2016-08-15T10:35:40-05:00 2015-09-30 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2014-10-01 381420304 CENTRAL MICHIGAN COMMUNITY HOSPITAL CENT 9897726720 1221 SOUTH DRIVE MT PLEASANT MI 48858 TARA SOULES CFO 9897726720 2016-08-11 1 CAROL LALONDE CPA P00181637 2695674500 2016-08-10 2014 2016-09-27 15:27:22Z MCLAREN - CENTRAL MICHIGAN WILLIAM LAWRENCE 1221 SOUTH DRIVE MT PLEASANT MI 48858 87886310 0 X WWW.CMCH.ORG X 1940 MI TO IMPROVE THE HEALTH STATUS OF THE PEOPLE WE SERVE BY PROVIDING CARING, COMPASSIONATE, HIGH-QUALITY SERVICES. 16 13 729 155 0 0 96591 29434 89152545 83451915 348706 311902 2775732 4008431 92373574 87801682 334636 0 0 0 42682654 41459650 0 0 0 47335992 45479376 90353282 86939026 2020292 862656 75930241 72602418 20550673 20669530 55379568 51932888 CENTRAL MICHIGAN COMMUNITY HOSPITAL IS COMMITTED TO IMPROVING THE HEALTH STATUS OF THE PEOPLE WE SERVE BY PROVIDING CARING, COMPASSIONATE, HIGH-QUALITY SERVICES. 0 0 56992566 86450730 PROVIDED INPATIENT, OUTPATIENT, AND HOME CARE MEDICAL SERVICES. (PATIENT ADMISSIONS - 3,380, PATIENT DAYS - 9,775, TOTAL OUTPATIENT VISITS - 129,275) 56992566 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 79 1 1 729 1 0 0 0 0 0 0 0 0 0 0 X 16 13 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 1 1 0 X TARA SOULES 9897726720 1221 SOUTH DRIVE MT PLEASANT MI 48858 WILLIAM LAWRENCE PRESIDENT/CEO 50.00 0.30 X X 0 660301 30179 DANIEL BOGE VICE CHAIR 0.20 1.00 X X 0 14000 0 CHARLES LILLY MD CHIEF OF STAFF 0.10 0.00 X 0 0 0 SANDY CAUL CHAIR/STRATEGIC PLANNING 0.10 0.00 X 0 0 0 MAXINE KLUMPP KENT CHAIR/GOVERNANCE 0.10 0.00 X 0 0 0 KENNETH C BOVEE DIRECTOR 0.20 0.00 X 0 0 0 STEVEN W MARTINEAU DIRECTOR 0.30 0.00 X 0 0 0 STEVEN D PUNG CHAIR/FINANCE 0.20 0.00 X 0 0 0 FRANK CLOUTIER DIRECTOR 0.20 0.00 X 0 0 0 ASHOK VASHISHTA MD DIRECTOR/VPMA 0.00 40.00 X 0 0 0 JAMES WOJCIK DIRECTOR 0.20 0.00 X 0 0 0 MARK O'HALLA DIRECTOR 1.00 54.00 X 0 1533287 122545 DAVE KEILITZ DIRECTOR 0.20 0.00 X 0 0 0 PAM MYLER DIRECTOR 0.20 0.00 X 0 0 0 JANET STRICKLER DIRECTOR 0.20 0.00 X 0 0 0 NANCY RIDLEY DIRECTOR (PART-YEAR) 0.20 0.00 X 0 0 0 MICHAEL SWIRTZ MD DIRECTOR 0.20 0.00 X 0 0 0 SHERI UNDERWOOD MYERS CHIEF NURSING OFFICER 40.00 0.00 X 155799 0 18930 GERAD THERIAC CFO 40.00 0.00 X 157404 0 4549 DR OSCAR PARODI PULMONOLOGIST 40.00 0.00 X 551175 0 24161 DR WILLIAM NAILL RADIATION ONCOLOGIST 40.00 0.00 X 385008 0 7085 DR SOMDEV ROY MEDICAL ONCOLOGIST 40.00 0.00 X 351982 0 9317 DR KENNETH DAUPHINEE ANESTHESIOLOGIST 40.00 0.00 X 272552 0 11254 DR HENRY ARMAH PATHOLOGIST 40.00 0.00 X 258067 0 26766 2131987 2207588 254786 23 0 1 0 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 30368 CAFETERIA SERVICES 964132 PHARMACY SYSTEMS 505 BRANDENTON AVE DUBLIN OH 43017 LEASED EMPLOYEES 406531 CLIENT FINANCIAL SERVICES 5406 GATEWAY CENTRE DRIVE FLINT MI 48507 COLLECTION SERVICES 325633 MICHIGAN CO-TENANCY LABORATORIES DEPT CH 14271 PALATINE IL 60055 LAB SERVICES 263437 HONOR MEDICAL STAFFING 21415 CIVIC CENTER DR 21 SOUTHFIELD MI 48076 STAFFING 250555 9 29434 29434 PATIENT SERVICE REVENUE 624100 83451915 83451915 83451915 351977 351977 336355 0 336355 336355 336355 14690 54765 -40075 -40075 -40075 38810 29863 8947 8947 RETAIL PHARMACY 446110 1706094 1706094 FQHC 900099 1292721 1292721 GIFT SHOP REVENUE 900099 168363 168363 495951 495951 3663129 87801682 86450730 0 1321518 X 414057 414057 34910220 26303937 8606283 1160487 900929 259558 2803465 361568 2441897 2171421 1649956 521465 102409 102409 33117 33117 2220 2220 13385624 5089347 8296277 186816 186816 689218 391573 297645 122725 67129 55596 1738436 154588 1583848 84179 52193 31986 248329 248329 5247200 1684363 3562837 631605 85049 546556 SUPPLIES 13214598 12880489 334109 BAD DEBTS 4476650 4476650 QAAP 1887535 1887535 UTILITIES 1167946 1167946 2260769 1007260 1253509 86939026 56992566 29946460 0 16083 16282 11324670 16335171 127433 125654 5559870 4110096 2796658 3435069 2074408 2251825 413666 393345 96932415 69383833 35053168 27548582 2075886 3523559 13133768 13869052 903000 903000 2451631 90783 75930241 72602418 7955429 8696101 9469765 8301649 360704 56585 2764775 3615195 20550673 20669530 X 54447449 51079411 775130 705295 156989 148182 55379568 51932888 75930241 72602418 X 862656 -947002 -3362334 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2220 2220 0 PART II-B, LINE 1: A PORTION OF OUR DUES TO MICHIGAN HEALTH AND HOSPITAL ASSOCIATION SUPPORT LOBBYING ACTIVITIES. 