2026-08-10T09:11:38+00:00 2025-09-30 331498605 PLANTE & MORAN PLLC 995 YARD STREET SUITE 450 GRANDVIEW HEIGHTS OH 43212 990 2024-10-01 383426063 MCLAREN CARO REGION MCLA 9896733141 401 N HOOPER STREET PO BOX 435 CARO MI 48723 CONNIE KOUTOUZOS PRESIDENT & CEO 2026-08-10 true AMY TOPALOV CPA P00796388 6148493000 2026-08-04 2024 2025-03-06 01:10:19Z CARO COMMUNITY HOSPITAL CONNIE KOUTOUZOS 401 N HOOPER STREET PO BOX 435 CARO MI 48723 20008463 false X https://www.mclaren.org/caro-region/mclaren-caro-region-home X 1999 MI MCLAREN CARO REGION, A COMMUNITY-MINDED HEALTHCARE SYSTEM, IS DEDICATED TO PROVIDING COMPASSIONATE CARE AND SERVICES TO ENHANCE THE HEALTH OF ALL THE PATIENTS WE SERVE. 7 5 120 45 0 26708 26727 21792767 19022310 359094 183994 66433 775432 22245002 20008463 0 0 0 10964304 10617384 0 0 53852 9919174 8977377 20883478 19594761 1361524 413702 16400396 16723858 4914142 4823902 11486254 11899956 MCLAREN CARO REGION, A COMMUNITY-MINDED HEALTHCARE SYSTEM, IS DEDICATED TO PROVIDING COMPASSIONATE CARE AND SERVICES TO ENHANCE THE HEALTH OF ALL THE PATIENTS WE SERVE. false false 13383569 0 19022310 PROVISION OF NEEDED MEDICAL SERVICES TO THE COMMUNITY. 13383569 true false false true false false false false false false true false false true true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false false false true true false false false true 36 0 true 120 true false false false false false false false false false false false false X 7 5 false false false false true true true true true false false false false true true true true true false true false false MI X KEN BARANSKI CFO 9899129860 401 N HOOPER STREET PO BOX 435 CARO MI 48723 BRANT WILSON SECRETARY 1.0 0.0 X X 0 0 0 CONNIE KOUTOUZOS PRESIDENT & CEO 20.0 21.0 X X 0 848420 40640 JOHN HUNTER CHAIRMAN 1.0 0.0 X X 0 0 0 RICK FULTON TREASURER 1.0 0.0 X X 0 0 0 ROBERT WOLAK VICE CHAIRMAN 1.0 0.0 X X 0 0 0 CHAD GRANT CORPORATE COO 1.0 54.0 X 0 1733851 48828 LAINEY RANSFORD TRUSTEE 1.0 0.0 X 0 0 0 KENNETH BARANSKI CFO/DIRECTOR OF FINANCE 20.0 21.0 X 74625 74625 0 ASHLEY YOUNG REGISTERED NURSE 40.0 0.0 X 121190 0 11110 JESSICA GIBSON PHYSICIAN & CHIEF OF STAFF 40.0 0.0 X 265272 0 21227 KELLI CHRISTIE PHYSICIAN ASSISTANT 40.0 0.0 X 118847 0 23308 LINDA LAFOREST REGISTERED NURSE 40.0 0.0 X 116767 0 19081 YVONNE VANDECAR DIRECTOR PATIENT CARE SERVICES 40.0 0.0 X 138502 0 21085 835203 2656896 185279 8 false true false MERCURY THERAPY MGMT 804 N WATER ST BAY CITY MI 48708 PT SERVICES/STAFF 1222935 PSYCHIATRIC MEDICAL CARE 8 CADILLAC DR STE 230 BRENTWOOD TN 37027 PSYCH SERVICES/STAFF 582504 JTX MCLAREN LLC 6275 CORVARA CT FRISCO TX 75035 PROPERTY MANAGEMENT 375865 PUTMAN FAMILY MEDICINE 1800 W CARO RD STE 6 CARO MI 48723 CONTRACTED PHYSICIAN 207373 CPS SOLUTIONS 655 METRO PL SOUTH STE 450 DUBLIN OH 43017 CONTRACTED PHARMACIST & MGMT 185387 7 26727 26727 NET PATIENT SERVICE REVENUE 621400 18851636 18851636 340B RETAIL REVENUE 621400 157766 