH HOSPITALS, HEALTH DEPARTMENT, AND OTHER REGIONAL STAKEHOLDERS TO IMPROVE HEALTH OUTCOMES-COLLABORATE WITH MENTAL HEALTH, PRIMARY CARE, AND OTHER COMMUNITY STAKEHOLDERS TO ADDRESS BEHAVIORAL HEALTH INCLUDING TRAINING, INTERVENTION AND TREATMENT5. BARRIERS TO ACCESSING ACCURATE, EVIDENCE-BASED HEALTH INFORMATION:-INCREASE ACCESS TO HEALTH INFORMATION THROUGH THE PATIENT HEALTH RECORD-OFFER COUNSELING TO OBTAIN HEALTH INSURANCE THROUGH THE EXCHANGE-TODAY'S HEALTH TELEVISION PROGRAMMING SERIES-IN GOOD HEALTH COMMUNITY NEWSLETTER PUBLICATION-CONTINUE TO EVALUATE CURRENT TRENDS AND TOPICS RELEVANT TO OUR COMMUNITY AND PROVIDE EDUCATIONAL PROGRAMS TO ADDRESS THESE ISSUESMCLAREN PORT HURON'S REVIEW OF CURRENT COMMUNITY BENEFIT PROGRAMS FOUND THAT THE HOSPITAL IS MEETING EXISTING COMMUNITY NEEDS THROUGH PROVISION OF CHARITY CARE; FINANCIAL AND IN-KIND CONTRIBUTIONS; COMMUNITY BUILDING ACTIVITIES; AND A MULTITUDE OF COMMUNITY EDUCATION PROGRAMS. THESE ACTIVITIES WERE DETERMINED TO BE ADDITIONAL PRIORITIES FOR OUR HOSPITAL'S COMMUNITY BENEFIT PLAN.MCLAREN PORT HURON WILL WORK IN PARTNERSHIP WITH PUBLIC AND COMMUNITY RESOURCES TO ADDRESS THESE NEEDS THROUGH 2019. THE OVERALL GOAL OF THE FOLLOWING 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.UNADDRESSED SIGNIFICANT HEALTH NEEDS AND RATIONALETHE ST. CLAIR COUNTY HEALTH DEPARTMENT 2016 PRELIMINARY PRIORITIES LIST INCLUDED HEALTH NEEDS THAT WILL NOT BE ADDRESSED BY THE MCLAREN PORT HURON CHNA AND IMPLEMENTATION STRATEGY REPORT. THESE INCLUDE:FLU SHOTS - DEFICIENCYHIV TESTS - DEFICIENCYQUALITY OF NEIGHBORHOODSFLU SHOTS ARE OFFERED TO OUR INPATIENT POPULATION AND THROUGHOUT THE COMMUNITY. HIV TESTING IS AVAILABLE THROUGH THE HEALTH DEPARTMENT. 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% 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 16i: PAMPHLETS ARE DISPLAYED AND AVAILABLE IN EMERGENCY ROOM |
| MCLAREN PORT HURON | Part V, Section B, Line 22d: UPON REQUEST WE OFFER 20% PROMPT PAY DISCOUNT FOR NON CO-PAY AND DEDUCTIBLE PORTIONS AND 20% UNINSURED DISCOUNT. IF THE PERSON IS STILL UNABLE TO PAY, WE REVIEW FOR CHARITY CARE OR CATASTROPHIC CARE. |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 GIVE-AWAYS 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: | $9,852,354 - GROSS AMOUNT |
| Part III, Line 3: | BAD DEBT ACCOUNTS WRITTEN OFF IN A TAX YEAR THAT AT ONE TIME OR ANOTHER HAD POSSIBLE CHARITY NOTATION BUT NOT APPROVED. DUE TO A VARIETY OF REASONS, MAY NOT HAVE COMPLETED PAPERWORK, NOT SUPPLIED DOCUMENTATION, OR DIDN'T MEET CHARITY CARE GUIDELINES. |
| Part III, Line 4: | ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS.THE COST TO CHARGE RATIO WAS USED IN DETERMINING THE BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO POTENTIALLY WOULD HAVE QUALIFIED UNDER THE ORGANIZATION'S CHARITY CARE POLICY. |
| Part III, Line 8: | PORT HURON HOSPITAL APPLIES THE COST TO CHARGE RATIO METHODOLOGY AS REQUIRED. ALL OF THE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT. |
