2015-08-14T11:05:49-05:00 2014-09-30 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2013-10-01 382397643 MCLAREN HEALTH CARE CORPORATION MCLA 8103422000 401 S BALLENGER HIGHWAY FLINT MI 48532 DAVID MAZURKIEWICZ SENIOR VICE PRESIDENT & CFO 8103422000 2015-08-13 1 CAROL LALONDE CPA P00181637 2695674500 2013 2016-04-25 22:37:26Z DAVID MAZURKIEWICZ 401 S BALLENGER HIGHWAY FLINT MI 48532 152242163 0 X WWW.MCLAREN.ORG X 1981 MI TO PROVIDE PLANNING AND ADMINISTRATIVE SERVICES TO RELATED ENTITIES. 16 12 144 0 0 754291 7817325 8904347 119116215 127598229 3088096 8476627 1723332 1611460 131744968 146590663 1768769 1431884 0 0 26528159 29572113 0 0 0 90273889 96590401 118570817 127594398 13174151 18996265 314612585 325574737 194136597 209640279 120475988 115934458 MCLAREN HEALTH CARE, THROUGH ITS SUBSIDIARIES, WILL BE MICHIGAN'S BEST VALUE IN HEALTHCARE AS DEFINED BY QUALITY OUTCOMES AND COST. 0 0 127594398 1431884 127598229 PLANNING, ADMINISTRATIVE AND SUPPORT SERVICES PROVIDED TO RELATED HEALTH CARE ORGANIZATIONS. 127594398 1 1 0 1 0 0 0 0 0 0 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 126 0 1 144 1 1 1 1 CJ 0 0 0 0 0 0 0 0 X 16 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X DAVID MAZURKIEWICZ 8103422000 401 S BALLENGER HWY FLINT MI 48532 PHILIP INCARNATI PRESIDENT AND CEO 40.00 13.70 X X 7903842 0 554218 DAVID MCCREDIE CHAIRMAN 1.00 0.00 X X 16000 0 0 GREGORY LANE ASSISTANT SECRETARY 40.00 0.30 X X 1151220 0 21915 DAVID MAZURKIEWICZ TREASURER 40.00 2.50 X X 831341 0 191715 KATHRYN LAWTER VICE CHAIRPERSON 1.00 2.00 X X 14000 0 0 E JAMES BARRETT SECRETARY 1.00 7.50 X X 12250 0 0 DANIEL BOGE DIRECTOR 1.00 0.30 X 12250 0 0 DAVID BUZZELLI DIRECTOR 1.00 2.50 X 14000 0 0 DOMINIC MONASTIERE DIRECTOR 1.00 3.00 X 14000 0 0 H JAMES FITZGERALD DIRECTOR 1.00 0.50 X 12250 0 0 JAMES GEORGE DIRECTOR 1.00 1.00 X 12250 0 0 TONY HAIN DIRECTOR 1.00 1.00 X 14000 0 0 THOMAS ROBINET DIRECTOR 1.00 0.00 X 14000 0 0 BILL BOWEN DIRECTOR 1.00 10.00 X 14000 0 0 JIM PROWSE DIRECTOR 1.00 0.00 X 0 0 0 DAVE THOMPSON DIRECTOR 1.00 3.00 X 0 0 0 KEVIN TOMPKINS VICE PRESIDENT 40.00 0.60 X 588006 0 43217 MICHAEL TAYLOR COO - PART YEAR 40.00 3.30 X 394811 0 0 WILLIAM PETERSON VICE PRESIDENT 40.00 0.00 X 548280 0 22963 MICHAEL MCKENNA CMO 40.00 0.30 X 398663 0 2926 JANIS RIZZO CORPORATE CONTROLLER 40.00 0.30 X 350054 0 21831 RICHARD SARDELLI CORPORATE DIRECTOR OF INSURANCE 40.00 0.00 X 236619 0 20912 DANIEL MEDRANO CORPORATE DIRECTOR OF FACILITIES 40.00 0.30 X 261754 0 21831 DAVID DICKEY CORPORATE DIRECTOR OF CLINICAL ENGINEERING 40.00 0.00 X 241940 0 22839 ANNA PEROSKY CORPORATE DIRECTOR OF REIMBURSEMENT 40.00 0.00 X 236209 0 17034 13291739 0 941401 36 0 1 0 ANTHELIO 5400 LBJ FREEWAY SUITE 200 DALLAS TX 75240 IT SERVICES 110971482 GAFFEY HEALTHCARE 5110 MARYLAND WAY SUITE 200 BRENTWOOD TN 37027 REVENUE CYCLE SERVICES 1205796 PLANTE & MORAN 16060 COLLECTIONS CTR DR CHICAGO IL 60693 