2011-11-15T10:04:33-06:00 2010-12-31 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2010-01-01 382807040 NORTH OAKLAND - NORTH MACOMB IMAGING NORT 2482998000 355 BARCLAY CIRCLE NO STE A ROCHESTER HILLS MI 483074511 FRED KORTE 2482998000 2011-11-14 1 2695674500 2010 2016-02-24 21:20:13Z MICHIGAN RESONANCE IMAGING FRED KORTE 355 BARCLAY CIRCLE NO STE A ROCHESTER HILLS MI 483074511 12081692 0 X WWW.MRIOFMICHIGAN.COM X 1991 MI PROVIDES MAGNETIC RESONANCE IMAGING SERVICES TO DIAGNOSE DISEASES OF THE CENTRAL NERVOUS SYSTEM, SPINAL CORD DETERIORATION, ABNORMALITIES IN JOINTS AND TUMORS OF THE BRAIN. 6 0 55 0 0 0 0 0 12257987 11876613 302155 1477 200315 203602 12760457 12081692 2700000 1134000 0 0 2968377 3001136 0 0 0 7360221 7052504 13028598 11187640 -268141 894052 10521831 12486267 6836954 7907338 3684877 4578929 TO IMPROVE THE QUALITY OF DIAGNOSTIC CARE PROVIDED TO THE PATIENTS OF OUR PARTNERS, PHYSICIANS, COMMUNITIES AND FOUNDING HOSPITALS. 0 0 10135529 1134000 11876613 FOR THE CALENDAR YEAR ENDING DECEMBER 31, 2010, NORTH OAKLAND NORTH MACOMB IMAGING PROVIDED MAGNETIC RESONANCE IMAGING SERVICES TO DIAGNOSE OVER 18,000 SPINAL CORD DETERIORATION, ABNORMALITIES IN JOINTS AND TUMORS OF THE BRAIN. 10135529 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 18 0 1 55 1 0 0 0 0 0 0 0 0 0 0 0 X 6 0 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 MI X FRED KORTE 2483385681 50 N PERRY STREET PONTIAC MI 48342 X MICHAEL CLARK 1.00 X X 0 147464 23665 PATRICIA KEIGHER 1.00 X X 0 146952 24121 FRED KORTE 1.00 X X 0 159189 14200 GREG LANE 1.00 X 0 1170418 179405 TAMMIE SMITH 1.00 X 0 95831 20764 LAURA GIBBARD 1.00 X 0 135861 16235 JANELLE SPANN 40.00 X 184033 0 17995 DEBRA MONTROSE 40.00 X 105191 0 10000 289224 1855715 306385 2 0 1 0 MACOMB OAKLAND MRI PC DRS KELLAM & KLEI 399 S BROADWAY LAKE ORION MI 48362 RADIOLOGY 1988465 SIEMENS MEDICAL SOLUTIONS USA INC DEPT CH 14195 PALATINE IL 60055 EQUIPMENT MAINTENANCE CONTRACTS 677988 TMV GROUP 2139 COLE STREET BIRMINGHAM MI 48009 MARKETING & ADVERTISING 348723 DR SYSTEMS 10140 MESA RIM RD SAN DIEGO CA 92121 FILMLESS IMAGING 237063 MCKESSON PO BOX 841838 DALLAS TX 75284 MEDICAL SUPPLIES 230042 9 MRI SCANS 621500 11876613 11876613 11876613 1477 1477 203602 203602 203602 203602 12081692 11876613 0 205079 1134000 1134000 202028 40406 161622 2194958 2037464 157494 35693 31182 4511 385845 353242 32603 182612 159532 23080 1067 1067 25825 25825 3025378 2846943 178435 226038 196653 29385 477116 357016 120100 19200 19200 478409 416216 62193 37866 32943 4923 161268 161268 1929791 1678918 250873 MEDICAL SUPPLIES 446730 446730 BAD DEBT EXPENSE 223816 223816 11187640 10135529 1052111 0 1514500 4869748 