| 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 ANALSIS AND COMMITMENT TO INVESTMENT IN INCREASED CANCER TREATMENT SERVICES) - PERIODIC CONSUMER PERCEPTION AND PERFERENCE 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 A HEALTH LIBRARY AND CLASSROOMS (BOTH 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, "REGOIN 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 IT'S 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: | THE HSOPTIAL AND ITS AFFILIATED ORGANIZATIONS SERVE A THREE-SIDED MAREKT, LIMITED BY LAKE HURON AND THE CANADIAN BOARDER TO THE EAST. THE HOSPITAL'S SERVICE ARE IS GENERALLY CONSIDERED TO BE ALL OF ST CLAIR COUNTY, WITH PORTIONS OF SANILAC, HURON, LAPEER AND MACOMB COUNTIES. THE SERVICE AREA'S POPULATION IS ABOUNT 220,000 WITH ABOUT THREE-QUARTERS RESIDING IN ST CLAIR COUNTY. THE LARGEST COMMUNITY, PORT HURON, HAS A POPULATION OF ABOUNT 35,000 RESIDENTS. ABOUT A THIRD OF THE COUNTY'S RESIDENTS LEAVE THE COUNTY FOR WORK. OUR MARKET FOLLOWS STATE DEMOGRAPHICS WITH SOME EXCEPTIONS: A LOWER PERCENTAGE OF AFRICAN-AMERICANS, A HIGHER PERCENTAGE OF NATIVE AMERICANS, A LOWER AVERAGE HOUSEHOLD INCOME AND A HIGHER PERCENTAGE OF RESIDENTS OVER 65 YEARS OLD. THESE MARKET CHARACTERISTICS ARE CONSIDERED IN OUR PLANNING EFFORTS, PARTICULARLY AS WE PLAN FOR HEALTH SCREENINGS AND TRANSPORATION NEEDS. |
| Part VI, Line 5: | N/A |
| Part VI, Line 7, Reports Filed With States | MI |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID MAZURKIEWICZ | ||||||||||||||
| TREASURER | $0 | $774,442 | $0 | $180,000 | $0 | $424,573 | $0 | $13,250 | $0 | $13,866 | $0 | $1,406,131 | $0 | $0 |
| JENNIFER MONTGOMERY | ||||||||||||||
| PRESIDENT & CEO | $261,889 | $0 | $15,722 | $0 | $22,924 | $0 | $22,751 | $0 | $8,061 | $0 | $331,347 | $0 | $0 | $0 |
| PHILIP INCARNATI | ||||||||||||||
| PRESIDENT & CEO MCLAREN CORP | $0 | $1,451,545 | $0 | $1,950,625 | $0 | $2,762,910 | $0 | $432,935 | $0 | $14,366 | $0 | $6,612,381 | $0 | $0 |
| DAVID MCEWEN | ||||||||||||||
| CHIEF OPERATING OFFICER- PART YEAR | $224,095 | $0 | $13,735 | $0 | $21,659 | $0 | $13,382 | $0 | $17,860 | $0 | $290,731 | $0 | $0 | $0 |
| JOHN LISTON | ||||||||||||||
| CHIEF OPERATING OFFICER | $310,812 | $0 | $17,167 | $0 | $23,644 | $0 | $16,766 | $0 | $19,904 | $0 | $388,293 | $0 | $0 | $0 |
| MICHAEL TAWNEYDO | ||||||||||||||
| CHIEF MEDICAL OFFICER | $319,307 | $0 | $18,304 | $0 | $26,888 | $0 | $18,414 | $0 | $22,321 | $0 | $405,234 | $0 | $0 | $0 |
| DORIS SEIDL | ||||||||||||||
| VP OF HUMAN RESOURCES | $180,065 | $0 | $10,441 | $0 | $20,059 | $0 | $15,853 | $0 | $11,846 | $0 | $238,264 | $0 | $0 | $0 |
| THOMAS L BROZOVICH | ||||||||||||||
| PHYSICIAN | $274,440 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $13,508 | $0 | $287,948 | $0 | $0 | $0 |
| SARA LITER-KUESTER | ||||||||||||||
| PHYSICIAN | $242,450 | $0 | $0 | $0 | $0 | $0 | $5,132 | $0 | $0 | $0 | $247,582 | $0 | $0 | $0 |
| JOSEPH A GIZONI | ||||||||||||||
