KARMANOS CANCER FOUNDATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
KARMANOS CANCER FOUNDATION (EIN 38-3584572)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-13
IRS object ID
201342259349300524
Schema version
2011v1.5
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-13T08:17:03-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN381357951EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1750 TRADE CENTRE WAY STE 300AddressLine1
CityPORTAGECity
StateMIState
ZIP Code49002ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN383584572EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GREAT LAKES CANCER INSTITUTEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGREANameControl
Phone8103421290Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 S BALLENGER HWYAddressLine1
CityFLINTCity
StateMIState
ZIP Code48532ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJANIS RIZZO TREASURERName
TitleTREASURERTitle
Phone8103421290Phone
Date Signed2013-08-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCAROL LALONDE CPAName
PTINP00181637PTIN
Phone2695674500Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1MCLAREN CANCER INSTITUTEBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonJANIS RIZZONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1401 S BALLENGER HWYAddressLine1
CityFLINTCity
StateMIState
ZIP Code48532ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2161499GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MCLAREN.ORG/CANCERWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2000YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionTO OVERSEE AND ADMINISTER A NETWORK OF CERTIFIED/ACCREDITED PROVIDERS OF CANCER CARE, PROVIDE FOR CANCER RESEARCH & CANCER EDUCATION IN THE COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1819715ContributionsGrantsPriorYear
Contributions Grants Current Year2112335ContributionsGrantsCurrentYear
Program Service Revenue Prior Year262873ProgramServiceRevenuePriorYear
Program Service Revenue CY49164ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year2082588TotalRevenuePriorYear
Total Revenue Current Year2161499TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2074663OtherExpensePriorYear
Other Expenses Current Year2153544OtherExpensesCurrentYear
Total Expenses Prior Year2074663TotalExpensesPriorYear
Total Expenses Current Year2153544TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7925RevenuesLessExpensesPriorYear
Revenues Less Expenses CY7955RevenuesLessExpensesCY
Total Assets BOY341279TotalAssetsBOY
Total Assets EOY358274TotalAssetsEOY
Total Liabilities BOY331514TotalLiabilitiesBOY
Total Liabilities EOY340554TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9765NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY17720NetAssetsOrFundBalancesEOY
Mission DescriptionTO OVERSEE AND ADMINISTER A NETWORK OF CERTIFIED/ACCREDITED PROVIDERS OF CANCER CARE, PROVIDE FOR CANCER RESEARCH AND CANCER EDUCATION IN THE COMMUNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense2082438Expense
Revenue49164Revenue
DescriptionTO OVERSEE AND ADMINISTER A NETWORK OF CERTIFIED/ACCREDITED PROVIDERS OF CANCER CARE, PROVIDE FOR CANCER RESEARCH AND CANCER EDUCATION IN THE COMMUNITY.Description
Total Program Service Expense2082438TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109612NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JANIS RIZZOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8103422091TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1401 S BALLENGER HWYAddressLine1
CityFLINTCity
StateMIState
ZIP Code48532ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
ALICE GERARD
DIRECTOR0.30X0101100829230
BARTON BUXTON
DIRECTOR0.30X0690956103773
CLARENCE SEVILLIAN
DIRECTOR0.30X035677675820
DON KOOY
DIRECTOR0.30X0999659253731
JANIS RIZZO
DIRECTOR - TREASURER0.30X033711442844X
MARK O'HALLA
DIRECTOR0.30X0115473729030
PATRICK SALOW
DIRECTOR0.30X017967210253
PHILIP INCARNATI
DIRECTOR - CHAIR0.30X05512732837545X
RAYMOND DEMERS MD
PRESIDENT/CEO/DIRECTOR40.00X036686431772X
CATHERINE DEVET
DIRECTOR0.30X000
RICK WRIGHT
DIRECTOR0.30X000
WILLIAM LAWRENCE
DIRECTOR0.30X042732715934
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs11036845TotalReportableCompFrmRltdOrgs
Total Other Compensation1429932TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MICHIGAN STATE UNIVERSITYBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1426 AUDITORIUM RDAddressLine1
CityEAST LANSINGCity
StateMIState
ZIP Code48824ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesLABOR AND BENEFITSDescriptionOfServices
Compensation193282Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Related Organizations2077932RelatedOrganizations