932119 1365 -6305 73702 853477 913076 151016 9110 141083 932119 860480 245541 -15388 177557 913076 974023 297851 -109669 301726 860479 1337188 547370 -384954 525581 974023 0.00000 0.17360 0.82640 1 0 458125 458125 46804916 31194641 15610275 3084703 2331013 753690 40045895 35858179 4187716 6538776 6538776 27548582 FUNDED DEPRECIATION 8372664 C INVESTMENT 5496388 C 13869052 THIRD PARTY PAYOR SETTLEMENTS 3519505 OTHER LIABILITIES 95690 3615195 X PART V, LINE 4: TO ASSIST IN FUTURE CAPITAL NEEDS SUCH AS A CARDIOVASCULAR LAB. PART X, LINE 2: THE CORPORATION AND SUBSTANTIALLY ALL OF ITS SUBSIDIARIES ARE NONPROFIT, TAX-EXEMPT ORGANIZATIONS. SOME SUBSIDIARIES ARE FOR-PROFIT CORPORATIONS. INCOME TAX PROVISIONS ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE ACCOUNTING STANDARD THAT REFERS TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ADDRESSES THE DETERMINATION OF HOW TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED ON THE CONSOLIDATED FINANCIAL STATEMENTS. COMPANIES MUST RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE STANDARD ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS, AND REQUIRES INCREASED DISCLOSURES. THE EVALUATED POTENTIAL EXPOSURE RELATED TO UNCERTAIN TAX POSITIONS WAS FOUND TO BE IMMATERIAL. MANAGEMENT BELIEVES THE CORPORATION IS NOT SUBJECT TO FEDERAL TAX EXAMINATIONS FOR YEARS PRIOR TO SEPTEMBER 30, 2012. ZIPPER OPEN FUNDRAISER 38810 38810 29863 38810 38810 29863 29863 8947 1 1 X 1 X 1 X 1 1 0 1 1 253040 951127 -698087 0.00000 14632022 11976146 2655876 0.03220 14885062 12927273 1957789 0.03220 515 95693 4078 91615 0.00110 272 13942 13942 0.00020 65070 65070 0.00080 787 174705 4078 170627 0.00210 787 15059767 12931351 2128416 0.03430 339 339 0.00000 120198 120198 0.00150 120537 120537 0.00150 0 4476650 21783343 24284473 -2501130 X 1 1 1 1 CENTRAL MICHIGAN COMMUNITY HOSPITAL 1221 SOUTH DR MT PLEASANT MI 48858 X X X CENTRAL MICHIGAN COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X X 12 1 0 0 1 X FULL WEBSITE LISTED IN PART V SECTION C X X 1 12 1 FULL WEBSITE LISTED IN PART V SECTION C 0 0 1 X 250.000000000000 200.000000000000 X X X 1 1 X X X 1 X SEE PART V, SECTION B, LINE 16I FOR FULL WEBSITE X X 1 X 0 X 1 X X 0 0 CENTRAL MICHIGAN COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: KEY GROUPS WERE IDENTIFIED BY MCM AND THOMPSON REUTERS. GROUP INTERVIEWS WERE CONDUCTED TO COLLECT INPUT FROM THESE STAKEHOLDERS. INFORMATION FROM THESE INTERVIEWS WAS INSTRUMENTAL IN IDENTIFYING NEEDS ACROSS ALL CONTINUUMS FOR THE COMMUNITY. THE KEY GROUPS INCLUDE CENTRAL MICHIGAN DISTRICT HEALTH DEPT, CENTRAL MICHIGAN UNIVERSITY, SAGINAW CHIPPEWA INDIAN TRIBE, CMU MEDICAL SCHOOL, ISABELLA CITIZENS FOR HEALTH, PHYSICIANS (OB, IM, CARDIOLOGY, FP, ORTHOPEDICS, AND GENERAL SURGERY. CENTRAL MICHIGAN COMMUNITY HOSPITAL PART V, SECTION B, LINE 7D: CHNA AND IMPLEMENTATION POLICY CAN BE ACCESSED AT: HTTP://WWW.MCLAREN.ORG/CENTRALMICHIGAN/HEALTH-COMMUNITY-NEEDS.ASPX CENTRAL MICHIGAN COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: MENTAL HEALTH AND OBESITY & NUTRITION WERE NOT ADDRESSED. WHILE WE CONSIDER THESE PRIORITY NEEDS AND WILL CONTINUE TO PARTICIPATE IN THE SERVICE AREA WITH INITIATIVES TO ADDRESS THESE CONCERNS, AN ANALYSIS OF OUR DATA SPECIFIC TO THESE PRIORITIES DID NOT DEMONSTRATE A SIGNIFICANT NEED AT THIS TIME. WE WILL CONTINUE TO MONITOR THESE TRENDS AND RESPOND ACCORDINGLY SHOULD THEY BECOME A NOTABLE CONCERN IN MCM'S SERVICE AREA. CENTRAL MICHIGAN COMMUNITY HOSPITAL PART V, SECTION B, LINE 13B: PATIENT ACCOUNTS, CASE MGT PERSONNEL, THROUGH THEIR NORMAL JOB RESPONSIBILITIES, ARE PRIMARILY RESPONSIBLE FOR IDENTIFYING