| CRNA | $230,893 | $0 | $0 | $0 | $0 | $0 | $3,883 | $0 | $0 | $0 | $234,776 | $0 | $0 | $0 |
| BRIAN BARKLEY | ||||||||||||||
| CRNA | $211,943 | $0 | $0 | $0 | $0 | $0 | $7,482 | $0 | $0 | $0 | $219,425 | $0 | $0 | $0 |
| DAVID S ANDERSON | ||||||||||||||
| CRNA | $210,005 | $0 | $0 | $0 | $0 | $0 | $4,959 | $0 | $0 | $0 | $214,964 | $0 | $0 | $0 |
| THOMAS DEFAUW | ||||||||||||||
| FORMER PRESIDENT & CEO | $257,995 | $0 | $0 | $0 | $88,651 | $0 | $72,107 | $0 | $20,256 | $0 | $439,009 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | THE CORPORATE CEO, SUBSIDIARY CEOS AND CORPORATE VICE-PRESIDENTS IN SOME INSTANCES HAVE RECEIVED THE FOLLOWING BENEFITS: TRAVEL FOR COMPANIONS, TAX INDEMNIFICATION, AND HEALTH CLUB OR SOCIAL DUES. THESE BENEFITS HAVE BEEN INCLUDED IN TAXABLE COMPENSATION. |
| Part I, Lines 4a-b | LINE 4A: TOM DEFAUW - RECEIVED $125,803 LINE 4B: FOR THE REPORTING ORGANIZATION: THE FOLLOWING CONTRIBUTIONS WERE MADE ON BEHALF OF THE INDIVIDUALS TO A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: THOMAS D. DEFAUW: $60,389 JOHN LISTON: $18,000 DAVID MCEWEN: $16,025 DR. MICHAEL TAWNEY: $18,000 DORIS SEIDL: $12,181 JENNIFER MONTGOMERY: $18,000 FOR THE RELATED PARENT ORGANIZATION: 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 | FOR THE REPORTING ORGANIZATION: MCLAREN PORT HURON OFFERS AN ANNUAL INCENTIVE PROGRAM TO THE EXECUTIVE TEAM (PRESIDENT/CEO AND VICE-PRESIDENTS). THE EXECUTIVE COMPENSATION COMMITTEE OVERSEES THE ESTABLISHMENT, IMPLEMENTATION, AND APPROVAL OF THE INCENTIVE PROGRAMS. THE ANNUAL INCENTIVE PROGRAM PLAN CONTAINS 2 SETS OF MEASURES: CIRCUIT BREAKER AND ORGANIZATION INCENTIVE PROGRAM MEASURERS, STANDARDS, AND WEIGHTS. CIRCUIT BREAKER MEASURERS OPERATING INCOME PLUS A RESERVE FOR INCENTIVE COMPENSATION. THE SECOND SET OF MEASURES INCLUDES UP TO 5 MEASURES IMPORTANT TO THE ORGANIZATION. THE INCENTIVE PAYOUT IS CALCULATED AS A PERCENTAGE OF BASE SALARY, FROM A RANGE OF PERCENTAGES. THE PRESIDENT/CEO INCENTIVE RANGES FROM 18.5% TO 37% AND THE VICE PRESIDENTS RANGE FROM 12% TO 24%. FAILURE TO PERFORM AT BELOW THRESHOLD LEVELS FOR THE CIRCUIT BREAKER MEASURES RESULTS IN A CURTAILED OR ELIMINATED INCENTIVE PAYMENT. FOR THE RELATED PARENT ORGANIZATION: 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 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 15a | FOR THE REPORTING ORGANIZATION: THE EXECUTIVE COMPENSATION COMMITTEE IS A SUBCOMMITTEE OF THE BOARD OF DIRECTORS RESPONSIBLE FOR ANNUALLY EVALUATING THE PERFORMANCE AND COMPENSATION OF THE CHIEF EXECUTIVE OF THE CORPORATION. THEY ARE RESPONSIBLE FOR ENSURING PORT HURON HOSPITAL CAN ATTRACT, RETAIN AND MOTIVATE TALENTED EXECUTIVES WHO ARE ENTRUSTED TO ACHIEVE PERFORMANCE OBJECTIVES AND TO FULFILL THE HOSPITAL'S MISSION. THE COMMITTEE UTILIZES THE SERVICES OF AN INDEPENDENT CONSULTANT TO ANALYZE TOTAL REMUNERATION AND COMPARATIVE STUDIES TO ENSURE TOTAL COMPENSATION IS REASONABLE AND COMPETITIVE. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS FISCAL YEAR 2016. FOR THE RELATED PARENT ORGANIZATION: 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 AVAILABLE UPON REQUEST. |
