2014-08-15T10:01:05-05:00 2013-09-30 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2012-10-01 382383119 MCLAREN REGIONAL MEDICAL CENTER MCLA 8103422000 401 S BALLENGER HIGHWAY FLINT MI 48532 RICK WYLES 8103422000 2014-08-12 1 CAROL LALONDE CPA P00181637 2695674500 2012 2015-11-30 17:44:51Z MCLAREN FLINT RICK WYLES 401 S BALLENGER HIGHWAY FLINT MI 48532 493760738 0 X WWW.MCLARENREGIONAL.ORG X 1981 MI PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY AND PROVIDE VARIOUS HEALTH PROMOTION EVENTS 13 10 3446 273 2537976 -175175 2763773 12374311 425240679 465737871 2966064 5528711 1166281 1397297 432136797 485038190 2250343 10530351 0 0 200904180 220838008 0 0 0 208300007 228156135 411454530 459524494 20682267 25513696 455107174 463339558 393839067 296065321 61268107 167274237 MCLAREN HEALTH CARE, THROUGH ITS SUBSIDIARIES, WILL BE MICHIGAN'S BEST VALUE IN HEALTHCARE AS DEFINED BY QUALITY OUTCOMES AND COST. 0 0 378267901 10530351 463199895 PROVISION OF MEDICAL SERVICES FOR THE INPATIENT AND OUTPATIENT CARE OF PERSONS SUFFERING FROM ILLNESS, INJURY, AND DISABILITY; FOR THE PREVENTION OF ILLNESS INJURY AND DISABILITY AND FOR THE MAINTENANCE OF HEALTH.SELECTED ACTIVITY STATISTICS ARE PRESENTED: PATIENT DAYS: 98,187DISCHARGES: 21,429EMERGENCY ROOM VISITS: 63,748OUTPATIENT VISITS: 387,452BIRTHS: 500 378267901 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 296 4 1 3446 1 1 1 0 0 0 0 1 1 0 0 0 0 X 13 10 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X RICK WYLES 8103422000 401 S BALLENGER HWY FLINT MI 48532 DAVID MAZURKIEWICZ 2.00 45.00 X X 0 1230393 24400 DON KOOY 40.00 1.20 X X 0 1466318 327576 DUANE MILLER 2.00 0.00 X 0 0 0 EDWARD ABBOTT 2.00 0.30 X X 0 0 0 FRAZER WADENSTORER MD 2.00 0.00 X 72340 0 0 GHASSAN SAAB 2.00 0.00 X 0 0 0 JAGDISH BHAGAT MD 2.00 0.00 X 150000 0 0 JIM CUMMINS 2.00 0.00 X 0 0 0 LAWRENCE MOON 2.00 0.00 X 0 0 0 PHILIP INCARNATI 2.00 50.90 X 0 6686886 2137055 SHERRI STEPHENS 2.00 0.00 X 0 0 0 ELIZABETH MURPHY 2.00 0.00 X 0 0 0 PATRICIA PERRINE 2.00 0.00 X 0 0 0 RICK WYLES 40.00 0.60 X 267022 0 41634 AHMED HAMODA 40.00 0.00 X 300300 0 24500 JOSEPH ARCIDI 40.00 0.00 X 542540 0 16085 PRAJESH PATEL 40.00 0.00 X 320803 0 24500 PAUL LAZAR 40.00 0.00 X 317058 0 17153 CARLOS PETROZZI 40.00 0.00 X 310523 0 37581 2280586 9383597 2650484 215 0 1 0 BARTON MALOWCHRISTMAN LLC 26500 AMERICAN DRIVE SOUTHFIELD MI 48034 CONSTRUCTION 3546162 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 303682289 DIETARY MGMT & FOOD COSTS 3364454 ANTHELIO 5400 LBJ FREEWAY SUITE 200 DALLAS TX 75240 TRANSCRIPTION & CODING SERVICES 3045835 SORENSEN GROSS CONSTRUCTION 801 SAGINAW ST SUITE 200 FLINT MI 48502 CONSTRUCTION 1477541 ANESTHESIA STAFFING CONSULTANTS 30200 TELEGRAPH ROAD SUITE 220 BINGHAM FARMS MI 48025 CRNA SERVICES 1285739 40 235125 8696707 3442479 12374311 PATIENT SERVICE REVENUE 621400 458045571 458045571 ELECTRONIC MEDICAL RECORD 621400 3933737 3933737 LABORATORY 621400 2537976 2537976 CONTRACTED MEDICAL SER. 621400 1220587 