AUDIT, TAX AND CONSULTING SERVICES 1005295 GIARMARCO MULLINS & HORTON PC 101 W BIG BEAVER ROAD TENTH FLOOR C TROY MI 48084 LEGAL SERVICES 897684 PAYNE BRODER & FOSSEE PC 32100 TELEGRAPH ROAD SUITE 200 BINGHAM FARMS MI 48025 LEGAL SERVICES 718694 26 8904347 8904347 ALLOCATION REVENUE 900099 127598229 127598229 127598229 1603703 1603703 5994028 5651500 342528 342528 342528 6872924 0 6872924 6872924 6872924 MISCELLANEOUS 900099 1268932 1268932 1268932 146590663 127598229 0 10088087 X 1431884 1431884 15685761 15685761 10333006 10333006 1441014 1441014 1156699 1156699 955633 955633 2155526 2155526 453414 453414 341060 341060 73393042 73393042 2029838 2029838 423474 423474 807301 807301 836996 836996 354665 354665 220159 220159 477712 477712 14831813 14831813 299019 299019 DUES, LICENSES, MEMBERS 248936 248936 RECRUITING 114447 114447 REPAIRS AND MAINTENANCE 35775 35775 -432776 -432776 127594398 127594398 0 0 28044226 14838903 3648305 1802290 22534526 47415673 1249875 2717973 202427591 74346132 119594312 128081459 96843992 83769385 4490559 6440624 28954783 26093421 9252007 14415009 314612585 325574737 29840906 35965803 10465660 9880208 153830031 163794268 194136597 209640279 X 120420810 115586901 55178 347557 120475988 115934458 314612585 325574737 X 18996265 -2910143 -20627652 X X 0 1 X 1 1 1 X X X 0 0 0 MCLAREN REGIONAL MEDICAL CENTER 382383119 3 1 1 1 0 MCLAREN MEDICAL MANAGEMENT INC 382988086 LINE 11, TYPE I 0 1 1 0 INGHAM REGIONAL MEDICAL CENTER 381434090 3 1 1 1 0 BAY REGIONAL MEDICAL CENTER 381976271 3 1 1 1 0 LAPEER REGIONAL MEDICAL CENTER 382689033 3 1 1 1 0 VISITING NURSE SERVICES OF MICHIGAN 383491714 9 1 1 1 0 MCLAREN HEALTH PLAN 383383640 501(C)(4) 0 1 1 0 MOUNT CLEMENS REGIONAL MEDICAL CENTER 381218516 3 1 1 1 0 CENTRAL MICHIGAN COMMUNITY HOSPITAL 381420305 3 1 1 1 0 PONTIAC OSTEOPATHIC HOSPITAL 381428164 3 1 1 1 0 NORTHERN MICHIGAN REGIONAL HOSPITALS 382445613 3 1 1 1 0 MCLAREN PORT HURON HOSPITAL 381369611 3 1 1 1 0 KARMANOS CANCER INSTITUTE 381613280 4 1 1 1 0 KARMANOS CANCER CENTER 201649466 3 1 1 1 0 14 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 341060 341060 0 PART II-B, LINE 1: CONTRACTED WITH CONSULTING FIRMS ON A FEDERAL AND STATE LEVEL REGARDING VARIOUS HEALTHCARE LEGISLATION. 24075088 24075088 5253557 4155029 1098528 9422553 2742600 6679953 159138070 66237622 92900448 4538323 1210881 3327442 128081459 EQUITY INTEREST 26093421 F 26093421 ACCRUED PENSION COSTS 12760935 DEFERRED EQUIPMENT COSTS TO SUBSIDIARIES 110025572 FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 31870872 OBLIGATION UNDER SECURITIES LENDING 1959935 DEFERRED COMPENSATION 7176954 163794268 X PART X, LINE 2: THE CORPORATION AND SUBSTANTIALLY ALL OF ITS SUBSIDIARIES ARE NONPROFIT, TAX-EXEMPT ORGANIZATIONS; ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN THE CONSOLIDATED FINANCIAL STATEMENTS. 