157766 OFFICE RENTAL TO PHYSICIANS 621400 12908 12908 0 0 0 0 19022310 183994 183994 0 0 0 0 ACQUISITION CAPITAL 900099 597348 597348 MISCELLANEOUS BILLING REVENUE 900099 164578 164578 CAFETERIA SALES 900099 13506 13506 0 0 0 0 775432 20008463 19022310 0 959426 X 110440 72228 37881 331 8868426 5799951 3041870 26605 185341 121213 63572 556 1065523 696852 365474 3197 387654 253526 132965 1163 498108 325763 170851 1494 1712 1120 587 5 28170 18423 9662 85 350 350 3918035 2562394 1343886 11755 32280 21111 11072 97 22391 14644 7680 67 131233 85826 45013 394 325719 213020 111722 977 4429 2897 1519 13 2297 1502 788 7 37930 24806 13010 114 754619 493521 258834 2264 98093 64153 33646 294 MEDICAL EXPENSES 791475 791475 QAAP TAX 680375 680375 FOOD & DRUGS 455636 297986 156283 1367 BAD DEBT 172149 172149 1022376 668634 350675 3067 19594761 13383569 6157340 53852 6975331 3325206 3471523 4396935 0 0 168510 212366 268694 167802 10358725 5316362 4328799 5042363 0 0 1187539 3579186 16400396 16723858 962337 1258779 0 3057459 3401469 894346 163654 4914142 4823902 11486254 11899956 11486254 11899956 16400396 16723858 413702 0 X X false true true true true X false false false false false false false false true 350 350 false SCHEDULE C, PART II-B, LINE 1 LOBBYING ACTIVITIES: A PORTION OF OUR DUES TO MICHIGAN HEALTH AND HOSPITAL ASSOCIATION SUPPORT LOBBYING ACTIVITIES. 150625 150625 3147161 1119002 2028159 48470 43161 5309 6178677 4085723 2092954 833792 68476 765316 5042363 DEFERRED CHARGES 3579186 POOLED FUNDS 3579186 FEDERAL INCOME TAXES HEALTH ADVANTAGE 70000 DENTAL 8000 WORKERS COMP RESERVE 27154 LIABILITY RESERVE OTHER PROF LIABIBILITIES - MICOL G&P LIABILITY RESERVE SERP 58500 163654 true true X true X 400 true X true true true false true true 632817 632817 0.03258 4109066 2783589 1325477 0.06824 0 0.0 0 0 4741883 2783589 1958294 0.10083 14 959 9204 9204 0.00047 0 0.0 0 0.0 0 0.0 0 0.0 14 959 9204 0 9204 0.00047 14 959 4751087 2783589 1967498 0.10130 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 172149 56809 4265297 4058755 206542 X true true 1 1 MCLAREN CARO REGION 401 N HOOPER ST PO BOX 43 CARO MI 48723 WWW.CCH-MI.ORG 1060000166 X X X X X MCLAREN CARO REGION 1 false false true X X X X X X X X X 25 true false false true X HTTPS://TINYURL.COM/YAWXCYL4 X true 22 true HTTPS://TINYURL.COM/YAWXCYL4 false true X 400.0 400.0 X X X true true X X X true X HTTPS://TINYURL.COM/YYA9C5OC X HTTPS://TINYURL.COM/YYA9C5OC X HTTPS://TINYURL.COM/YYA9C5OC X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 3E SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1 FACILITY , 1 - MCLAREN CARO REGION:. PARTICIPANTS INCLUDED BOARD MEMBERS, MCLAREN CARO REGION STAFF INCLUDING CLINICAL AND ADMINISTRATIVE PERSONS, THE OWNER OF A LOCAL FREE HEALTH CLINIC, TUSCOLA COUNTY HEALTH DEPT, MICHIGAN STATE UNIVERSITY EXTENSION, TUSCOLA INTERMEDIATE SCHOOL DISTRICT, GREAT START COLLABORATIVE, HOSPICE AND HOME HEALTH CARE