KARMANOS CANCER FOUNDATION: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
KARMANOS CANCER FOUNDATION (EIN 38-3584572)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-15
IRS object ID
201102279349303050
Schema version
2009v1.7
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)
Timestamp2011-08-15T12:31:54-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2009-10-01TaxPeriodBeginDate

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 Signed2011-08-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCarol LaLonde CPAName
Phone2695674500Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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 Receipts1969075GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.GLCI.orgWebSite
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 COMMUNITYActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1578806ContributionsGrantsPriorYear
Contributions Grants Current Year1709523ContributionsGrantsCurrentYear
Program Service Revenue Prior Year415104ProgramServiceRevenuePriorYear
Program Service Revenue CY259552ProgramServiceRevenueCY
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year1993910TotalRevenuePriorYear
Total Revenue Current Year1969075TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year349580SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1623470OtherExpensePriorYear
Other Expenses Current Year2024442OtherExpensesCurrentYear
Total Expenses Prior Year1973050TotalExpensesPriorYear
Total Expenses Current Year2024442TotalExpensesCurrentYear
Revenues Less Expenses Prior Year20860RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-55367RevenuesLessExpensesCY
Total Assets BOY316994TotalAssetsBOY
Total Assets EOY207525TotalAssetsEOY
Total Liabilities BOY259787TotalLiabilitiesBOY
Total Liabilities EOY205685TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY57207NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1840NetAssetsOrFundBalancesEOY
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
Expense1969013Expense
Revenue259552Revenue
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 Expense1969013TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109613NumberFormsTransmittedWith1096
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
Excess Business Holdings0ExcessBusinessHoldings
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
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

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
PHILIP INCARNATI
DIRECTOR-CHAIR1.00XX014617609520640
DON KOOY
DIRECTOR1.00X0841089141288
JANIS RIZZO
director-TREASURER1.00XX026285043643
ROBERT WRIGHT
DIRECTOR1.00X064976174672
RAYMOND DEMERS MD
PRESIDENT/CEO/DIRECTOR40.00XX034932624352
BART BUXTON
DIRECTOR1.00X066103748729
ALICE GERARD
DIRECTOR1.00X052607946367
MARK O'HALLA
DIRECTOR1.00X062535153280
patrick lamberti
director1.00X059987051843
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs19132972TotalReportableCompFrmRltdOrgs
Total Other Compensation1004814TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MCLAREN HEALTH CARE CORPORATION
401 S BALLENGER HWYFLINTMI48532LABOR & BENEFITS811574
MICHIGAN STATE UNIVERSITY
412 ADMINISTRATION BUILDINGEAST LANSINGMI48824LABOR & BENEFITS549955
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Related Organizations1330430RelatedOrganizations
All Other Contributions379093AllOtherContributions
Total Contributions1709523TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
Descriptionclinical trialsDescription
Business Code621500BusinessCode
Total Revenue Column259552TotalRevenueColumn
Related Or Exempt Function Income259552RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue259552TotalProgramServiceRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1969075TotalRevenueColumn
Related Or Exempt Function Income259552RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1682454Total
Program Services1682454ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total258025Total
Program Services258025ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total37969Total
Management And General37969ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total17460Total
Management And General17460ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total12695Total
Program Services12695ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total15839Total
Program Services15839ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2024442Total
Program Services1969013ProgramServices
Management And General55429ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY35613BOY
EOY35613EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY224161BOY
EOY166225EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY57220BOY
EOY5687EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY316994BOY
EOY207525EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY202567BOY
EOY199998EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY57220BOY
EOY5687EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY259787BOY
EOY205685EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY57207BOY
EOY1840EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY57207BOY
EOY1840EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY316994BOY
EOY207525EOY
FieldValueIRS element (for citing)
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 Years1352382CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1255294CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1327727CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1578806CurrentTaxYearMinus1Year
Current Tax Year1709523CurrentTaxYear
Total7223732Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1352382CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1255294CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1327727CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1578806CurrentTaxYearMinus1Year
Current Tax Year1709523CurrentTaxYear
Total7223732Total
FieldValueIRS element (for citing)
Public Support Total1707223732PublicSupportTotal170
Total Support7223732TotalSupport
Gross Receipts From Admissions Etc1197307GrossReceiptsFromAdmissionsEtc
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