POTENTIAL CHARITY NEEDS AND BRINGING THEM TO THE ATTENTION OF THE APPROPRIATE PERSONNEL. PATIENTS APPLYING FOR FINANCIAL ASSISTANCE SHOULD BE SCREENED FOR ALL ASSISTANCE AVAILABLE THROUGH FEDERAL, STATE AND LOCAL GOVERNMENTS AND PROVIDE PROOF OF APPLICATION. INCOME FOR FINANCIAL ASSISTANCE IS BASED ON 200%-300% OF THE FEDERAL POVERTY GUIDELINES (PUBLISHED ANNUALLY IN THE FEDERAL REGISTER). A SLIDING DISCOUNT SCALE APPLIES TO THOSE THAT FALL BETWEEN 200%-300% OF THE GUIDELINE AND THEY WILL QUALIFY FOR A PARTIAL ADJUSTMENT. A COPY OF THE FEDERAL POVERTY GUIDELINES WILL BE MADE AVAILABLE UPON REQUEST. A PATIENT'S TOTAL RESOURCES WHICH COULD INCLUDE, BUT ARE NOT LIMITED TO, AN ANALYSIS OF ASSETS, LIABILITIES, TAXABLE GROSS INCOME, NET INCOME, EXPENSES AND ANY EXTENUATING CIRCUMSTANCES, WILL BE CONSIDERED IN DETERMINING ELIGIBILITY. CENTRAL MICHIGAN COMMUNITY HOSPITAL PART V, SECTION B, LINE 16I: FAP APPLICATION WEBSITE:HTTP://WWW.MCLAREN.ORG/UPLOADS/PUBLIC/DOCUMENTS/CORPORATE/REQUESTFOR FINANCIALASSISTANCE.PDF CENTRAL MICHIGAN COMMUNITY HOSPITAL PART V, SECTION B, LINE 22D: 50% DISCOUNT OFFERED PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY CENTRAL MICHIGAN COMMUNITY HOSPITAL PART V, SECTION B, LINE 16B WEBSITE: SEE PART V, SECTION B, LINE 16I FOR FULL WEBSITE PART I, LN 7 COL(F): THE PERCENTAGE IS CALCULATED BASED ON TOTAL FUNCTIONAL EXPENSES SHOWN ON PART X, LINE 25, LESS BAD DEBT OF $4,476,650. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY-BUILDING ACTIVITIES ARE DESIGNED AND IMPLEMENTED BASED ON COMMUNITY NEEDS ASSESSMENTS AND INPUT FROM COMMUNITY-BASED ORGANIZATIONS AND OTHER COMMUNITY STAKEHOLDERS, INCLUDING BUSINESS VENDORS, RELIGIOUS ORGANIZATIONS AND POLITICAL LEADERS. EACH ORGANIZATION DEFINES ANNUAL COMMUNITY-BUILDING AND OUTREACH ACTIVITY PLANS. THESE PLANS ARE DESIGNED TO ADDRESS THE SPECIFIC HEALTH PREVENTION, EDUCATION, DIAGNOSIS, TREATMENT AND FOLLOW-UP CARE REQUIREMENTS OF UNIQUE DISEASE, DEMOGRAPHIC AND GEOGRAPHIC COMMUNITIES IDENTIFIED BY ONGOING NEEDS ASSESSMENTS DESCRIBED ABOVE. PART III, LINE 4: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE CORPORATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE CORPORATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES, IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. PART III, LINE 8: THE COST TO CHARGE RATIO WAS USED IN THE CALCUATION, WHICH RESULTED IN A SHORTFALL OF $2,501,130. ADDITIONAL COSTS ASSOCIATED WITH MEDICARE BUT NOT INCLUDED ON THE COST REPORT INCLUDE THE MEDICARE ADVANTAGE PROGRAM. THE ORGANIZATION INCURRED GROSS CHARGES OF $7,522,380. AFTER APPLYING THE SAME COST TO CHARGE RATIO USED THROUGHOUT SCHEDULE H THE ESTIMATED COST INCURRED FOR THE MEDICARE ADVANTAGE PROGRAMS WAS $2,176,977. THE ORGANIZATION RECEIVED A TOTAL OF $1,989,557 IN REIMBURSEMENT. THE NET MEDICARE SHORTFALL FOR THE MEDICARE ADVANTAGE PROGRAM TOTALED APPROXIMATELY $187,420 FOR THE YEAR. THE ORGANIZATION FEELS THAT THE ENTIRE AMOUNT OF THE SHORTFALL SHOULD BE TAKEN INTO CONSIDERATION WHEN DETERMINING THE TOTAL COMMUNITY BENEFIT PROVIDED. PART III, LINE 9B: MCLAREN CENTRAL MICHIGAN WILL ALLOW ANY PATIENT TO ESTABLISH A PAYMENT PLAN AT ANY TIME DURING THE NORMAL COLLECTIONS PROCESS OF 120 DAYS. IN EXTENUATING CIRCUMSTANCES, WHEN A PATIENT DEMONSTRATES AN INABILITY TO PAY IN THE AMOUNT THE PATIENT MAY APPLY FOR AN EXTENDED PAYMENT PLAN BY CONTACTING ONE OF THE HOSPITAL FINANCIAL COUNSELORS. ACCOUNTS THAT QUALIFY FOR FINANCIAL HARDSHIP AND REDUCED PAYMENTS WILL BE TRANSFERRED FROM ACCOUNTS RECEIVABLE TO IN HOUSE BAD DEBT STATUS IN THE HOSPITAL AND PHYSICIAN OFFICE COMPUTER SYSTEM. THESE ACCOUNTS WILL BE MONITORED FOR COMPLIANCE WITH THE CONTRACT ESTABLISHED BY THE FINANCIAL COUNSELOR OR CENTRAL BILLING. PART VI, LINE 2: PRIMARY AND SECONDARY MARKET RESEARCH IS CONDUCTED BY AND THROUGH COMMUNITY-BASED HEALTH COALITIONS, ACADEMIC INSTITUTIONS, THIRD PARTY DATA ANALYTICS ORGANIZATIONS, HEALTH NEEDS ASSESSMENTS AND SURVEYS, HISTORIC HEALTH SERVICES UTILIZATION PATTERNS, DEMOGRAPHIC ANALYSIS AND POPULATION-BASED HEALTH CARE SERVICES UTILIZATION FORECASTS. PART VI, LINE 3: AVAILABILITY OF FINANCIAL ASSISTANCE INFORMATION AND EDUCATION IS PROVIDED AT ALL INPATIENT AND OUTPATIENT REGISTRATION POINTS-OF-SERVICE. INFORMATION AND EDUCATION IS ALSO AVAILABLE THROUGH THE ORGANIZATION'S WEBSITE. 