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. THE CORPORATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. THE CORPORATION AND CERTAIN OF ITS SUBSIDIARIES WERE AUDITED BY THE INTERNAL REVENUE SERVICE FOR THE 2012, 2011, AND 2010 TAX PERIODS. THE AUDITS WERE RECENTLY SETTLED AND CLOSED FOR ALL THE SUBSIDIARIES INVOLVED IN THE AUDIT, WITH THE EXCEPTION OF MHP. THE COMPLETION OF THE IRS AUDIT FOR MHP IS SUBJECT TO COMPLETION OF MHP'S APPLICATION TO BE RECOGNIZED UNDER INTERNAL REVENUE CODE SECTION 501(C)(4). SUBSEQUENT TO YEAR END, MHP HAS SUBMITTED THE APPLICATION REQUESTING EXEMPTION AND IS AWAITING A RESPONSE FROM THE INTERNAL REVENUE SERVICE. IF MHP IS NOT ABLE TO OBTAIN RECOGNITION UNDER SECTION 501(C)(4), THE INTERNAL REVENUE SERVICE COULD POTENTIALLY PROCEED WITH REVOKING THE TAX-EXEMPT STATUS OF MHP FOR THE YEAR ENDED DECEMBER 31, 2010 AND ALL YEARS SUBSEQUENT. THE CORPORATION IS CURRENTLY IN THE PROCESS OF RESPONDING TO THIS PROPOSED ACTION. THE FINANCIAL STATEMENTS HAVE NOT BEEN ADJUSTED FOR ANY POTENTIAL OUTCOMES OF THIS UNCERTAINTY AT SEPTEMBER 30, 2014 AND 2013. MANAGEMENT BELIEVES THE CORPORATION IS NOT SUBJECT TO TAX EXAMINATIONS FOR YEARS PRIOR TO SEPTEMBER 30, 2011. SUBSEQUENT TO ISSUANCE OF THESE FINANCIAL STATEMENTS, THE INTERNAL REVENUE SERVICE APPROVED MHPS TAX EXEMPT STATUS UNDER IRC SECTION 501(C)(4). AS SUCH, THE AFOREMENTIONED UNCERTAIN TAX POSITION DESCRIBED WITH REGARD TO MHP NO LONGER EXISTS. 1 GREAT LAKES CANCER INSTITUTE 401 S BALLENGER HWY FLINT MI 48532 383584572 501(C)(3) 1431884 N/A N/A GENERAL SUPPORT 1 0 PART I, LINE 2: CLIENT REVIEWS TAX-EXEMPT STATUS AND MONITORS OVERALL STANDING OF ORGANIZATION IN DETERMINING GRANTS. X X X X X 1 1 X X X X X X 1 1 0 0 0 0 0 0 0 PHILIP INCARNATI PRESIDENT AND CEO 1479146 0 0 0 6424696 0 543791 0 10427 0 8458060 0 2622986 0 GREGORY LANE ASSISTANT SECRETARY 714300 0 0 0 436920 0 9211 0 12704 0 1173135 0 0 0 DAVID MAZURKIEWICZ TREASURER 675110 0 0 0 156231 0 179840 0 11875 0 1023056 0 0 0 KEVIN TOMPKINS VICE PRESIDENT 411109 0 0 0 176897 0 40421 0 2796 0 631223 0 0 0 MICHAEL TAYLOR COO - PART YEAR 174288 0 0 0 220523 0 0 0 0 0 394811 0 0 0 WILLIAM PETERSON VICE PRESIDENT 388853 0 0 0 159427 0 12750 0 10213 0 571243 0 0 0 MICHAEL MCKENNA CMO 222115 0 0 0 176548 0 0 0 2926 0 401589 0 0 0 JANIS RIZZO CORPORATE CONTROLLER 283520 0 66534 0 0 0 12750 0 9081 0 371885 0 0 0 RICHARD SARDELLI CORPORATE DIRECTOR OF INSURANCE 201644 0 34975 0 0 0 11830 0 9082 0 257531 0 0 0 DANIEL MEDRANO CORPORATE DIRECTOR OF FACILITIES 221441 0 40313 0 0 0 12750 0 9081 0 283585 0 0 0 DAVID DICKEY CORPORATE DIRECTOR OF CLINICAL ENGIN 201354 0 40586 0 0 0 12096 0 10743 0 264779 0 0 0 ANNA PEROSKY CORPORATE DIRECTOR OF REIMBURSEMENT 202411 0 33798 0 0 0 11810 0 5224 0 253243 0 0 0 PART I, LINE 1A 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 LISTED IN PART VII HAVE RECEIVED THESE BENEFITS: PHILIP INCARNATI, GREG LANE, DAVID MAZURKIEWICZ, KEVIN TOMPKINS, WILLIAM PETERSON, MICHAEL MCKENNA, MICHAEL TAYLOR, AND RON STRACHAN. PART I, LINES 4A-B MICHAEL TAYLOR RECIEVED SEVERENCE PAY DURING THE FISCAL YEAR. 