1220587 465737871 2959329 2959329 1329867 1031049 298818 298818 298818 10096250 2500 7340576 188792 2755674 -186292 2569382 2569382 115285 235125 162131 -46846 -46846 CAFETERIA 900099 1145325 1145325 1145325 485038190 463199895 2537976 6926008 X 10530351 10530351 10387036 10101380 285656 157601987 133412841 24189146 15842602 13534448 2308154 25553407 21830458 3722949 11452976 9968575 1484401 329475 329475 119350 119350 14651 14651 56876883 31954103 24922780 1081241 173957 907284 79678625 76568983 3109642 452533 420805 31728 7077399 2248252 4829147 247628 186729 60899 482873 122321 360552 5938229 5047495 890734 19999815 9160838 10838977 816668 816668 BAD DEBT EXPENSE 25167051 25167051 CHARITY CARE 14994922 14994922 QUALITY ASSURANCE ASSES 7959841 7959841 REPAIRS & MAINTENANCE 6021309 3749998 2271311 897642 317885 579757 459524494 378267901 81256593 0 19401002 20205967 78670202 68846521 6150029 7795000 1213614 1856267 442860423 244613436 191895251 198246987 135302997 141821762 82700 82700 22391379 24484354 455107174 463339558 41216976 40063128 115951075 114391315 78118049 75399697 158552967 66211181 393839067 296065321 X 58145183 164080899 3122924 3193338 61268107 167274237 455107174 463339558 X 25513696 14614906 65877528 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 14651 14651 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: A PORTION OF OUR DUES TO MICHIGAN HEALTH AND HOSPITAL ASSOCIATION SUPPORT LOBBYING ACTIVITIES. 5750648 5750648 127300235 81132636 46167599 3874024 2435582 1438442 210802751 156039482 54763269 95132765 5005736 90127029 198246987 PROFESSIONAL LIABILITY FUND-CASH, CORPORATE BONDS, AND MUTUAL FUNDS 1483613 F FUND DESIGNATED FOR FUTURE CAPITAL IMPROVEMENTS 63250727 F FUNDS HELD WITH RESTRICTIONS 414140 F GENERAL INVESTMENTS 72835463 F BOND DEBT SERVICE RESERVE FUND 3641976 F BOND PAYMENT ACCOUNT 195843 F 141821762 DEFERRED COMPENSATION ANNUITY CONTRACTS 1760554 DEFERRED CHARGES - BOND ISSUES 976811 DEFERRED CHARGES - ORGANIZATION COSTS 20618989 GOODWILL 1128000 24484354 COST REPORT SETTLEMENTS PAYABLE 807240 ACCRUED PENSION COSTS 36963246 ACCRUED POST RETIREMENT BENEFIT 22465626 ACCRUED PROFESSIONAL LIABILITY CLAIMS 4214515 DEFERRED COMPENSATION ANNUITY CONTRACTS 1760554 66211181 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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 ARE CURRENTLY BEING AUDITED BY THE IRS FOR THE 2012, 2011, AND 2010 TAX PERIODS. THE CORPORATION IS UNABLE TO QUANTIFY A TAX LIABILITY, IF ANY, AT THIS TIME. MANAGEMENT BELIEVES THE CORPORATION IS NOT SUBJECT TO TAX EXAMINATIONS FOR YEARS PRIOR TO SEPTEMBER 30, 2010. CLUB 401 119042 79877 39165 40683 18961 GOLF OUTING 231368 155248 76120 6750 78647 17090 350410 235125 115285 6750 119330 36051 162131 -46846 1 1 1 X 250.000000000000 1 X 1 1 1 0 1 1 4446826 1069818 3377008 0.00780 52604643 38129804 14474839 0.03330 7897876 675709 7222167 0.01660 64949345 39875331 25074014 0.05770 12765773 8594821 4170952 0.00960 3580721 1160470 2420251 0.00560 16346494 9755291 6591203 0.01520 81295839 49630622 31665217 0.07290 1 25167051 10066820 175543590 139361985 36181605 X 1 0 1 1 MCLAREN REGIONAL MEDICAL CENTER