EMPLOYEES, A LOCAL MEDICAL SUPPLY COMPANY, LOCAL MRI SERVICE, A LOCAL MINISTER, SENIOR CITIZENS, AND COMMUNITY MEMBERS. THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN CAN BE FOUND ON THE ORGANIZATION'S WEBSITE AT HTTPS://WWW.MCLAREN.ORG/MAIN/COMMUNITY-HEALTH-NEEDS ASSESSMENT SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1 FACILITY , 1 - MCLAREN CARO REGION:. THE ORGANIZATION HAS PRIORITIZED THE SIGNIFICANT COMMUNITY HEALTH NEEDS AND IDENTIFIED THE FOLLOWING FIVE PRIORITIES TO FOCUS ITS EFFORTS ON: MENTAL HEALTH AVAILABILITY AND ACCESS TO SERVICES SENIOR FALLS CANCER CHRONIC DISEASE THE ORGANIZATION HAS FOCUSED ITS EFFORTS ON THOSE NEEDS THAT IT CAN IMPACT THE MOST. THE HOSPITAL DID NOT ADDRESS ALL THE NEEDS IDENTIFIED DUE TO ALLOCATING SIGNIFICANT RESOURCES TO THE PRIORITY NEEDS IDENTIFIED. SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY , 1 FACILITY , 1 - MCLAREN CARO REGION:. PRESUMPTIVE FINANCIAL ASSISTANCE MAY BE APPLIED BASED ON THIRD PARTY INFORMATION OR A PRIOR FINANCIAL ASSISTANCE DETERMINATION. DESIGNATED PERSONNEL WILL MAKE REASONABLE EFFORT TO NOTIFY THE INDIVIDUAL OF ASSISTANCE. 4 HILL MEDICAL CENTER 465 HOOPER STREET CARO MI 48723 HILL MEDICAL CENTER VASSAR FAMILY MEDICINE 201 W HURON AVE VASSAR MI 48768 VASSAR FAMILY MEDICINE MCLAREN CARO REGION SENIOR LIFE SOLUTIONS 310 NORTH HOOPER STREET CARO MI 48723 SENIOR LIFE SOLUTIONS (HARMON HOUSE) MCLAREN CARO REGION PRIMARY & SPECIALTY 1800 W CARO ROAD CARO MI 48723 CARO PRIMARY & SPECIALTY CARE (CARO MOB) SCHEDULE H, PART I, LINE 3C INCOME CRITERIA IS BASED UPON 400% OF THE FEDERAL POVERTY GUIDELINES PER THE FEDERAL REGISTER. COLLECTIONS MAY BE CONSIDERED IF THE PATIENT HAS SUFFICIENT LIQUID ASSETS. SCHEDULE H, PART I, LINE 6A OUR PARENT, MCLAREN HEALTH CARE CORPORATION, PREPARES AN ANNUAL REPORT OF ITS MEMBER HOSPITALS. THIS ANNUAL REPORT IS AVAILABLE ON OUR WEBSITE. SCHEDULE H, PART V, SECTION B, LINE 13 LINE 13A: FINANCIAL ASSISTANCE GUIDELINES ARE BASED ON 400% OF THE FEDERAL POVERTY GUIDELINES (FPG) PUBLISHED ANNUALLY IN THE FEDERAL REGISTER. CARE IS DISCOUNTED 100% UP TO 400% OF THE FPG. DESIGNATED PERSONNEL WILL ACCESS THE FEDERAL REGISTER AND UPDATE THE FINANCIAL ASSISTANCE GUIDELINES ANNUALLY. THE DISCOUNT IS BASED ON FAMILY SIZE AND ANNUAL INCOME. SCHEDULE H, PART I, LINE 7 THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 WAS USED TO CALCULATE THE AMOUNTS IN THE LINE 7 TABLE FOR LINES 7A-7D. THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO CALCULATE THE AMOUNTS ON LINES 7E-7I. SCHEDULE H, PART I, LINE 7 COL(F) THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24B - BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE SCHEDULE H, PART I, COLUMN F PERCENTAGE EQUALS $172,149. SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2, IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX. SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY TO DETERMINE THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY, ADMINISTRATION ESTIMATED A PERCENTAGE OF INDIVIDUALS WHO DID NOT COMPLETE THE CHARITY CARE APPLICATION PROCESS, OR DID NOT TAKE THE TIME TO APPLY - WHICH AMOUNTS TO $172,149. SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF THE CORPORATION'S FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE CORPORATION'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE 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 SIGNIFICANT IMPLICIT PRICE CONCESSIONS 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 CORPORATION'S PATIENT ACCOUNTS RECEIVABLE BALANCE CONSISTS OF AMOUNTS DUE FROM ITS PATIENTS AND THIRD-PARTY PAYORS. PATIENT ACCOUNTS RECEIVABLE ARE STATED AT EXPECTED NET REALIZABLE AMOUNTS. AN ALLOWANCE FOR CREDIT LOSSES IS ESTABLISHED FOR AMOUNT EXPECTED TO BE UNCOLLECTIBLE OVER THE CONTRACTUAL LIFE OF THE RECEIVABLES. THE CORPORATION EVALUATES PATIENT RECEIVABLES TO DETERMINE THE ALLOWANCE FOR CREDIT LOSSES BASED ON SIMILAR RISK CHARACTERISTICS THAT EXIST WITHIN CERTAIN CLASSES OF PAYORS. THE CORPORATION CALCULATES THE ALLOWANCE USING AN EXPECTED LOSS MODEL THAT CONSIDERS THE CORPORATION'S ACTUAL HISTORICAL LOSS RATES ADJUSTED FOR CURRENT ECONOMIC CONDITIONS AND REASONABLE AND SUPPORTABLE FORECASTS. THE CORPORATION CONSIDERS MARKET TRENDS, FUTURE ECONOMIC CONDITIONS, AND CREDIT RATINGS OF ITS PAYORS WHEN MAKING ADJUSTMENTS FOR REASONABLE AND SUPPORTABLE FORECASTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR CREDIT LOSSES IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. RECOVERIES OF AMOUNTS PREVIOUSLY WRITTEN OFF ARE RECOGNIZED WHEN RECEIVED. SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS THE AMOUNTS REPORTED FOR MEDICARE ARE FROM THE MEDICARE COST REPORT, WHICH DO NOT SHOW A SHORTFALL. THIS IS BASED ON THE METHODOLOGY REQUIRED FOR COMPLETING THE MEDICARE COST REPORT. SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE A FORMAL WRITTEN DEBT COLLECTION POLICY IS IN PLACE. THE COLLECTION POLICY WILL ASSESS A PATIENT'S ABILITY TO PAY FOR SERVICES INCLUDING METHODS OF PAYMENTS, ENTITLEMENT PROGRAMS, CHARITY CARE POLICIES, DISCOUNT POLICIES, INQUIRIES OF CREDIT REPORT AND OTHER AVAILABLE INFORMATION RELATIVE TO THE PATIENT'S FINANCIAL SITUATION. THE COLLECTION PROCESS BEGINS AT THE POINT OF SERVICE AND IS COMPLETED WHEN THE BALANCE IS RECONCILED AND MAY INCLUDE USE OF EXTERNAL COLLECTION AGENCIES AND OR ATTORNEYS. SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE - MCLAREN CARO REGION: LINE 16A URL: HTTPS://TINYURL.COM/YYA9C5OC; SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE - MCLAREN CARO REGION: LINE 16B URL: HTTPS://TINYURL.COM/YYA9C5OC; SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE - MCLAREN CARO REGION: LINE 16C URL: HTTPS://TINYURL.COM/YYA9C5OC; SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT ORGANIZATION COMMUNICATED WITH STATE AND LOCAL AGENCIES TO DETERMINE THE HEALTHCARE