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 SERVICE AREA OF CENTRAL MICHIGAN COMMUNITY HOSPITAL IS COMPOSED OF 11 ZIP CODES AND IS CENTERED PRINCIPALLY ON THE CITY OF MOUNT PLEASANT, MI IN THE COUNTY OF ISABELLA. THE PRIMARY SERVICE AREA, ACCOUNTING FOR 90% OF THE ANNUAL INPATIENT DISCHARGES, IS COMPOSED OF 7 ZIP CODES AND CAN BE CHARACTERIZED AS LARGELY URBAN IN NATURE. THE SECONDARY SERVICE AREA, ACCOUNTING FOR 10% OF THE ANNUAL INPATIENT DISCHARGES, IS COMPOSED OF 4 ZIP CODES AND CAN BE CHARACTERIZED AS LARGELY RURAL IN NATURE. PART VI, LINE 5: THE PARENT ORGANIZATION AND EACH OF ITS SUBSIDIARY/AFFILIATE MEMBERS MAINTAIN A LOCAL COMMUNITY-BASED BOARD WITH POWERS, RESPONSIBILITIES AND ACCOUNTABILITIES FOR THE OVERSIGHT OF THE OPERATION OF THEIR RESPECTIVE ORGANIZATIONS. EACH SUBSIDIARY/AFFILIATE ORGANIZATION MAINTAINS AN OPEN MEDICAL STAFF ALLOWING ANY PHYSICIAN OR OTHER CARE PROVIDER WITH PROPER CREDENTIALS TO JOIN THE STAFF AND PROVIDE APPROVED CARE. THE ORGANIZATION FUNDS AND MAINTAINS OVER 500 MEDICAL RESIDENCY AND FELLOWSHIP PROGRAMS TO TRAIN FUTURE GENERATIONS OF PHYSICIANS; ORGANIZATION FUNDS, OPERATES AND MAINTAINS NUMEROUS HEALTH CARE EDUCATION PROGRAMS AT THE HIGH SCHOOL, COMMUNITY COLLEGE, UNIVERSITY AND POST-GRADUATE LEVELS OF EDUCATION. ORGANIZATION PROVIDES SPONSORSHIP (FINANCIAL AND IN-KIND RESOURCES) SUPPORT TO COMMUNITY-LEVEL ACTIVITIES (HEALTH WALKS AND RACES, FITNESS TRAINING, DISEASE AWARENESS EVENTS, CULTURAL EVENTS AND OTHER HEALTH-RELATED NON-PROFIT ACTIVITIES, EVENTS AND ORGANIZATIONS). ORGANIZATION ALSO DIRECTS, FUNDS, SUPPORTS AND PARTICIPATES IN FUNDRAISING ACTIVITIES THAT SUPPORT HEALTH PREVENTION/EDUCATION, DIAGNOSIS AND TREATMENT PROVIDED BY OTHER NON-PROFIT COMMUNITY ORGANIZATIONS. PART VI, LINE 6: THE ROLE OF THE PARENT ORGANIZATION IS TO SET THE VISION AND STRATEGIC DIRECTION FOR THE ORGANIZATION AS A WHOLE. THIS INCLUDES THE DEVELOPMENT OF THE ANNUAL STRATEGIC PLAN WHICH DEFINES THE STRATEGIC PRIORITIES FOR THE ORGANIZATION AND ITS MEMBERS, THE METRICS TO BE MEASURED FOR EACH STRATEGIC PROGRAMS AND THE BENCHMARK OR TARGET/GOALS FOR EACH METRIC. STRATEGIC PRIORITIES DIRECTLY ADDRESS AND MEASURE (AT A SUBSIDIARY LEVEL) CLINICAL QUALITY AND CLINICAL OUTCOMES; PATIENT, PHYSICIAN, EMPLOYEE AND COMMUNITY SATISFACTION WITH THE ORGANIZATION AND ITS SUBSIDIARY/AFFILIATE MEMBERS; AND DEVELOPMENT OF NEW SERVICES TO IMPROVE ACCESS TO, QUALITY OF, AND COST OF HEALTH SERVICES.THE ROLE OF THE ORGANIZATION'S SUBSIDIARIES/AFFILIATES IS THE DEVELOPMENT AND IMPLEMENTATION OF ANNUAL STRATEGIC AND OPERATIONAL PLANS THAT SUPPORT AND ADVANCE THE STRATEGIC PLAN OF THE PARENT ORGANIZATION. ALL LOCAL PLANS ARE DEVELOPED AND DESIGNED TO REFLECT THE UNIQUE POPULATION-BASED HEALTH CARE NEEDS AND REQUIREMENTS OF THE COMMUNITIES SERVED BY THE SUBSIDIARY/AFFILIATE ORGANIZATION.ALL LOCAL SUBSIDIARIES/AFFILIATES HAVE FULL AUTHORITY AND DECISION-MAKING POWERS TO DEFINE AND EXECUTE THE STRATEGIC AND OPERATIONAL PLANS INTENDED TO IMPROVE THE HEALTH AND WELFARE OF THE COMMUNITIES THEY SERVE. PART VI, LINE 7, REPORTS FILED WITH STATES MI 0 1 0 0 0 0 0 0 0 WILLIAM LAWRENCE PRESIDENT/CEO 0 372077 0 84296 0 203928 0 13000 0 17179 0 690480 0 0 MARK O'HALLA DIRECTOR 0 695587 0 228074 0 609626 0 105366 0 17179 0 1655832 0 0 SHERI UNDERWOOD MYERS CHIEF NURSING OFFICER 145259 0 10540 0 0 0 7790 0 11140 0 174729 0 0 0 GERAD THERIAC CFO 157404 0 0 0 0 0 0 0 4549 0 161953 0 0 0 DR OSCAR PARODI PULMONOLOGIST 376175 0 175000 0 0 0 13000 0 11161 0 575336 0 0 0 DR WILLIAM NAILL RADIATION ONCOLOGIST 385008 0 0 0 0 0 5200 0 1885 0 392093 0 0 0 DR SOMDEV ROY MEDICAL ONCOLOGIST 351982 0 0 0 0 0 0 0 9317 0 361299 0 0 0 DR KENNETH DAUPHINEE ANESTHESIOLOGIST 272552 0 