401 S BALLENGER HIGHWAY FLINT MI 48532

X X X X X REHABILITATIVE & PSYCHIATRIC SERVICES AND DIAGNOSTIC CENTER NA 1 1 X X X X X X X 12 1 1 1 X X X X X X X X X X 0 0 1 1 250.000000000000 1 350.000000000000 0 1 1 X X X X 0 0 X X X X 1 X 0 0 PART I, LINE 6A: OUR PARENT, MCLAREN HEALTH CARE CORPORATION PREPARES AN ANNUAL REPORT OF ITS MEMBER HOSPITAL. THIS ANNUAL REPORT IS AVAILABLE ON OUR WEBSITE. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 25167051. PART II: 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.BASED ON MANAGEMENT'S EXPERIENCE, 40% WAS USED TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENT'S ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. N/A PART V, SECTION B, LINE 3: IDENTIFICATION OF RISKS LED BY PRINCIPAL PARTNER THE GREATER FLINT HEALTH COALITION AND INCLUDING THREE OTHER PRINCIPAL PARTNERS; GENESYS HEALTH SYSTEM, HURLEY MEDICAL CENTER, AND MCLAREN-FLINT (THE THREE MAJOR HEALTH SYSTEM FACILITIES IN THE AREA). THE ASSESSMENT INVOLVED OTHER PERSONS AND ORGANIZATIONS IN THE COMMUNITY WITH EXPERTISE IN PUBLIC HEALTH, GOVERNMENT HEALTH, LEADERS, REPRESENTATIVES AND MEMBERS OF THE MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. N/A PART V, SECTION B, LINE 4: GENESYS HEALTH SYSTEM AND HURLEY MEDICAL CENTER N/A PART V, SECTION B, LINE 5C: THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN CAN BE FOUND ON THE ORGANIZATIONS WEBSITE AT HTTP://WWW.MCLAREN.ORG/UPLOADS/PUBLIC/DOCUMENTS/FLINT/DOCUMENTS/NEWS/CHNAPLAN513.PDF N/A PART V, SECTION B, LINE 7: THE ASSESSMENT IDENTIFIED THE MAJOR FACTORS AFFECTING THE HEALTH OF THE COMMUNITY. WHICH ARE: ACCESS, HEALTH STATUS, COST, INFANT MORTALITY, AND SOCIAL DETERMINANTS. AND THE SIX MAJOR FOCUS AREAS AS: EFFECTIVE CARE DELIVERY FOR AGING POPULATION, INFANT & CHILD HEALTH IMPROVEMENT, PHYSICAL ENVIRONMENT-NEIGHBORHOOD SAFETY-& TRANSPORTATION, TOBACCO FREE LIVING, PHYSICAL ACTIVITY & ACTIVE LIVING, AND NUTRITION & DIET. SOME OF THE NEEDS IDENTIFIED ARE NOT BEING ADDRESSED DUE TO LACK OF RESOURCES AT THIS TIME. 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 ORGANIZATIONS WEBSITE(S). FINANCIAL AND APPLICATION FORMS ARE AVAILABLE AT ALL INPATIENT AND OUTPATIENT POINTS-OF-SERVICE, INCLUDING PROVIDING ASSISTANCE IN COMPLETING THE APPLICATION. ORGANIZATION AND ITS SUBSIDIARIES/AFFILIATES ALSO PROVIDE SPECIALLY-TRAINED COUNSELORS TO ASSIST PATIENTS AND REVIEW ELIGIBILITY FOR FEDERAL, STATE AND OTHER GOVERNMENT PROGRAMS, INCLUDING, BUT NOT LIMITED TO, MEDICAID, DISABILITY, SOCIAL SECURITY, AND ANY OTHER FORMS OF THIRD PARTY PAYMENT. PART VI, LINE 4: THE SERVICE AREA OF MCLAREN REGIONAL MEDICAL CENTER IS COMPOSED OF 32 ZIP CODES AND IS CENTERED PRINCIPALLY ON THE CITY OF FLINT, MI IN THE COUNTY OF GENESEE. THE PRIMARY SERVICE AREA, ACCOUNTING FOR 93% OF ANNUAL INPATIENT DISCHARGES, IS COMPOSED OF 21 