1218267 1213372 232572 227081 18577882 12416555 7541284 6161327 15208 14739 10521831 12486267 1394258 718767 5442696 7188571 6836954 7907338 X 3684877 4578929 3684877 4578929 10521831 12486267 894052 0 X X 0 1 1 X 0 X X X 0 0 0 POH REGIONAL MEDICAL CENTER 381428164 3 1 1 1 378000 MT CLEMENS REGIONAL MEDICAL CENTER 381218516 3 1 1 1 378000 CRITTENTON HOSPITAL 381359247 3 1 1 1 378000 3 1134000 250000 250000 2312672 961003 1351669 762142 401000 361142 14940461 11054552 3885909 312607 312607 6161327 12081692 11187640 894052 0 894052 12081692 0 12081692 0 12081692 11187640 0 11187640 0 11187640 0 POH REGIONAL MEDICAL CENTER 50 N PERRY PONTIAC MI 48342 381428164 501(C)(3) 378000 N/A N/A PROGRAM SUPPORT MT CLEMENS REGIONAL MEDICAL CENTER 50 N PERRY PONTIAC MI 48342 381218516 501(C)(3) 378000 N/A N/A PROGRAM SUPPORT CRITTENTON HOSPITAL 1101 W UNIVERSITY DRIVE ROCHESTER MI 48307 381359247 501(C)(3) 378000 N/A N/A PROGRAM SUPPORT 3 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: FUNDS ARE DISTRIBUTED TO SUPPORTED ORGANIZATIONS. NO PROCEDURES ARE IN PLACE TO MONITOR THE USE OF FUNDS. X 0 1 0 0 0 0 0 0 0 MICHAEL CLARK 0 139624 0 0 0 7840 0 2266 0 21399 0 171129 0 0 PATRICIA KEIGHER 0 131475 0 15477 0 0 0 7348 0 16773 0 171073 0 0 FRED KORTE 0 159189 0 0 0 0 0 3200 0 11000 0 173389 0 0 GREG LANE 0 660567 0 261000 0 248851 0 161789 0 17616 0 1349823 0 0 LAURA GIBBARD 0 135861 0 0 0 0 0 3120 0 13115 0 152096 0 0 JANELLE SPANN 148466 0 29567 0 6000 0 2995 0 15000 0 202028 0 0 0 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 THE FORM OF A SINGLE SUM DISTRIBUTION 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 PARTICIPANTS 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 INDIVIDUAL LISTED IN PART VII WHO PARTICIPATED IN THE OLD SERP IS GREG LANE. THERE ARE NO INDIVIDUALS LISTED IN PART VII WHO PARTICIPATED IN THE NEW SERP. FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION IS ORGANIZED ON A STOCK BASIS. THE TOTAL NUMBER OF SHARES WHICH THE CORPORATION HAS THE AUTHORITY TO ISSUE IS 60,000 CONSISTING OF VOTING COMMON SHARES WITH NO PAR VALUE. THE STOCK IS OWNED EQUALLY BY THE THREE SUPPORTED ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 7A STOCKHOLDERS MAY ELECT GOVERNING BODY MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B ANY MERGER, CONSOLIDATION, RECAPITALIZATION, RECLASSIFICATION, LIQUIDATION, DISSOLUTION OR BANKRUTPCY PROCEEDING IN WHICH THE COPRORATION IS A PARTY, OR THE SALE LEASE, EXCHANGE OR OTHER DISPOSITION OF SUBSTANTIALLY ALL THE PROPERTY AND ASSETS OF THE CORPORATION MAY BE AUTHORIZED ONLY BY AN AFFIRMATIVE VOTE OF THE STOCKHOLDER OWNING NOT LESS THAN 75% OF THE OUTSTANDING COMMON SHARES OF THE CORPORATION ENTITLED TO VOTE THEREON. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WAS PREPARED BY AN INDEPENDENT CPA FIRM AND THEN REVIEWED BY MANAGEMENT FOR COMPLETENESS AND ACCURACY. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY THE BOARD OF DIRECTORS RESOLVE TO REPORT ANY CONFLICT OF INTEREST AND SIGN AN ANNUAL DISCLOSURE OF ANY POTENTIAL CONFLICT OF INTEREST. THE BOARD OF DIRECTORS MONITORS AND ENFORCES THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS DETERMINED BY THE BOARD OF DIRECTORS AND IS BASED UPON THE PERFORMANCE OF THE EXECUTIVE DIRECTOR AND COMPARABILITY DATA. THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS WITHIN THE SALARY RANGES DETERMINED BY THE BOARD OF DIRECTORS. THE EXECUTIVE DIRECTOR'S COMPENSATION IS REVIEWED ANNUALLY, BASED ON BUDGETARY REQUIREMENTS AND PERFORMANCE APPRAISALS. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS 2010. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS THAT ARE NOT OPEN TO PUBLIC INSPECTION ARE NOT AVAILABLE TO THE PUBLIC. FORM 990, PART VII: TAMMIE SMITH AND MICHAEL CLARK EACH WORKED AN AVERAGE OF AT LEAST 40 HOURS PER WEEK AT CRITTENTON HOSPITAL MEDICAL CENTER. PATRICIA KEIGHER AND LAURA GIBBARD EACH WORKED AN AVERAGE OF AT LEAST 40 HOURS PER WEEK AT MT. CLEMENS REGIONAL MEDICAL CENTER. FRED KORTE WORKED AN AVERAGE OF AT LEAST 40 HOURS PER WEEK AT PONTIAC OSTEOPATHIC HOSPITAL. GREG LANE WORKED AN AVERAGE OF AT LEAST 40 HOURS PER WEEK AT MCLAREN HEALTH CARE CORPORATION. FORM 990, PART XI, LINE 2C: NO CHANGE IN PROCESS FROM PRIOR YEAR. POH REGIONAL MEDICAL CENTER 50 N PERRY PONTIAC MI 48342 381428164 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 0 CRITTENTON HOSPITAL MEDICAL CENTER 1101 W UNIVERSITY DRIVE ROCHESTER MI 48307 381359247 HOSPITAL MI 501(C)(3) LINE 3 0 POH RILEY FOUNDATION 50 N PERRY PONTIAC MI 48342 200442217 FUNDRAISING MI 501(C)(3) LINE 11C, III-FI PONTIAC OSTEOPATHIC HOSPITAL 1 MCLAREN HEALTH CARE CORPORATION 401 S BALLENGER HWY FLINT MI 48532 382397643 MANAGEMENT COMPANY MI 501(C)(3) LINE 11A, I 0 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 GREAT LAKES CANCER INSTITUTE 401 S BALLENGER HWY FLINT MI 48532 383584572 CANCER CARE CENTER MI 501(C)(3) LINE 7 MCLAREN HEALTH CARE CORPORATION 1 INGHAM REGIONAL HEALTHCARE FOUNDATION 401 S GREENLAWN AVE LANSING MI 48910 382463637 FOUNDATION MI 501(C)(3) LINE 7 INGHAM REGIONAL MEDICAL CENTER 1 INGHAM REGIONAL MEDICAL CENTER 401 S GREENLAWN AVE LANSING MI 48910 381434090 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 LAPEER REGIONAL MEDICAL CENTER 1375 N MAIN ST LAPEER MI 48446 382689033 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 