All Other Contributions34403AllOtherContributions
Total Contributions2112335TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionCLINICAL TRIALSDescription
Business Code621500BusinessCode
Total Revenue Column49164TotalRevenueColumn
Related Or Exempt Function Income49164RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue49164TotalProgramServiceRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2161499TotalRevenueColumn
Related Or Exempt Function Income49164RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total495Total
Program Services495ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1638206Total
Program Services1638206ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total321949Total
Program Services321949ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total53646Total
Management And General53646ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total8049Total
Program Services8049ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total17460Total
Management And General17460ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total21653Total
Program Services21653ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total20597Total
Program Services20597ProgramServices

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
COMMUNITY SUPPORT4504145041
DVD PROJECT2644826448

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2153544Total
Program Services2082438ProgramServices
Management And General71106ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY86268BOY
EOY138485EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY255011BOY
EOY207714EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY12075EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY341279BOY
EOY358274EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY331514BOY
EOY340554EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY331514BOY
EOY340554EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY9765BOY
EOY17720EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9765BOY
EOY17720EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY341279BOY
EOY358274EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses7955ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1327727CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1578806CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1709523CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1819715CurrentTaxYearMinus1Year
Current Tax Year2077932CurrentTaxYear
Total8513703Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1327727CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1578806CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1709523CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1819715CurrentTaxYearMinus1Year
Current Tax Year2077932CurrentTaxYear
Total8513703Total
FieldValueIRS element (for citing)
Public Support Total1708513703PublicSupportTotal170
Total Support8513703TotalSupport
Gross Receipts From Admissions Etc1366340GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1701.00000PublicSupportPertcentage170
Public Support Pertcent Prior Year1.00000PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE 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 EXAMINATION BY TAXING AUTHORITIES; HOWEVER, NO EXAMINATIONS ARE IN PROGRESS. MANAGEMENT BELIEVES THE CORPORATION IS NOT SUBJECT TO TAX EXAMINATIONS FOR YEARS PRIOR TO SEPTEMBER 30, 2009.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ALICE GERARD
044767001428000420538012250016980010402380224033
BARTON BUXTON
040059801207810169577087893015880079472900
CLARENCE SEVILLIAN
029757702750003169907282003000043259600
DON KOOY
05356880176750028722102370510166800125339000
JANIS RIZZO
027586306125100030000012844037995800
MARK O'HALLA
051487001248500515017012250016780011837670248654
PATRICK SALOW
017967200000898401269018992500
PHILIP INCARNATI
01366791013031950284274608235180140270635027700
RAYMOND DEMERS MD
031069605616800012250019522039863600
WILLIAM LAWRENCE
0303846000123481000159340443261047365

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 1ATHE 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 INDIVIDUAL HAS RECEIVED THESE BENEFITS: PHIL INCARNATI, DONALD KOOY, RICK WRIGHT, ALICE GERARD, MARK O'HALLA, CLARENCE SEVILLIAN AND BART BUXTON.
PART I, LINE 4BMCLAREN 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. THE INDIVIDUALS LISTED IN PART VII WHO PARTICIPATED IN THE OLD SERP ARE PHILIP INCARNATI, DONALD KOOY, AND BARTON BUXTON THE INDIVIDUALS LISTED IN PART VII WHO PARTICIPATED IN THE NEW SERP ARE ALICE GERARD, MARK O'HALLA, PATRICK LAMBERTI, AND WILLIAM LAWRENCE.
PART I, LINE 6MCLAREN 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.