ZIP CODES AND CAN BE CHARACTERIZED AS LARGELY URBAN IN NATURE. THE SECONDARY SERVICE AREA, ACCOUNTING FOR 7% OF ANNUAL INPATIENT DISCHARGES, IS COMPOSED OF 11 ZIP CODES AND CAN BE CHARACTERIZED AS LARGELY URBAN IN NATURE. PRIMARY SERVICE AREA DEMOGRAPHIC DISTRIBUTIONSAGE DISTRIBUTION0 - 14 19.4%15 - 17 4.4%18 - 24 9.5%25 - 34 11.6%35 - 54 26.4%55 - 64 13.5%65+ 15.2%EDUCATION LEVELLESS THAN HIGH SCHOOL 2.8%SOME HIGH SCHOOL 8.3%HIGH SCHOOL DEGREE 34.0%SOME COLLEGE/ASSOC. DEGREE 36.5%BACHELORS DEGREE OR GREATER 18.5%HOUSEHOLD INCOME DISTRIBUTION<$15K 17.9%$15 - 25K 13.0%$25 - 50K 27.6%$50 - 75K 18.5%$75 - 100K 10.4%OVER $100K 12.6%RACE/ETHNICITYWHITE NON-HISPANIC 72.6%BLACK NON-HISPANIC 20.1%HISPANIC 3.4%ASIAN & PACIFIC IS. NON-HISPANIC 0.9%ALL OTHERS 3.0% 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. REPORTS FILED WITH STATES PART VI, LINE 7 MI 1 MCLAREN HEALTH CARE CORPORATION 401 S BALLENGER HWY FLINT MI 48532 382397643 501(C)(3) 1905376 PROGRAM SUPPORT MCLAREN MEDICAL MANAGMENT INC 401 S BALLENGER HWY FLINT MI 48532 382988086 501(C)(3) 8624975 PROGRAM SUPPORT 2 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: GRANTS ARE PROVIDED TO RELATED ORGANIZATIONS THAT SUPPORT THE MISSION OF MCLAREN REGIONAL MEDICAL CENTER. 0 1 0 0 0 0 0 0 0 DAVID MAZURKIEWICZ 0 613737 0 467008 0 149648 0 12250 0 12150 0 1254793 0 0 DON KOOY 0 555947 0 419959 0 490412 0 314916 0 12660 0 1793894 0 0 PHILIP INCARNATI 0 1419750 0 2813143 0 2453993 0 2124184 0 12871 0 8823941 0 0 RICK WYLES 217089 0 49933 0 0 0 27134 0 14500 0 308656 0 0 0 AHMED HAMODA 300300 0 0 0 0 0 12500 0 12000 0 324800 0 0 0 JOSEPH ARCIDI 491915 0 50625 0 0 0 4085 0 12000 0 558625 0 0 0 PRAJESH PATEL 320803 0 0 0 0 0 12500 0 12000 0 345303 0 0 0 PAUL LAZAR 280787 0 36271 0 0 0 5153 0 12000 0 334211 0 0 0 CARLOS PETROZZI 310523 0 0 0 0 0 25581 0 12000 0 348104 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 LISTED IN PART VII HAVE RECEIVED THESE BENEFITS: PHILIP INCARNATI AND DAVID MAZURKIEWICZ. 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 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 AND DON KOOY. THE INDIVIDUALS LISTED IN PART VII WHO PARTICIPATED IN THE NEW SERP ARE DAVID MAZURKIEWICZ AND DON KOOY. 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. SUPPLEMENTAL INFORMATION PART III SCHEDULE J, 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, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. ANTHELIO PHILIP INCARNATI, BOARD MEMBER AND SHAREHOLDER OF ANTHELIO 4860486 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 PROTOM INTERNATIONAL PHILIP INCARNATI, BOARD MEMBER OF PROTOM INTERNATIONAL 10049164 SERVICES AND EQUIPMENT WERE PROVIDED FOR THE PROTON BEAM PROJECT. 