NEEDS OF THE COMMUNITY. EXAMPLES OF SERVICES PROVIDED BASED ON COMMUNITY NEEDS ARE IMMUNIZATIONS, VACCINES, SPORTS PHYSICALS, SENIOR AND HEALTH FAIRS, FIRST AID BOOTH, AND DIABETIC CLASSES. MCLAREN CARO REGION HAS CURRENTLY JOINED THE MICHIGAN RURAL HEALTH GROUP WHO WILL CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE HOSPITAL AS NEEDED. THE HEALTH NEEDS ASSESSMENT WAS DONE DURING FISCAL YEAR 2025 AND IS POSTED ON THE MCLAREN PUBLIC WEBSITE. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE EVERY UNINSURED PATIENT THAT IS AN INPATIENT, OUTPATIENT, SURGICAL, OBSERVATION, OR INCURS MORE THAN $5,000 IN MEDICAL EXPENSES, RECEIVES A CHARITY CARE PACKAGE. THE PACKAGE INCLUDES A CHARITY CARE AND MEDICAID APPLICATION AND A HUMAN SERVICES REFERRAL FORM. ALL OTHER NON-INSURED PATIENTS MAY REQUEST A CHARITY CARE APPLICATION AT ANY TIME. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION ORGANIZATION IS LOCATED IN TUSCOLA COUNTY WHICH HAS A POPULATION OF APPROX. 53,000, CARO HAS A POPULATION OF APPROX 4,300. TUSCOLA COUNTY CONSISTS OF MOSTLY FARMLAND WITH VERY FEW MANUFACTURING FACILITIES. THE UNEMPLOYMENT RATE IN TUSCOLA COUNTY IS HIGH BECAUSE OF THE LOSS OF MANY SMALL AUTOMOTIVE RELATED JOBS AND IS AT OR ABOVE THE STATE OF MICHIGAN'S UNEMPLOYMENT RATE. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH 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. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM 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. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT MI false true false false false false false false false CONNIE KOUTOUZOS PRESIDENT & CEO 0 345294 0 101719 0 401407 0 2817 0 37823 0 889060 0 0 CHAD GRANT CORPORATE COO 0 972181 0 179725 0 581945 0 7918 0 40910 0 1782679 0 0 JESSICA GIBSON PHYSICIAN & CHIEF OF STAFF 138461 0 45966 0 80845 0 7817 0 13410 0 286499 0 0 0 YVONNE VANDECAR DIRECTOR PATIENT CARE SERVICES 127811 0 10074 0 617 0 1438 0 19647 0 159587 0 0 0 SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN MCLAREN MAINTAINS TWO SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS FOR A THE OLD SERP WAS CLOSED TO NEW PARTICIPANTS ON OCTOBER 1, 2006, AND THE NEW BOTH OF THE SERPS. THE OLD SERP IS STRUCTURED AS A DEFINED BENEFIT PLAN RECEIVE UNDER MCLAREN'S QUALIFIED RETIREMENT PLAN DUE TO IRS LIMITATIONS SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES (THE "SERPS"). SERP BECAME EFFECTIVE AS OF JANUARY 1, 2007. NO EMPLOYEE MAY PARTICIPATE IN THAT ESSENTIALLY REPLACES THE BENEFITS THE PARTICIPANT IS NOT PERMITTED TO 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-DISTRICT 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 ACCOUT 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. SCHEDULE J, PART I, LINE 1A OTHER BENEFITS/PAYMENTS TO QUALIFIED PERSONS 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 CEOS AND CORPORATE EXECUTIVE & SENIOR 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. SCHEDULE J, PART I, LINE 3 COMPENSATION OF ORGANIZATION'S CEO/EXECUTIVE DIRECTOR 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, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SCHEDULE J, PART I, LINE 7 NONFIXED PAYMENTS MCLAREN HEALTH CARE (MHC) HAS A LEADERSHIP INCENTIVE PROGRAM FOR LEADERS OF THE CORPORATION, SUBSIDIARY EXECUTIVES AND DIRECTORS, MANAGERS AND SUPERVISORS. 