PART IIISCHEDULE 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.SUPPLEMENTAL INFORMATION

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 2PHILIP INCARNATI, DON KOOY, AND MARK O'HALLA HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THIS ORGANIZATION IS MCLAREN HEALTH CARE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBER SHALL HAVE THE EXCLUSIVE RIGHT TO ELECT OR APPOINT THE DIRECTORS OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7BDECISIONS BY THE GOVERNING BODY ARE SUBJECT TO THE POWERS OF THE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CTHE 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 15THE 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 MCLAREN HEALTH CARE CORPORATIONS CEO'S 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/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 53.4956-6(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 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. FOR SUBSIDIARY VICE PRESIDENTS AND DIRECTORS, THE CORPORATE HUMAN RESOURCES COMMITTEE COORDINATES THE GATHERING OF MARKET INFORMATION FROM A NUMBER OF INDEPENDENT SOURCES. THIS DATA IS ANALYZED ALONG WITH EXPECTED BUDGETARY GUIDELINES. THE CORPORATE VICE PRESIDENT OF HUMAN RESOURCES DETERMINES THE AMOUNT, IF ANY, THAT PAY RANGES INCREASE. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS 2012.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION A:THESE INDIVIDUALS DEVOTE THE FOLLOWING AVERAGE HOURS PER WEEK TO A RELATED ORGANIZATION: ALICE GERARD 42.0 HOURS BARTON BUXTON 41.3 HOURS CATHERINE DEVET 32.2 HOURS CLARENCE SEVILLIAN 41.0 HOURS DONALD KOOY 40.8 HOURS JANIS RIZZO 40.0 HOURS MARK O'HALLA 41.0 HOURS PATRICK SALOW 40.5 HOURS PHILIP INCARNATI 52.0 HOURS RICK WRIGHT 40.5 HOURS WILLIAM LAWRENCE 41.0 HOURS
FORM 990, PART XII, LINE 2C:THERE HAS BEEN NO CHANGE IN PROCESS FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (34 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
BAY MEDICAL FOUNDATION
1900 COLUMBUS AVEBAY CITYMI48708382156534FOUNDATIONMI501(C)(3)LINE 11A, IBAY REGIONAL MEDICAL CENTER1
BAY REGIONAL MEDICAL CENTER
1900 COLUMBUS AVEBAY CITYMI48708381976271HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATION1
BAY REGIONAL MEDICAL CENTER AUXILIARY
1908 COLUMBUS AVENUEBAY CITYMI48708386081235SUPPORTING ORGANIZATIONMI501(C)(3)LINE 11A, IBAY REGIONAL MEDICAL CENTER1
BAY SPECIAL CARE HOSPITAL
1900 COLUMBUS AVEBAY CITYMI48708383161753HOSPITALMI501(C)(3)LINE 3BAY REGIONAL MEDICAL CENTER1
CENTRAL MICHIGAN COMMUNITY HOSPITAL
1221 SOUTH DRIVEMT PLEASANTMI48858381420304HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATION1
CENTRAL MICHIGAN COMMUNITY HOSPITAL RADIATION ONCOLOGY
1000 HARRINGTONMT PLEASANTMI48858300312172HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATION1
CHARLEVOIX NURSING HOME CORPORATION DBA BOULDER PARK TERRACE