0 0 0 0 0 0 11254 0 283806 0 0 0 DR HENRY ARMAH PATHOLOGIST 258067 0 0 0 0 0 12903 0 13863 0 284833 0 0 0 PART I, LINE 1A THE CEO/EXECUTIVE DIRECTOR WAS COMPENSATED BY A RELATED ORGANIZATION, AND THEREFORE NONE OF THE LINE 1 BOXES HAVE BEEN CHECKED. THE CORPORATE CEO, SUBSIDIARY CEO'S AND CORPORATE VICE-PRESIDENTS IN SOME INSTANCES HAVE RECEIVED TAX INDEMNIFICATION FOR THE FOLLOWING BENEFITS: VEHICLE COSTS, GROUP TERM LIFE INSURANCE, SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS, AND HEALTH CLUB OR SOCIAL DUES. THESE BENEFITS HAVE BEEN INCLUDED IN TAXABLE COMPENSATION. THE FOLLOWING INDIVIDUALS HAVE RECEIVED THESE BENEFITS: WILLIAM LAWRENCE AND MARK O'HALLA PART I, LINE 3 THE CEO/EXECUTIVE DIRECTOR WAS COMPENSATED BY A RELATED ORGANIZATION, AND THEREFORE NONE OF THE LINE 3 BOXES HAVE BEEN CHECKED. THE RELATED ORGANIZATION USED THE FOLLOWING METHODOLOGIES TO ESTABLISH THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B MCLAREN MAINTAINS TWO SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES (THE "SERPS"). THE OLD SERP WAS CLOSED TO NEW PARTICIPANTS ON OCTOBER 1, 2006, AND THE NEW SERP BECAME EFFECTIVE AS OF JANUARY 1, 2007. NO EMPLOYEE MAY PARTICIPATE IN BOTH OF THE SERPS. THE OLD SERP IS STRUCTURED AS A DEFINED BENEFIT PLAN THAT ESSENTIALLY REPLACES THE BENEFITS THE PARTICIPANT IS NOT PERMITTED TO RECEIVE UNDER MCLAREN'S QUALIFIED RETIREMENT PLAN DUE TO IRS LIMITATIONS APPLICABLE TO QUALIFIED PLANS. THE BENEFIT UNDER THE OLD SERP IS PAYABLE IN EITHER THE FORM OF A LUMP SUM DISTRIBUTION OR IN MONTHLY PAYMENTS EQUAL TO THE ACTUARIAL EQUIVALENT OF THE PARTICIPANT'S ACCRUED BENEFIT. THE BENEFIT IS PAID AT AGE 55, AND IF THE PARTICIPANT REMAINS EMPLOYED, THE BENEFIT IS PAID UPON TERMINATION OF EMPLOYMENT, REDUCED TO TAKE INTO ACCOUNT THE BENEFIT PREVIOUSLY PAID. THE NEW SERP IS STRUCTURED AS A DEFINED CONTRIBUTION PLAN, AND MCLAREN CONTRIBUTES 15 PERCENT OF EACH PARTICIPANT'S COMPENSATION TO THE PLAN EACH YEAR FOR ALLOCATION TO THE PARTICIPANT'S ACCOUNT. PARTICIPANTS IN THE NEW SERP BECOME VESTED IN THEIR ACCOUNTS UPON THE EARLIER OF FIVE YEARS OF PARTICIPATION IN THE PLAN OR ATTAINMENT OF AGE 60. PARTICIPANTS IN THE NEW SERP SELF-DIRECT THE INVESTMENT OF THEIR ACCOUNTS AND HAVE THE ACTUAL INVESTMENT RETURN CREDITED OR DEBITED TO THEIR ACCOUNTS. THE BENEFIT UNDER THE NEW SERP IS EQUAL TO THE PARTICIPANT'S ACCOUNT BALANCE, AND THE BENEFIT IS PAID IN A SINGLE SUM WITHIN 60 DAYS OF THE PARTICIPANT'S TERMINATION DATE. BENEFITS UNDER BOTH SERPS ARE PROVIDED ON A TAX-NEUTRAL BASIS. BOTH SERPS ARE DESIGNED TO COMPLY WITH INTERNAL REVENUE CODE SECTIONS 457(F) AND 409A. NONE OF THE INDIVIDUALS LISTED IN PART VII PARTICIPATED IN THE OLD SERP. THE INDIVIDUALS LISTED IN PART VII WHO PARTICIPATED IN THE NEW SERP ARE WILLIAM LAWRENCE AND MARK O'HALLA. PART I, LINE 6 MCLAREN HEALTH CARE CORPORATION (MHCC) HAS A LEADERSHIP INCENTIVE PROGRAM FOR LEADERS OF THE CORPORATION, SUBSIDIARY EXECUTIVES AND DIRECTORS, AND CORPORATE MANAGERS. THE PURPOSE OF THE PLAN IS TO ENHANCE THE ORGANIZATION'S ABILITY TO ACHIEVE ITS GOALS BY PROVIDING TOP OFFICIALS AND THE BOARD OF DIRECTORS WITH A TOOL FOR (A) CLEARLY COMMUNICATING PERFORMANCE ON THE PART OF KEY LEADERS, (B) STIMULATING AND REWARDING SUPERIOR LEVELS OF PERFORMANCE ON THE PART OF KEY LEADERS WHICH WILL ULTIMATELY BENEFIT THE COMMUNITIES MHCC SERVES, AND (C) PROTECTING MHCC'S ABILITY TO COMPETE WITH OTHER EMPLOYERS FOR HIGH-TALENT LEADERS. SPAN PROPERTIES ASHOK VASHISHTA IS A BOARD MEMBER AND 50% OWNER OF SPAN PROPERTIES 157769 SPAN PROPERTIES LEASES A BUILDING AND X-RAY EQUIPMENT TO CENTRAL MICHIGAN COMMUNITY HOSPITAL. 0 SHIVAM PROPERTIES ASHOK VASHISHTA IS A BOARD MEMBER AND 50% OWNER OF SHIVAM PROPERTIES 85766 SHIVAM PROPERTIES LEASES A BUILDING TO CENTRAL MICHIGAN COMMUNITY HOSPITAL. 0 FORM 990, PART VI, SECTION A, LINE 2 DANIEL BOGE HAS BUSINESS RELATIONSHIPS WITH STEVEN MARTINEAU, JANET STRICKLER, AND PAM MYLER. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THIS ORGANIZATION IS MCLAREN HEALTH CARE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER SHALL HAVE THE EXCLUSIVE RIGHT TO ELECT OR APPOINT THE DIRECTORS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS BY THE GOVERNING BODY ARE SUBJECT TO THE POWERS OF THE MEMBER. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 DATA IS PREPARED INTERNALLY AND SUBMITTED TO OUR AUDITING FIRM FOR RETURN PREPARATION. ONCE THE RETURNS HAVE BEEN COMPLETED, THE FORMS ARE REVIEWED BY DIRECTORS AND CFOS WITHIN FINANCE. 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 OUR SYSTEM WHOSE RESPONSIBILITIES INCLUDES BUT ARE NOT LIMITED TO: APPROVING ALL SUBSIDIARY BOARD MEMBERS, FINANCIAL BUDGETS, AND ISSUANCE OF DEBT. FORM 990, PART VI, SECTION B, LINE 12C THE CORPORATE COMPLIANCE DEPARTMENT, IN ACCORDANCE WITH THE MCLAREN HEALTH CARE (MHC) BOARD CONFLICT OF INTEREST POLICY, ANNUALLY DISTRIBUTES THE CONFLICT OF INTEREST DISCLOSURE SURVEY TO ALL MHC CORPORATE AND SUBSIDIARY ORGANIZATION BOARD MEMBERS, EXECUTIVES AND OTHER LEADERSHIP EMPLOYEES. THE CORPORATE COMPLIANCE DEPARTMENT THROUGH THE GOVERNANCE COMMITTEE, COMPILES AND ANALYZES SURVEY DATA BY ORGANIZATION, INVESTIGATES, AND REVIEWS POTENTIAL CONFLICTS WITH THE ORGANIZATION'S CEO AND BOARD CHAIR, AND WHEN NECESSARY, RECOMMENDS ACTIONS TO BE TAKEN TO RESOLVE IDENTIFIED CONFLICTS. A COMPLETE REPORT OF ALL CORPORATE AND SUBSIDIARY BOARD MEMBER AND EXECUTIVE DISCLOSURES, CONFLICTS IDENTIFIED AND ACTIONS TAKEN IS REVIEWED BY THE MHC GOVERNANCE COMMITTEE AND EACH SUBSIDIARY CEO AND BOARD CHAIR RECEIVES A REPORT SPECIFIC TO THEIR ORGANIZATION'S BOARD MEMBERS AND EXECUTIVES. CONFLICTS ARE DISCLOSED TO THE FULL BOARD AND BOARD COMMITTEES SO APPROPRIATE ACTIONS CAN BE TAKEN. ACTIONS MAY INCLUDE PROHIBITING A BOARD MEMBER FROM PARTICIPATING IN DELIBERATIONS INVOLVING TRANSACTIONS WITH A COMPANY WITH WHICH THEY CONDUCT FINANCIAL TRANSACTIONS; BOARD MEMBERS FAILING TO COMPLETE A DISCLOSURE SURVEY OR INTENTIONALLY FAILING TO REPORT A KNOWN CONFLICT OF INTEREST ARE ASKED TO RESIGN. FORM 990, PART VI, SECTION B, LINE 15B THE COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS TO REVIEW THE PERFORMANCE AND RECOMMEND THE TOTAL COMPENSATION PACKAGE OF THE MCLAREN HEALTHCARE CORPORATION'S CEO TO THE BOARD. FURTHER THE COMMITTEE ESTABLISHES THE SALARY RANGES AND PREREQUISITES OF THE OTHER MOST HIGHLY COMPENSATED OFFICERS (MHC VICE-PRESIDENTS AND MHC HOSPICE/SUBSIDIARIES CEO'S) TO THE BOARD. THE MEMBERS OF THE COMMITTEE MUST MEET THE INDEPENDENCE REQUIREMENTS OF THE APPLICABLE PROVISIONS OF SECTION 4958 OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED AND FINAL TREASURY REGULATIONS SECTION 53.4958-6(C)(1)(III). THE COMMITTEE RETAINS THE SERVICES OF AN INDEPENDENT FIRM WITH SIGNIFICANT QUALIFICATIONS AND EXPERIENCE TO CONDUCT A REVIEW OF THE CORPORATION'S EXECUTIVE COMPENSATION PROGRAM. THE RETAINED FIRM UTILIZES APPROPRIATE COMPENSATION COMPARABILITY DATA. THE RETAINED FIRM CONDUCTS ANALYSIS OF THE COMPETITIVENESS OF THESE PROGRAMS AND EXPRESSES AN OPINION TO THE REASONABLENESS OF THESE COMPENSATION PROGRAMS. ALL DATA UTILIZED BY THE COMMITTEE, DELIBERATIONS OF THE COMMITTEE, AND FINAL COMPENSATION DECISIONS BY THE COMMITTEE ARE DOCUMENTED IN FORMAL REPORTS AND MINUTES. THE CORPORATE COMPENSATION COMMITTEE WORKS UNDER AND PERIODICALLY RENEWS THE MCLAREN HEALTH CARE CORPORATION COMPENSATION COMMITTEE CHARTER AND MCLAREN HEALTH CARE CORPORATION COMPENSATION PHILOSOPHY. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS FISCAL YEAR 2015. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 2,448,380. MANAGEMENT AND GENERAL EXPENSES 2,678,118. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,126,498. CORPORATE ALLOCATION: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,039,999. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,039,999. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 650,216. MANAGEMENT AND GENERAL EXPENSES 467,146. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,117,362. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,990,751. MANAGEMENT AND GENERAL EXPENSES 1,111,014. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,101,765. FORM 990, PART XI, LINE 9: JOINT VENTURES -62,069. FIXED ASSET IMPAIRMENT -3,300,265. FORM 990, PART XI, LINE 2C: THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. CENTRAL MICHIGAN VENTURES 1221 SOUTH DRIVE MOUNT PLEASANT MI 48858 383226022 HEALTH CARE SERVICES MI 0 33523 CENTRAL MICHIGAN COMMUNITY HOSPITAL BAY MEDICAL FOUNDATION 1900 COLUMBUS AVE BAY CITY MI 48708 382156534 FOUNDATION MI 501(C)(3) LINE 11A, I BAY REGIONAL MEDICAL CENTER 1 BAY REGIONAL MEDICAL CENTER 1900 COLUMBUS AVE BAY CITY MI 48708 381976271 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 BAY REGIONAL MEDICAL CENTER AUXILIARY 1908 COLUMBUS AVENUE BAY CITY MI 48708 386081235 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 11A, I BAY REGIONAL MEDICAL CENTER 1 BAY SPECIAL CARE HOSPITAL 1900 COLUMBUS AVE BAY CITY MI 48708 383161753 HOSPITAL MI 501(C)(3) LINE 3 BAY REGIONAL MEDICAL CENTER 1 MCLAREN HEALTH CARE CORPORATION G-3235 BEECHER ROAD SUITE B FLINT MI 48532 382397643 SUPPORTING ORG MI 501(C)(3) LINE 11A, I N/A 0 CHARLEVOIX NURSING HOME CORPORATION DBA BOULDER PARK TERRACE 14676 WEST UPRIGHT CHARLEVOIX MI 49720 383038683 SKILLED NURSING FACILITY MI 501(C)(3) LINE 9 NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM 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 1 INGHAM REGIONAL HEALTHCARE FOUNDATION 401 S GREENLAWN AVE LANSING MI 48910 382463637 FOUNDATION MI 501(C)(3) LINE 7 INGHAM REGIONAL MEDICAL CENTER 1 INGHAM REGIONAL MEDICAL CENTER 401 S GREENLAWN AVE LANSING MI 48910 381434090 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 KARMANOS CANCER CENTER 4100 JOHN R ST DETROIT MI 48201 201649466 HOSPITAL MI 501(C)(3) LINE 3 KARMANOS CANCER INSTITUTE 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 1 LAPEER REGIONAL MEDICAL CENTER 1375 N MAIN ST LAPEER MI 48446 382689033 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 LAPEER REGIONAL MEDICAL CENTER FOUNDATION 1375 N MAIN ST LAPEER MI 48446 382689603 FOUNDATION MI 501(C)(3) LINE 11A, I LAPEER REGIONAL MEDICAL CENTER 1 MARWOOD MANOR NURSING HOME PO BOX 5011 PORT HURON MI 48060 382683251 NURSING HOME MI 501(C)(3) LINE 9 PORT HURON HOSPITAL 1 MCLAREN HEALTH CARE VILLAGE FOUNDATION 401 S BALLENGER HIGHWAY FLINT MI 48532 262693350 SUPPORTING ORG MI 501(C)(3) LINE 11A, I MCLAREN HEALTH CARE CORPORATION 1 MCLAREN HEALTH PLAN INC G-3245 BEECHER ROAD FLINT MI 48532 383252216 HEALTH CARE SERVICES MI 501(C)(4) MCLAREN HEALTH CARE CORPORATION 1 MCLAREN HOSPITALITY HOUSE 401 S BALLENGER HIGHWAY FLINT MI 48532 455567669 HOSPITALITY HOUSE MI 501(C)(3) LINE 7 MCLAREN HEALTH CARE CORPORATION 1 MCLAREN MEDICAL GROUP 401 S BALLENGER HWY FLINT MI 48532 382988086 MANAGEMENT COMPANY MI 501(C)(3) LINE 11A, I MCLAREN HEALTH CARE CORPORATION 1 MCLAREN NORTHERN MICHIGAN 416 CONNABLE AVENUE PETOSKEY MI 49770 382146751 ACUTE CARE HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 MCLAREN REGIONAL MEDICAL CENTER 401 S BALLENGER HWY FLINT MI 48532 382383119 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 MOUNT CLEMENS REGIONAL HEALTHCARE FOUNDATION PO BOX 326 MOUNT CLEMENS MI 48046 382578873 FOUNDATION MI 501(C)(3) LINE 9 MOUNT CLEMENS REGIONAL MEDICAL CENTER 1 MOUNT CLEMENS REGIONAL MEDICAL CENTER 1000 HARRINGTON MOUNT CLEMENS MI 48043 381218516 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 NORTH OAKLAND NORTH MACOMB IMAGING INC 355 BARCLAY CIR STE A ROCHESTER HILLS MI 48307 382807040 MRI IMAGING MI 501(C)(3) LINE 3 PONTIAC OSTEOPATHIC HOSPITAL 1 NORTHERN MICHIGAN HEMATOLOGY AND ONCOLOGY 416 CONNABLE AVENUE PETOSKEY MI 49770 320020293 PHYSICIAN PRACTICE MI 501(C)(3) LINE 3 MCLAREN NORTHERN MICHIGAN 1 NORTHERN MICHIGAN MEDICAL MANAGEMENT 416 CONNABLE AVENUE PETOSKEY MI 49770 208458840 PHYSICIAN PRACTICE MI 501(C)(3) LINE 3 MCLAREN NORTHERN MICHIGAN 1 MCLAREN NORTHERN MICHIGAN FOUNDATION 360 CONNABLE AVENUE PETOSKEY MI 49770 382445611 FUNDRAISING MI 501(C)(3) LINE 11A, I MCLAREN NORTHERN