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 AS EITHER A LUMP SUM DISTRIBUTION OR 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. THE INDIVIDUALS LISTED IN PART VII WHO PARTICIPATED IN THE OLD SERP ARE: PHILIP INCARNATI, GREG LANE AND KEVIN TOMPKINS. THE INDIVIDUALS LISTED IN PART VII WHO PARTICIPATED IN THE NEW SERP ARE: WILLIAM PETERSON, GREG LANE, KEVIN TOMPKINS AND DAVID MAZURKIEWICZ. PART I, LINE 6 MCLAREN HEALTH CARE CORPORATION (MHCC) HAS AN INCENTIVE PROGRAM FOR LEADERS OF THE CORPORATION, SUBSIDIARY EXECUTIVES AND DIRECTORS, AND CORPORATE MANAGERS. THE PROGRAM IS COMPRISED OF QUALITY, OPERATIONAL AND FINANCIAL GOALS. 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. A MICHIGAN STATE HOSPITAL FINANCE AUTHORITY 382889417 59465HBM7 2005-06-29 156349826 HOSPITAL EQUIPMENT & CONSTRUCTION 0 0 0 B MICHIGAN STATE HOSPITAL FINANCE AUTHORITY 382889417 59465HJJ6 2008-08-06 219233396 REFUND PRIOR BONDS ISSUED 1994, 2006, 2003 & 2005. CONSTRUCTION 0 0 0 C MICHIGAN STATE HOSPITAL FINANCE AUTHORITY 382889417 59465HJM9 2008-08-06 168110000 REFUND PRIOR BONDS ISSUED 3/6/2008 AND 6/29/2005. 0 0 0 D MICHIGAN STATE HOSPITAL FINANCE AUTHORITY 382889417 59465HRJ7 2012-07-10 120819128 HOSPITAL EQUIPMENT & BUILDINGS. REFUND PRIOR BONDS ISSUED 0 0 0 A 75000000 166741323 1313889 165427435 2008 0 0 1 1 B 226636939 8096872 90224452 1940658 108818757 13781263 2843331 2010 1 1 1 1 C 168110000 420275 167062045 331724 645497 2008 1 0 1 1 D 120819128 1201399 11130746 108486983 2012 1 0 1 1 A 0 1 0 0 0.02620 0.00060 0.02680 0 0 1 B 0 1 1 1 0 0.01160 0.01160 0 0 1 C 0 1 1 1 0 0.02130 0.00040 0.02170 0 0 1 D 0 1 1 1 0 0 0 1 A 0 0 0 0 0 1 WELLS FARGO 33.600000000000 0 0 0 1 0 B 0 0 0 0 0 0 0 1 0 C 0 0 0 0 1 1 PNC BANK 33.600000000000 0 0 0 1 0 D 0 0 0 0 0 0 0 0 0 A 0 B 0 C 0 D 0 A MICHIGAN STATE HOSPITAL FINANCE AUTHORITY 382889417 NONEAVAIL 2010-12-01 67125000 HOSPITAL EQUIPMENT & BUILDINGS 0 0 0 B MICHIGAN FINANCE AUTHORITY 800596186 NONEAVAIL 2014-09-26 36220000 HOSPITAL EQUIPMENT & REFUNDING OF PRIOR BONDS ISSUED 3/24/2011 0 0 0 A 67125000 3272344 118355 61040612 2668689 2012 0 0 0 1 B 36220000 166679 16922266 15521273 3609782 2014 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 0 0 0 0 0 0 B 0 1 0 0 0 0 0 0 1 A 0 B 0 ANTHELIO PHILIP INCARNATI,BOARD MEMBER & SHAREHOLDER OF ANTHELIO 76436113 MHCC IS THE CO-FOUNDER AND HAS A MINORITY INTEREST IN ANTHELIO. AS PART OF THE AGREEMENT MHCC IS ENTITLED TO APPOINT TWO DIRECTORS TO THE ANTHELIO BOARD. MHCC APPOINTED JAMES FITZGERALD AND PHILIP INCARNATI TO HOLD THOSE POSITIONS. FEES PAID TO ANTHELIO FOR INFORMATION TECHNOLOGY SERVICES, MEDICAL RECORDS, TRANSCRIPTION, CODING, AND SYSTEM INSTALLATION. 