14676 WEST UPRIGHTCHARLEVOIXMI49720383038683SKILLED NURSING FACILITYMI501(C)(3)LINE 9NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM1
HEALTHSHARE REAL ESTATE
416 CONNABLE AVENUEPETOSKEYMI49770382492223REAL ESTATE HOLDINGSMI501(C)(2)NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM1
INGHAM REGIONAL HEALTHCARE FOUNDATION
401 S GREENLAWN AVELANSINGMI48910382463637FOUNDATIONMI501(C)(3)LINE 7INGHAM REGIONAL MEDICAL CENTER1
INGHAM REGIONAL MEDICAL CENTER
401 S GREENLAWN AVELANSINGMI48910381434090HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATION1
LAPEER REGIONAL MEDICAL CENTER
1375 N MAIN STLAPEERMI48446382689033HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATION1
LAPEER REGIONAL MEDICAL CENTER FOUNDATION
1375 N MAIN STLAPEERMI48446382689603FOUNDATIONMI501(C)(3)LINE 11A, ILAPEER REGIONAL MEDICAL CENTER1
MCLAREN HEALTH CARE CORPORATION
401 S BALLENGER HWYFLINTMI48532382397643SUPPORTING ORGMI501(C)(3)LINE 11A, I0N/A
MCLAREN HEALTH CARE VILLAGE FOUNDATION
401 S BALLENGER HIGHWAYFLINTMI48532262693350SUPPORTING ORGMI501(C)(3)LINE 11A, IMCLAREN HEALTH CARE CORPORATION1
MCLAREN HEALTH PLAN
G-3245 BEECHER ROADFLINTMI48532383383640HEALTH CARE SERVICESMI501(C)(4)MCLAREN HEALTH CARE CORPORATION1
MCLAREN MEDICAL MANAGEMENT INC
401 S BALLENGER HWYFLINTMI48532382988086MANAGEMENT COMPANYMI501(C)(3)LINE 11A, IMCLAREN HEALTH CARE CORPORATION1
MCLAREN REGIONAL MEDICAL CENTER
401 S BALLENGER HWYFLINTMI48532382383119HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATION1
MOUNT CLEMENS REGIONAL HEALTHCARE FOUNDATION
PO BOX 326MOUNT CLEMENSMI48046382578873FOUNDATIONMI501(C)(3)LINE 9MOUNT CLEMENS REGIONAL MEDICAL CENTER1
MOUNT CLEMENS REGIONAL MEDICAL CENTER
1000 HARRINGTONMOUNT CLEMENSMI48043381218516HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATION1
NORTH OAKLAND NORTH MACOMB IMAGING INC
355 BARCLAY CIR STE AROCHESTER HILLSMI48307382807040MRI IMAGINGMI501(C)(3)LINE 3POH REGIONAL MEDICAL CENTER1
NORTHERN MICHIGAN HEMATOLOGY AND ONCOLOGY
416 CONNABLE AVENUEPETOSKEYMI49770320020293PHYSICIAN PRACTICEMI501(C)(3)LINE 3NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM1
NORTHERN MICHIGAN HOSPITALS DBA NORTHERN MICHIGAN REGIONAL HOSP
416 CONNABLE AVENUEPETOSKEYMI49770382146751ACUTE CARE HOSPITALMI501(C)(3)LINE 3NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM1
NORTHERN MICHIGAN MEDICAL MANAGEMENT
416 CONNABLE AVENUEPETOSKEYMI49770208458840PHYSICIAN PRACTICEMI501(C)(3)LINE 3NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM1
NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM
416 CONNABLE AVENUEPETOSKEYMI49770382445613HEALTH SERVICESMI501(C)(3)LINE 11A, IMCLAREN HEALTH CARE CORPORATION1
NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM FOUNDATION
360 CONNABLE AVENUEPETOSKEYMI49770382445611FUNDRAISINGMI501(C)(3)LINE 11A, INORTHERN MICHIGAN REGIONAL HEALTH SYSTEM1
PETOSKEY COMMUNITY FREE CLINIC
416 CONNABLE AVENUEPETOSKEYMI49770203675817HEALTH SERVICESMI501(C)(3)LINE 3NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM1