| Form 990, Part IX, line 11g | OTHER PROFESSIONAL FEES: Program service expenses 15,286,002. Management and general expenses 11,586,837. Fundraising expenses 0. Total expenses 26,872,839. |
| Form 990, Part XI, line 9: | CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY -12,932,455. TRANSFERS FROM RELATED ORGANIZATIONS 103,343,386. FORGIVENESS OF MPH FOUNDATION -1,090,935. |
| PART XII, LINE 2C: | THIS PROCESS HAS NOT CHANGED SINCE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (39 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MCLAREN BAY MEDICAL FOUNDATION | |||||||||||
| 1900 COLUMBUS AVE | BAY CITY | MI | 48708 | 382156534 | FOUNDATION | MI | 501(c)(3) | Line 11a, I | MCLAREN BAY REGION | Yes (1) | |
| MCLAREN BAY REGION | |||||||||||
| 1900 COLUMBUS AVE | BAY CITY | MI | 48708 | 381976271 | HOSPITAL | MI | 501(c)(3) | Line 3 | MCLAREN HEALTH CARE CORPORATION | Yes (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 | Yes (1) | |
| MCLAREN BAY SPECIAL CARE | |||||||||||
| 1900 COLUMBUS AVE | BAY CITY | MI | 48708 | 383161753 | HOSPITAL | MI | 501(c)(3) | Line 3 | MCLAREN BAY REGION | Yes (1) | |
| MCLAREN CENTRAL MICHIGAN | |||||||||||
| 1221 SOUTH DRIVE | MT PLEASANT | MI | 48858 | 381420304 | HOSPITAL | MI | 501(c)(3) | Line 3 | MCLAREN HEALTH CARE CORPORATION | Yes (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 | Yes (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 CORPORATION | Yes (1) | |
| MCLAREN GREATER LANSING FOUNDATION | |||||||||||
| 401 S GREENLAWN AVE | LANSING | MI | 48910 | 382463637 | FOUNDATION | MI | 501(c)(3) | Line 7 | MCLAREN GREATER LANSING | Yes (1) | |
| MCLAREN GREATER LANSING | |||||||||||
| 401 S GREENLAWN AVE | LANSING | MI | 48910 | 381434090 | HOSPITAL | MI | 501(c)(3) | Line 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| KARMANOS CANCER CENTER | |||||||||||
| 4100 JOHN R ST | DETROIT | MI | 48201 | 201649466 | HOSPITAL | MI | 501(c)(3) | Line 3 | KARMANOS CANCER INSTITUTE | Yes (1) | |
| 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 | Yes (1) | |
| MCLAREN LAPEER REGION | |||||||||||
| 1375 N MAIN ST | LAPEER | MI | 48446 | 382689033 | HOSPITAL | MI | 501(c)(3) | Line 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MCLAREN LAPEER REGION FOUNDATION | |||||||||||
| 1375 N MAIN ST | LAPEER | MI | 48446 | 382689603 | FOUNDATION | MI | 501(c)(3) | Line 11a, I | MCLAREN LAPEER REGION | Yes (1) | |
| MARWOOD MANOR NURSING HOME | |||||||||||
| PO BOX 5011 | PORT HURON | MI | 48060 | 382683251 | NURSING HOME | MI | 501(c)(3) | Line 9 | MCLAREN PORT HURON | Yes (1) | |
| MCLAREN HEALTH CARE CORPORATION | |||||||||||
| G-3235 Beecher Road Suite B | FLINT | MI | 48532 | 382397643 | SUPPORTING ORG | MI | 501(c)(3) | Line 11a, I | 0 | N/A | |
| 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 | Yes (1) | |