MICHIGAN 1 PARKVIEW PROPERTY MANAGEMENT CORPORATION PO BOX 5011 PORT HURON MI 48060 382467310 MANAGEMENT CORP MI 501(C)(3) LINE 11A, I PORT HURON HOSPITAL 1 PONTIAC OSTEOPATHIC HOSPITAL 50 NORTH PERRY STREET PONTIAC MI 48342 381428164 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 POH RILEY FOUNDATION 50 NORTH PERRY STREET PONTIAC MI 48342 200442217 FOUNDATION MI 501(C)(3) LINE 11C, III-FI PONTIAC OSTEOPATHIC HOSPITAL 1 MCLAREN PORT HURON 1221 PINE GROVE AVENUE PORT HURON MI 48060 381369611 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 PORT HURON HOSPITAL FOUNDATION PO BOX 5011 PORT HURON MI 48060 382777750 SUPPORTING ORG MI 501(C)(3) LINE 11A, I PORT HURON HOSPITAL 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 1 THE CARDIAC INSTITUTE DBA MICHIGAN HEART & VASCULAR SPECIALISTS 416 CONNABLE AVENUE PETOSKEY MI 49770 262774689 PHYSICIAN PRACTICE MI 501(C)(3) LINE 3 MCLAREN NORTHERN MICHIGAN 1 VISITING NURSE SERVICE OF MICHIGAN 401 S BALLENGER HWY FLINT MI 48532 383491714 HEALTH CARE SERVICES MI 501(C)(3) LINE 9 MCLAREN HEALTH CARE CORPORATION 1 VITALCARE INC 761 LAFAYETTE AVENUE CHEBOYGAN MI 49721 382527255 HOSPICE CARE/HOME HEALTH SERVICES MI 501(C)(3) LINE 9 MCLAREN NORTHERN MICHIGAN 1 WOMENS HOSPITAL ASSOCIATION OF FLINT MICHIGAN 401 S BALLENGER HIGHWAY FLINT MI 48532 381358053 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 11A, I MCLAREN HEALTH CARE CORPORATION 1 MICHIGAN CANCER SOCIETY 4100 JOHN R ST DETROIT MI 48201 382823451 CANCER RESEARCH MI 501(C)(3) LINE 7 KARMANOS CANCER INSTITUTE 1 MCLAREN HOSPICE & HOME CARE FOUNDATION 1515 CAL DR DAVISON MI 48423 463643089 FOUNDATION MI 501(C)(3) LINE 11A, I VISITING NURSE SERVICES OF MICHIGAN 1 MCLAREN HEALTH PLAN COMMUNITY G-3245 BEECHER ROAD SUITE 200 FLINT MI 48532 272204037 INSURANCE MI 501(C)(4) MCLAREN HEALTH PLAN 1 MCLAREN - NORTHERN EQUITIES CANCER CENTER PROJECT LLC 39000 COUNTRY CLUB DRIVE FARMINGTON HILLS MI 48331 263112935 RENTAL REAL ESTATE MI N/A MOUNT CLEMENS REGIONAL HEALTH BUILDING HEALTH PARTNERS 1000 HARRINGTON ST MOUNT CLEMENS MI 48043 262524717 BUILDING MANAGEMENT MI N/A HEALTH ADVANTAGE INC G3245 BEECHER ROAD FLINT MI 48532 912141720 INSURANCE MI N/A C 0 CLARKSTON PROPERTY ASSOCIATES 50 NORTH PERRY STREET PONTIAC MI 48342 432006072 REAL ESTATE MI N/A C 0 HOSPITAL HEALTH CARE INC 50 NORTH PERRY STREET PONTIAC MI 48342 382643070 HEALTH CARE MI N/A C 0 PHYSICIAN ORGANIZED HEALTHCARE SYSTEM 50 NORTH PERRY STREET PONTIAC MI 48342 383136458 MANAGED CARE MI N/A C 0 VITALCARE HOME MEDICAL EQUIPMENT INC 761 LAFAYETTE AVENUE CHEBOYGAN MI 49721 382662954 SALE AND RENTAL OF DURABLE MEDICAL EQUIPMENT MI N/A C 0 PETOSKEY ASSURANCE LTD 68 WEST BAY ROADPO BOX 1109 GRAND CAYMAN CJ KY1-1102 980628316 PROFESSIONAL AND GENERAL LIABILITY COVERAGE CJ 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 WILLOW ENTERPRISES PO BOX 5011 PORT HURON MI 48061 382491659 OCCUPATIONAL HEALTH CLINIC AND OUTPATIENT PHARMACIES MI N/A C 0 DELPHINUS INVESTMENT INC 4100 JOHN R ST DETROIT MI 48075 454758176 HOLD PASSIVE INVESTMENT MI N/A C 0 MCLAREN INSURANCE COMPANY LTD 10 MAIN ST GRAND CAYMAN CJ INSURANCE CJ N/A C 0 MID-MICHIGAN PHYSICIANS PC 2510 KERRY STREET SUITE 200 LANSING MI 48912 383267121 PHYSICIAN PRACTICE MI N/A C 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 1 1 1 1 BAY REGIONAL MEDICAL CENTER O 53171 ACTUAL AMOUNT ACCRUED BAY REGIONAL MEDICAL CENTER H 145059 ACTUAL AMOUNT ACCRUED MCLAREN HEALTH CARE CORPORATION M 7150470 ALLOCATION OF COST MCLAREN HEALTH CARE CORPORATION P 75089 ALLOCATION OF COST MCLAREN HEALTH CARE CORPORATION N 624209 ALLOCATION OF COST MCLAREN HEALTH CARE CORPORATION K 144500 ALLOCATION OF COST MCLAREN REGIONAL MEDICAL CENTER O 100152 ALLOCATION OF COST KARMANOS CANCER INSTITUTE P 60778 ALLOCATION OF COST MCLAREN MEDICAL GROUP M 130047 ALLOCATION OF COST MCLAREN MEDICAL GROUP Q 172626 ALLOCATION OF COST MCLAREN MEDICAL GROUP P 7914832 ALLOCATION OF COST MCLAREN MEDICAL GROUP S 8498932 ALLOCATION OF COST MCLAREN MEDICAL GROUP R 1052408 ALLOCATION OF COST