0 SORENSEN GROSS CONSTRUCTION SERVICES GHASSAN SAAB, BOARD MEMBER OF MRMC, CEO SORENSEN GROSS 6939624 CONSTRUCTION SERVICES 0 RELIANT RENAL CARE PHILIP INCARNATI, DIRECTOR ON THE BOARD OF RELIANT RENAL CARE 400000 MCLAREN REGIONAL MEDICAL CENTER PAID RELIANT RENAL CARE FOR SERVICES DURING THE CURRENT YEAR. 0 FORM 990, PART VI, SECTION A, LINE 2 PHILIP INCARNATI AND DONALD KOOY HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THIS ORGANIZATION IS MCLAREN HEALTH CARE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER SHALL HAVE THE EXCLUSIVE RIGHT TO ELECT OR APPOINT THE DIRECTORS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS BY THE GOVERNING BODY ARE SUBJECT TO THE POWERS OF THE MEMBER. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 DATA IS PREPARED INTERNALLY AND SUBMITTED TO OUR AUDITING FIRM FOR RETURN PREPARATION. ONCE THE RETURNS HAVE BEEN COMPLETED, THE FORMS ARE REVIEWED BY 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 OF THE CEO IS DETERMINED BY THE COMPENSATION COMMITTEE OF MCLAREN HEALTH CARE CORPORATION BASED UPON THE PERFORMANCE OF THE CEO. THE COMPENSATION OF THE CEO IS WITHIN THE SALARY RANGES DETERMINED BY THE COMPENSATION COMMITTEE OF MCLAREN HEALTH CARE CORPORATION. THE PROCESS OF THE COMPENSATION COMMITTEE IS AS FOLLOWS: 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 2013. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. OTHER FEES FORM 990, PART IX, LINE 11G COLLECTION AGENCY FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,290,265. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,290,265. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 31,954,103. MANAGEMENT AND GENERAL EXPENSES 23,632,515. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,586,618. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: MIMIMUM PENSION LIABILITY ADJUSTMENT 66,078,764. TRANSFER FROM RESTRICTIONS 220,680. CHANGE IN RESTRICTED FUNDS 70,415. UNREALIZED GAIN/LOSS ON INVESTMENT IN SUB -492,331. FORM 990, PART XI, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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 CENTRAL MICHIGAN COMMUNITY HOSPITAL RADIATION ONCOLOGY 1000 HARRINGTON MT PLEASANT MI 48858 300312172 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 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LAFAYETTE AVENUE CHEBOYGAN MI 49721 382662954 SALE AND RENTAL OF DURABLE MEDICAL EQUIPMENT 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 1 1 0 0 0 0 0 0 0 1 0 1 1 1 0 1 1 0 1 MCLAREN HEALTH CARE CORPORATION M 22708368 ALLOCATION OF ACTUAL COST MCLAREN HEALTH CARE CORPORATION J 560000 ALLOCATION OF ACTUAL COST MCLAREN HEALTH CARE CORPORATION B 1905376 ALLOCATION OF ACTUAL COST MCLAREN HEALTH CARE CORPORATION J 594747 ALLOCATION OF ACTUAL COST MCLAREN HEALTH CARE CORPORATION O 1563124 ALLOCATION OF ACTUAL COST MCLAREN HEALTH CARE CORPORATION Q 75811354 ALLOCATION OF ACTUAL COST GREAT LAKES CANCER INSTITUTE Q 815883 ALLOCATION OF ACTUAL COST VISITING NURSE SERVICE OF MICHIGAN Q 54873338 ALLOCATION OF ACTUAL COST VISITING NURSE SERVICE OF MICHIGAN P 4840864 ALLOCATION OF ACTUAL COST MCLAREN HOSPITALITY HOUSE B 8624975 CASH POH REGIONAL MEDICAL CENTER O 102418 ALLOCATION OF ACTUAL COST POH REGIONAL 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