0 ANTHELIO H. JAMES FITZGERALD, BOARD MEMBER OF ANTHELIO 76436113 MHCC IS THE CO-FOUNDER AND HAS A MINORITY INTEREST IN ANTHELIO. AS PART OF THE AGREEMENT MHCC IS ENTITLED TO APPOINT TWO DIRECTORS TO THE ANTHELIO BOARD. MHCC APPOINTED JAMES FITZGERALD AND PHILIP INCARNATI TO HOLD THOSE POSITIONS. FEES PAID TO ANTHELIO FOR INFORMATION TECHNOLOGY SERVICES, MEDICAL RECORDS, TRANSCRIPTION, CODING, AND SYSTEM INSTALLATION. 0 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 THE CORPORATE DIRECTOR OF BUDGET, THE CORPORATE SENIOR VICE PRESIDENT AND CFO OF MCLAREN HEALTH CARE CORPORATION (MHCC). COPIES OF THE 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 15 THE COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS TO REVIEW THE PERFORMANCE AND RECOMMEND THE TOTAL COMPENSATION PACKAGE OF THE CORPORATION'S CEO TO THE BOARD. FURTHER THE COMMITTEE ESTABLISHES THE SALARY RANGES AND PREREQUISITES OF THE CORPORATION'S OTHER MOST HIGHLY COMPENSATED OFFICERS (MHC VICE-PRESIDENTS AND MHC HOSPITAL/SUBSIDIARY 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 53.4956-6(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 AS 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 ANNUALLY REVIEWS THE MCLAREN HEALTH CARE CORPORATION COMPENSATION COMMITTEE CHARTER AND MCLAREN HEALTH CARE CORPORATION COMPENSATION PHILOSOPHY. THE MOST RECENT TIME THIS PROCESS WAS UNDERTAKEN WAS IN 2014. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTANT: PROGRAM SERVICE EXPENSES 3,561,006. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,561,006. PURCHASE SERVICES: PROGRAM SERVICE EXPENSES 3,869,171. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,869,171. IT SERVICES: PROGRAM SERVICE EXPENSES 65,796,124. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 65,796,124. SECURITY: PROGRAM SERVICE EXPENSES 92,736. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 92,736. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 7,303. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,303. OTHER FEES: PROGRAM SERVICE EXPENSES 66,702. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 66,702. FORM 990, PART XI, LINE 9: MINIMUM PENSION LIABILITY ADJUSTMENT -3,458,213. UNREALIZED GAIN ON INTEREST RATE SWAP -369,439. FUND TRANSFER TO ACQUIRE KARMANOS -15,600,000. FUND TRANSFER TO ACQUIRE PORT HURON -1,200,000. FORM 990, PART XI, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MICHIGAN MOBILE PET LLC 401 SOUTH BALLENGER HIGHWAY FLINT MI 48532 382397643 HEALTH CARE SERVICES MI MCLAREN HEALTH CARE CORPORATION 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 CENTRAL MICHIGAN COMMUNITY HOSPITAL 1221 SOUTH DRIVE MT PLEASANT MI 48858 381420304 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 CHARLEVOIX NURSING HOME CORPORATION DBA BOULDER PARK TERRACE 14676 WEST UPRIGHT CHARLEVOIX MI 49720 383038683 SKILLED NURSING FACILITY MI 501(C)(3) LINE 9 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 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