POH REGIONAL MEDICAL CENTER
50 NORTH PERRY STREETPONTIACMI48342381428164HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATION1
POH RILEY FOUNDATION
50 NORTH PERRY STREETPONTIACMI48342200442217FOUNDATIONMI501(C)(3)LINE 11C, III-FIPOH REGIONAL MEDICAL CENTER1
REGIONAL EMERGENCY MEDICAL SERVICE INC
25400 W 8 MILE ROADSOUTHFIELDMI48034383255499AMBULANCE SERVICEMI501(C)(3)LINE 9MCLAREN MEDICAL MANAGEMENT INC1
THE CARDIAC INSTITUTE DBA MICHIGAN HEART & VASCULAR SPECIALISTS
416 CONNABLE AVENUEPETOSKEYMI49770262774689PHYSICIAN PRACTICEMI501(C)(3)LINE 3NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM1
VISITING NURSE SERVICE OF MICHIGAN
401 S BALLENGER HWYFLINTMI48532383491714HEALTH CARE SERVICESMI501(C)(3)LINE 9MCLAREN HEALTH CARE CORPORATION1
VITALCARE INC
761 LAFAYETTE AVENUECHEBOYGANMI49721382527255HOSPICE CARE/HOME HEALTH SERVICESMI501(C)(3)LINE 9NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM1
WOMENS HOSPITAL ASSOCIATION OF FLINT MICHIGAN
401 S BALLENGER HIGHWAYFLINTMI48532381358053SUPPORTING ORGANIZATIONMI501(C)(3)LINE 11A, IMCLAREN HEALTH CARE CORPORATION1
MCLAREN HOSPITALITY HOUSE
401 S BALLENGER HIGHWAYFLINTMI48532455567669HOSPITALITY HOUSEMI501(C)(3)LINE 7MCLAREN HEALTH CARE CORPORATION1

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
MCLAREN - NORTHERN EQUITIES CANCER CENTER PROJECT LLC
39000 COUNTRY CLUB DRIVEFARMINGTON HILLSMI48331263112935RENTAL REAL ESTATEMIN/A
MOUNT CLEMENS REGIONAL HEALTH BUILDING HEALTH PARTNERS
1000 HARRINGTON STMOUNT CLEMENSMI48043262524717BUILDING MANAGEMENTMIN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1Province Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
HEALTH ADVANTAGE INC
G3245 BEECHER ROADFLINTMI48532912141720HEALTH CARE SERVICESMIN/AC
CLARKSTON PROPERTY ASSOCIATES
50 NORTH PERRY STREETPONTIACMI48342432006072REAL ESTATEMIN/AC
HOSPITAL HEALTH CARE INC
50 NORTH PERRY STREETPONTIACMI48342382643070HEALTH CAREMIN/AC
PHYSICIAN ORGANIZED HEALTHCARE SYSTEM
50 NORTH PERRY STREETPONTIACMI48342383136458MANAGED CAREMIN/AC
MCLAREN HEALTH PLAN INSURANCE COMPANY
G-3245 BEECHER ROAD SUITE 200FLINTMI48532271780283INSURANCEMIN/AC
VITALCARE HOME MEDICAL EQUIPMENT INC
761 LAFAYETTE AVENUECHEBOYGANMI49721382662954SALE AND RENTAL OF DURABLE MEDICAL EQUIPMENTMIN/AC
PETOSKEY ASSURANCE LTD
980628316PROFESSIONAL AND GENERAL LIABILITY COVERAGEN/AC68 WEST BAY ROADPO BOX 1109GRAND CAYMANCJKY1-1102CJ
RAPIN & RAPIN INC DBA PRESCRIPTION SERVICES PHARMACY
416 CONNABLE AVENUEPETOSKEYMI49770383465261RETAIL PHARMACYMIN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MCLAREN HEALTH CARE CORPORATION
P107332ALLOCATION OF ACTUAL COST
MCLAREN HEALTH CARE CORPORATION
N992393ALLOCATION OF ACTUAL COST
MCLAREN REGIONAL MEDICAL CENTER
O918020ALLOCATION OF ACTUAL COST
MCLAREN HEALTH CARE CORPORATION
C2077932CASH

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