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 MHC SERVES, AND (C) PROTECTING MHC'S ABILITY TO COMPETE WITH OTHER EMPLOYERS FOR HIGH-TALENT LEADERS. FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS THE SOLE MEMBER OF THIS ORGANIZATION IS MCLAREN HEALTH CARE CORPORATION. FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY THE MEMBER SHALL HAVE THE EXCLUSIVE RIGHT TO ELECT OR APPOINT THE DIRECTORS OF THE CORPORATION. FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS DECISIONS BY THE GOVERNING BODY ARE SUBJECT TO THE POWERS OF THE MEMBER. FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY 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, LINE 12C CONFLICT OF INTEREST POLICY 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 RELIEVED OF THEIR SERVICE TO MHC. FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES THE COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS TO REVIEW THE PERFORMANCE AND RECOMMEND THE TOTAL COMPENSATION PACKAGE OF THE MCLAREN HEALTHCARE CORPORATION'S CEO TO THE BOARD. FURTHER, THE COMMITTEE ESTABLISHES THE SALARY RANGES AND PREREQUISITES OF THE OTHER MOST HIGHLY COMPENSATED OFFICERS (MHC EXECUTIVE & SENIOR VICE-PRESIDENTS AND CEOS OF MHC SUBSIDIARY ORGANIZATIONS) 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 53.4958-6(C)(1)(III). THE COMMITTEE RETAINS THE SERVICES ANNUALLY 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. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS FISCAL YEAR 2024. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE GENERAL PUBLIC. THEY ARE PROVIDED UPON REQUEST. FORM 990, PART IX, COLUMN (D) FUNDRAISING EXPENSES: AN ALLOCATION HAS BEEN MADE TO FUNDRAISING EXPENSES RELATED TO TIME THAT HOSPITAL MARKETING STAFF SPENT ASSISTING THE CARO COMMUNITY HOSPITAL FOUNDATION WITH THEIR FUNDRAISING EFFORTS. FORM 990, PART IX, LINE 11G OTHER FEES PROFESSIONAL FEES/CONSULTANTS - TOTAL EXPENSE: 326222, PROGRAM SERVICE EXPENSE: 213349, MANAGEMENT AND GENERAL EXPENSES: 111894, FUNDRAISING EXPENSES: 979; PHYSICIAN FEES/CONTRACT LABOR: - TOTAL EXPENSE: 2307904, PROGRAM SERVICE EXPENSE: 1509369, MANAGEMENT AND GENERAL EXPENSES: 791611, FUNDRAISING EXPENSES: 6924; CORPORATE ALLOCATION - PREMIER - TOTAL EXPENSE: 1283909, PROGRAM SERVICE EXPENSE: 839676, MANAGEMENT AND GENERAL EXPENSES: 440381, FUNDRAISING EXPENSES: 3852; FORM 990, PART XII, LINE 2C CHANGE OF OVERSIGHT PROCESS OR SELECTION PROCESS THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MCLAREN BAY MEDICAL FOUNDATION 1900 COLUMBUS AVE BAY