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionRESTRICTED GRANTSDescription
Amount$5,687Amount
FieldValueIRS element (for citing)
Total Of Amounts5687TotalOfAmounts
Total Revenue1969075TotalRevenue
Total Expenses2024442TotalExpenses
Excess Or Deficit For Year-55367ExcessOrDeficitForYear
Excess Or Deficit Per FS-55367ExcessOrDeficitPerFS

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 (9 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
PHILIP INCARNATI
0124707401119378012251157050715901348101513824902998959
DON KOOY
0476000015575002093390121151020137098237700
JANIS RIZZO
021278405006600030000013643030649300
ROBERT WRIGHT
0524164000125597059222015450072443300
RAYMOND DEMERS MD
029672705259900012250012102037367800
BART BUXTON
036800001423750150662030694018035070976600
ALICE GERARD
03817020105313039064030800015567057244600
MARK O'HALLA
04485770123750053024033650019630067863100
patrick lamberti
04035100152660043700031500020343065171300

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, ROBERT WRIGHT, AND BART BUXTON.
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 single 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, and Patrick Lamberti.
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 (9 entries)

IdentifierIdentifierExplanationExplanation
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 2010.
Form 990, Part VI, Section C, line 19documents are available upon request.
FORM 990, PART VII, SECTION A:THESE INDIVIDUALS DEVOTE THE FOLLOWING HOURS PER WEEK TO A RELATED ORGANIZATION FOR WHICH COMPENSATION IS REPORTED IN COLUMNS E & F: PHIL INCARNATI 40 HOURS MCLAREN HEALTH CARE CORPORATION DON KOOY 40 HOURS MCLAREN REGIONAL MEDICAL CENTER JANIS RIZZO 40 HOURS MCLAREN HEALTH CARE CORPORATION ROBERT WRIGHT 40 HOURS INGHAM REGIONAL MEDICAL CENTER RAYMOND DEMERS 40 HOURS MCLAREN HEALTH CARE CORPORATION BART BUXTON 40 HOURS LAPEER REGIONAL MEDICAL CENTER ALICE GERARD 40 HOURS BAY REGIONAL MEDICAL CENTER MARK O'HALLA 40 HOURS MOUNT CLEMENS REGIONAL MEDICAL CENTER PATRICK LAMBERTI 40 HOURS PONTIAC OSTEOPATHIC HOSPITAL
FORM 990, PART XI, LINE 2C:NO CHANGE IN PROCESS FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (24 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Direct Controlling Entity NADirectControllingEntityNA
BAY MEDICAL FOUNDATION
1900 COLUMBUS AVEBAY CITYMI48708382156534FOUNDATIONMI501(c)(3)Line 11a, IBAY REGIONAL MEDICAL CENTER
BAY REGIONAL MEDICAL CENTER
1900 COLUMBUS AVEBAY CITYMI48708381976271HOSPITALMI501(c)(3)Line 3MCLAREN HEALTH CARE CORPORATION
BAY REGIONAL MEDICAL CENTER AUXILIARY
1908 COLUMBUS AVENUEBAY CITYMI48708386081235SUPPORTING ORGANIZATIONMI501(c)(3)Line 11a, IBAY REGIONAL MEDICAL CENTER
BAY SPECIAL CARE HOSPITAL
1900 COLUMBUS AVEBAY CITYMI48708383161753HOSPITALMI501(c)(3)Line 3BAY REGIONAL MEDICAL CENTER
CENTRAL MICHIGAN COMMUNITY HOSPITAL
1221 SOUTH DRIVEMT PLEASANTMI48858381420304HOSPITALMI501(c)(3)Line 3MCLAREN HEALTH CARE CORPORATION
CENTRAL MICHIGAN COMMUNITY HOSPITAL RADIATION ONCOLOGY
1000 HARRINGTONMT PLEASANTMI48858300312172HOSPITALMI501(c)(3)Line 3MCLAREN HEALTH CARE CORPORATION
INGHAM REGIONAL HEALTHCARE FOUNDATION