| MCLAREN HEALTH PLAN COMMUNITY | |||||||||||
| G-3245 BEECHER ROAD SUITE 200 | FLINT | MI | 48532 | 272204037 | INSURANCE | MI | 501(c)(4) | MCLAREN HEALTH PLAN | Yes (1) | ||
| MCLAREN HEALTH PLAN INC | |||||||||||
| G-3245 BEECHER ROAD | FLINT | MI | 48532 | 383252216 | HEALTH CARE SERVICES | MI | 501(c)(4) | MCLAREN HEALTH CARE CORPORATION | Yes (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 | Yes (1) | |
| MCLAREN HOSPITALITY HOUSE | |||||||||||
| 401 S BALLENGER HIGHWAY | FLINT | MI | 48532 | 455567669 | HOSPITALITY HOUSE | MI | 501(c)(3) | Line 7 | MCLAREN HEALTH CARE CORPORATION | Yes (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 | Yes (1) | |
| MCLAREN NORTHERN MICHIGAN | |||||||||||
| 416 CONNABLE AVENUE | PETOSKEY | MI | 49770 | 382146751 | ACUTE CARE HOSPITAL | MI | 501(c)(3) | Line 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MCLAREN NORTHERN MICHIGAN FOUNDATION | |||||||||||
| 360 CONNABLE AVENUE | PETOSKEY | MI | 49770 | 382445611 | FOUNDATION | MI | 501(c)(3) | Line 11a, I | MCLAREN NORTHERN MICHIGAN | Yes (1) | |
| MCLAREN FLINT | |||||||||||
| 401 S BALLENGER HWY | FLINT | MI | 48532 | 382383119 | HOSPITAL | MI | 501(c)(3) | Line 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MICHIGAN CANCER SOCIETY | |||||||||||
| 4100 JOHN R ST | DETROIT | MI | 48201 | 382823451 | CANCER RESEARCH | MI | 501(c)(3) | Line 7 | KARMANOS CANCER INSTITUTE | Yes (1) | |
| MOUNT CLEMENS REGIONAL HEALTHCARE FOUNDATION | |||||||||||
| PO BOX 326 | MOUNT CLEMENS | MI | 48046 | 382578873 | FOUNDATION | MI | 501(c)(3) | Line 9 | MCLAREN MACOMB | Yes (1) | |
| MCLAREN MACOMB | |||||||||||
| 1000 HARRINGTON | MOUNT CLEMENS | MI | 48043 | 381218516 | HOSPITAL | MI | 501(c)(3) | Line 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| NORTH OAKLAND NORTH MACOMB IMAGING INC | |||||||||||
| 355 BARCLAY CIR STE A | ROCHESTER HILLS | MI | 48307 | 382807040 | MRI IMAGING | MI | 501(c)(3) | Line 3 | MCLAREN OAKLAND | Yes (1) | |
| NORTHERN MICHIGAN HEMATOLOGY AND ONCOLOGY | |||||||||||
| 416 CONNABLE AVENUE | PETOSKEY | MI | 49770 | 320020293 | PHYSICIAN PRACTICE | MI | 501(c)(3) | Line 3 | MCLAREN NORTHERN MICHIGAN | Yes (1) | |
| NORTHERN MICHIGAN MEDICAL MANAGEMENT | |||||||||||
| 416 CONNABLE AVENUE | PETOSKEY | MI | 49770 | 208458840 | PHYSICIAN PRACTICE | MI | 501(c)(3) | Line 3 | MCLAREN NORTHERN MICHIGAN | Yes (1) | |
| PARKVIEW PROPERTY MANAGEMENT CORPORATION | |||||||||||
| PO BOX 5011 | PORT HURON | MI | 48060 | 382467310 | MANAGEMENT CORP | MI | 501(c)(3) | Line 11a, I | MCLAREN PORT HURON | Yes (1) | |
| MCLAREN OAKLAND FOUNDATION | |||||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 200442217 | FOUNDATION | MI | 501(c)(3) | Line 11c, III-FI | MCLAREN OAKLAND | Yes (1) | |
| MCLAREN OAKLAND | |||||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 381428164 | HOSPITAL | MI | 501(c)(3) | Line 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| PORT HURON HOSPITAL FOUNDATION | |||||||||||