LAPEER REGIONAL MEDICAL CENTER FOUNDATION 1375 N MAIN ST LAPEER MI 48446 382689603 FOUNDATION MI 501(C)(3) LINE 11A, I LAPEER REGIONAL MEDICAL CENTER 1 MCLAREN HEALTH PLAN G-3245 BEECHER ROAD FLINT MI 48532 383383640 HEALTH CARE SERVICES MI 501(C)(4) MCLAREN HEALTH CARE CORPORATION 0 MCLAREN MEDICAL MANAGEMENT INC 401 S BALLENGER HWY FLINT MI 48532 382988086 MANAGEMENT COMPANY MI 501(C)(3) LINE 11A, I MCLAREN HEALTH CARE CORPORATION 1 MCLAREN REGIONAL MEDICAL CENTER 401 S BALLENGER HWY FLINT MI 48532 382383119 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 MOUNT CLEMENS REGIONAL HEALTHCARE FOUNDATION PO BOX 326 MOUNT CLEMENS MI 48046 382578873 FOUNDATION MI 501(C)(3) LINE 9 MOUNT CLEMENS REGIONAL MEDICAL CENTER 1 MOUNT CLEMENS REGIONAL MEDICAL CENTER 1000 HARRINGTON MOUNT CLEMENS MI 48043 381218516 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 VISITING NURSE SERVICE OF MICHIGAN 401 S BALLENGER HWY FLINT MI 48532 383491714 HEALTH CARE SERVICES MI 501(C)(3) LINE 9 MCLAREN HEALTH CARE CORPORATION 1 WOMENS HOSPITAL ASSOCIATION OF FLINT MICHIGAN 401 S BALLENGER HIGHWAY FLINT MI 48532 381358053 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 11A, I MCLAREN HEALTH CARE CORPORATION 1 REGIONAL EMERGENCY MEDICAL SERVICE INC 25400 W 8 MILE ROAD SOUTHFIELD MI 48034 383255499 AMBULANCE SERVICE MI 501(C)(3) LINE 9 MCLAREN MEDICAL MANAGEMENT INC 1 PRIMARY CARE 1900 COLUMBUS AVE BAY CITY MI 48708 202443604 HEALTH CARE SERVICES MI 501(C)(3) LINE 9 BAY REGIONAL MEDICAL CENTER 1 MCLAREN - NORTHERN EQUITIES CANCER CENTER PROJECT LLC 39000 COUNTRY CLUB DRIVE FARMINGTON HILLS MI 48331 263112935 RENTAL REAL ESTATE MI N/A MOUNT CLEMENS REGIONAL HEALTH BUILDING HEALTH PARTNERS 1000 HARRINGTON ST MOUNT CLEMENS MI 48043 262524717 BUILDING MANAGEMENT MI N/A HOSPITAL HEALTH CARE INC 50 N PERRY PONTIAC MI 48342 382643070 HEALTH CARE MI N/A C HEALTH ADVANTAGE INC G3245 BEECHER ROAD FLINT MI 48532 912141720 HEALTH CARE SERVICES MI N/A C CLARKSTON PROPERTY ASSOCIATES 50 NORTH PERRY STREET PONTIAC MI 48342 432006072 REAL ESTATE MI N/A C PHYSICIAN ORGANIZED HEALTHCARE SYSTEM 50 NORTH PERRY STREET PONTIAC MI 48342 383136458 MANAGED CARE MI N/A C MCLAREN HEALTH PLAN INSURANCE COMPANY G-3245 BEECHER ROAD SUITE 200 FLINT MI 48532 271780283 INSURANCE MI N/A C 0 1 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 CRITTENTON HOSPITAL MEDICAL CENTER I 203602 LEASE AGREEMENT MT CLEMENS REGIONAL MEDICAL CENTER J 50646 LEASE AGREEMENT MT CLEMENS REGIONAL MEDICAL CENTER B 378000 BOARD APPROVAL CRITTENTON HOSPITAL MEDICAL CENTER B 378000 BOARD APPROVAL POH REGIONAL MEDICAL CENTER B 378000 BOARD APPROVAL POH REGIONAL MEDICAL CENTER K 50601 INVOICES