401 S GREENLAWN AVELANSINGMI48910382463637FOUNDATIONMI501(c)(3)Line 7INGHAM REGIONAL MEDICAL CENTER
INGHAM REGIONAL MEDICAL CENTER
401 S GREENLAWN AVELANSINGMI48910381434090HOSPITALMI501(c)(3)Line 3MCLAREN HEALTH CARE CORPORATION
LAPEER REGIONAL MEDICAL CENTER
1375 N MAIN STLAPEERMI48446382689033HOSPITALMI501(c)(3)Line 3MCLAREN HEALTH CARE CORPORATION
LAPEER REGIONAL MEDICAL CENTER FOUNDATION
1375 N MAIN STLAPEERMI48446382689603FOUNDATIONMI501(c)(3)Line 11a, ILAPEER REGIONAL MEDICAL CENTER
MCLAREN HEALTH CARE CORPORATION
401 S BALLENGER HWYFLINTMI48532382397643SUPPORTING ORGMI501(c)(3)Line 11a, IN/A
MCLAREN HEALTH PLAN
G-3245 BEECHER ROADFLINTMI48532383383640HEALTH CARE SERVICESMI501(c)(4)MCLAREN HEALTH CARE CORPORATION
MCLAREN HEALTH CARE VILLAGE FOUNDATION
401 S BALLENGER HIGHWAYFLINTMI48532262693350FOUNDATIONMI501(c)(3)Line 11a, IMCLAREN HEALTH CARE CORPORATION
MCLAREN MEDICAL MANAGEMENT INC
401 S BALLENGER HWYFLINTMI48532382988086MANAGEMENT COMPANYMI501(c)(3)Line 11a, IMCLAREN HEALTH CARE CORPORATION
MCLAREN REGIONAL MEDICAL CENTER
401 S BALLENGER HWYFLINTMI48532382383119HOSPITALMI501(c)(3)Line 3MCLAREN HEALTH CARE CORPORATION
MOUNT CLEMENS REGIONAL HEALTHCARE FOUNDATION
PO BOX 326MOUNT CLEMENSMI48046382578873FOUNDATIONMI501(c)(3)Line 9MOUNT CLEMENS REGIONAL MEDICAL CENTER
MOUNT CLEMENS REGIONAL MEDICAL CENTER
1000 HARRINGTONMOUNT CLEMENSMI48043381218516HOSPITALMI501(c)(3)Line 3MCLAREN HEALTH CARE CORPORATION
POH REGIONAL MEDICAL CENTER
50 NORTH PERRY STREETPONTIACMI48342381428164HOSPITALMI501(c)(3)Line 3MCLAREN HEALTH CARE CORPORATION
POH RILEY FOUNDATION
50 NORTH PERRY STREETPONTIACMI48342200442217FOUNDATIONMI501(c)(3)Line 11c, III-FIPOH REGIONAL MEDICAL CENTER
VISITING NURSE SERVICE OF MICHIGAN
401 S BALLENGER HWYFLINTMI48532383491714HEALTH CARE SERVICESMI501(c)(3)Line 9MCLAREN HEALTH CARE CORPORATION
WOMENS HOSPITAL ASSOCIATION OF FLINT MICHIGAN
401 S BALLENGER HIGHWAYFLINTMI48532381358053SUPPORTING ORGANIZATIONMI501(c)(3)Line 11a, IMCLAREN HEALTH CARE CORPORATION
REGIONAL EMERGENCY MEDICAL SERVICE INC
25400 W 8 MILE ROADSOUTHFIELDMI48034383255499AMBULANCE SERVICEMI501(c)(3)Line 9MCLAREN MEDICAL MANAGEMENT INC
NORTH OAKLAND NORTH MACOMB IMAGING INC
355 BARCLAY CIR STE AROCHESTER HILLSMI48307382807040MRI IMAGINGMI501(c)(3)Line 3
PRIMARY CARE
1900 COLUMBUS AVEBAY CITYMI48708202443604HEALTH CARE SERVICESMI501(c)(3)Line 9BAY REGIONAL MEDICAL CENTER

Form990 Schedule R Part III Form990ScheduleRPartIII (3 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
JOINT VENTURE HOSPITAL LABORATORIES LLC
1633 FAIRLANE CIRCLE SUITE 300ALLEN PARKMI48101383018129LAB PROCEDURESMIN/A
MOUNT CLEMENS REGIONAL HEALTH BUILDING HEALTH PARTNERS
1000 HARRINGTON STMOUNT CLEMENSMI48043262524717BUILDING MANAGEMENTMIN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
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
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 Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
mclaren health care corporation
N811574
mclaren health care corporation
C1330430
mclaren regional medical center
O649909

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