| PO BOX 5011 | PORT HURON | MI | 48060 | 382777750 | FOUNDATION | MI | 501(c)(3) | Line 11a, I | MCLAREN PORT HURON | Yes (1) | |
| REGIONAL EMERGENCY MEDICAL SERVICE INC | |||||||||||
| 25400 W 8 MILE ROAD | SOUTHFIELD | MI | 48034 | 383255499 | AMBULANCE SERVICE | MI | 501(c)(3) | Line 9 | MCLAREN MEDICAL MANAGEMENT INC | Yes (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 | Yes (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 | Yes (1) | |
| VITALCARE INC | |||||||||||
| 761 LAFAYETTE AVENUE | CHEBOYGAN | MI | 49721 | 382527255 | HOSPICE CARE/HOME HEALTH SERVICES | MI | 501(c)(3) | Line 9 | MCLAREN NORTHERN MICHIGAN | Yes (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 | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| 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 | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | |||||||||||||||
| INSURANCE | N/A | C | 0 | 10 MAIN ST | GRAND CAYMAN | CJ | CJ | ||||||||
| 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 | C | Yes (1) | MCLAREN PORT HURON | 1.00000 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (22 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MCLAREN HEALTH CARE CORPORATION | ||
| M | $11,290,336 | Allocation of actual cost |
| MCLAREN HEALTH CARE CORPORATION | ||
| P | $6,834,121 | Allocation of actual cost |
| MCLAREN HEALTH CARE CORPORATION | ||
| S | $103,827,526 | Allocation of actual cost |
| MCLAREN HEALTH CARE CORPORATION | ||
| R | $138,169 | Allocation of actual cost |
| MCLAREN HEALTH CARE CORPORATION | ||
| C | $5,000,000 | Cash |
| KARMANOS CANCER CENTER | ||
| L | $245,553 | Allocation of actual cost |
| KARMANOS CANCER CENTER | ||
| P | $158,715 | Allocation of actual cost |
| MARWOOD MANOR NURSING HOME | ||
| L | $695,888 | Allocation of actual cost |
| MICHIGAN MOBILE PET LLC | ||
| N | $112,500 | Fair market value |
| PARKVIEW PROPERTY MANAGEMENT CORPORATION | ||
| K | $541,030 | Allocation of actual cost |
| PARKVIEW PROPERTY MANAGEMENT CORPORATION | ||
| L | $36,138 | Allocation of actual cost |
| PARKVIEW PROPERTY MANAGEMENT CORPORATION | ||
| O | $164,959 | Cost of compensation |
| PORT HURON HOSPITAL FOUNDATION | ||
| C | $149,259 | Fair market value |
| PORT HURON HOSPITAL FOUNDATION | ||
| L | $61,245 | Allocation of actual cost |
| PORT HURON HOSPITAL FOUNDATION | ||
| O | $379,223 | Cost of compensation |
| VISITING NURSE SERVICE OF MICHIGAN | ||
| J | $59,487 | Allocation of actual cost |
| WILLOW ENTERPRISES INC | ||
| O | $429,624 | Cost of compensation |
| WILLOW ENTERPRISES INC | ||
| S | $2,093,613 | Allocation of actual cost |
| MCLAREN MEDICAL GROUP | ||
| Q | $199,371 | Allocation of actual cost |
| MOUNT CLEMENS REGIONAL MEDICAL CENTER | ||
| O | $115,581 | Allocation of actual cost |
| VISITING NURSE SERVICE OF MICHIGAN | ||
| M | $108,921 | Allocation of actual cost |
| PORT HURON HOSPITAL FOUNDATION | ||
| R | $1,090,935 | COST |
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