CITY MI 48708 382156534 FOUNDATION MI 501(C)(3) TYPE I MCLAREN BAY REGION true MCLAREN BAY REGION 1900 COLUMBUS AVE BAY CITY MI 48708 381976271 HOSPITAL MI 501(C)(3) 3 MCLAREN HEALTH CARE CORPORATION true BAY REGIONAL MEDICAL CENTER AUXILIARY 1908 COLUMBUS AVENUE BAY CITY MI 48708 386081235 SUPPORTING ORGANIZATION MI 501(C)(3) TYPE I MCLAREN BAY REGION true MCLAREN BAY SPECIAL CARE 3250 E MIDLAND ROAD STE 1 BAY CITY MI 48706 383161753 HOSPITAL MI 501(C)(3) 3 MCLAREN BAY REGION true MCLAREN CENTRAL MICHIGAN 1221 SOUTH DRIVE MT PLEASANT MI 48858 381420304 HOSPITAL MI 501(C)(3) 3 MCLAREN HEALTH CARE CORPORATION true CHARLEVOIX NURSING HOME CORPORATION DBA BOULDER PARK TERRACE 14676 WEST UPRIGHT CHARLEVOIX MI 49720 383038683 SKILLED NURSING FACILITY MI 501(C)(3) 10 MCLAREN NORTHERN MICHIGAN true KARMANOS CANCER FOUNDATION 4100 JOHN R ST DETROIT MI 48201 383584572 FOUNDATION MI 501(C)(3) 7 BARBARA ANN KARMANOS CANCER INSTITUTE true MCLAREN GREATER LANSING FOUNDATION 2900 COLLINS ROAD LANSING MI 48910 382463637 FOUNDATION MI 501(C)(3) 7 MCLAREN GREATER LANSING true MCLAREN GREATER LANSING 2900 COLLINS ROAD LANSING MI 48910 381434090 HOSPITAL MI 501(C)(3) 3 MCLAREN HEALTH CARE CORPORATION true BARBARA ANN KARMANOS CANCER HOSPITAL 4100 JOHN R ST DETROIT MI 48201 201649466 HOSPITAL MI 501(C)(3) 3 BARBARA ANN KARMANOS CANCER INSTITUTE true BARBARA ANN KARMANOS CANCER INSTITUTE 4100 JOHN R ST DETROIT MI 48201 381613280 CANCER RESEARCH & CARE CENTER MI 501(C)(3) 7 MCLAREN HEALTH CARE CORPORATION true MCLAREN LAPEER REGION 1375 N MAIN ST LAPEER MI 48446 382689033 HOSPITAL MI 501(C)(3) 3 MCLAREN HEALTH CARE CORPORATION true MCLAREN LAPEER REGION FOUNDATION 1375 N MAIN ST LAPEER MI 48446 382689603 FOUNDATION MI 501(C)(3) TYPE I MCLAREN LAPEER REGION true MARWOOD MANOR NURSING HOME PO BOX 5011 PORT HURON MI 48060 382683251 NURSING HOME MI 501(C)(3) 10 PORT HURON HOSPITAL true MCLAREN HEALTH CARE CORPORATION ONE MCLAREN PARKWAY GRAND BLANC MI 48439 382397643 SUPPORTING ORG MI 501(C)(3) TYPE I NA false MCLAREN HEALTH CARE VILLAGE FOUNDATION 401 S BALLENGER HIGHWAY FLINT MI 48532 262693350 SUPPORTING ORG MI 501(C)(3) TYPE I MCLAREN HEALTH CARE CORPORATION true MCLAREN HEALTH PLAN COMMUNITY G-3245 BEECHER ROAD FLINT MI 48532 272204037 INSURANCE MI 501(C)(4) 1 MCLAREN HEALTH PLAN true MCLAREN HEALTH PLAN INC G-3245 BEECHER ROAD FLINT MI 48532 383252216 HEALTH MAINTENANCE ORGANIZATION MI 501(C)(4) MCLAREN INTEGRATED HMO GROUP true MCLAREN HOSPICE AND HOME CARE FOUNDATION 1515 CAL DR DAVISON MI 48423 463643089 FOUNDATION MI 501(C)(3) TYPE I MCLAREN HEALTH CARE CORPORATION true MCLAREN MEDICAL GROUP 401 S BALLENGER HWY FLINT MI 48532 382988086 MANAGEMENT COMPANY MI 501(C)(3) TYPE I MCLAREN HEALTH CARE CORPORATION true MCLAREN NORTHERN MICHIGAN 416 CONNABLE AVENUE PETOSKEY MI 49770 382146751 ACUTE CARE HOSPITAL MI 501(C)(3) 3 MCLAREN HEALTH CARE CORPORATION true MCLAREN NORTHERN MICHIGAN FOUNDATION 360 CONNABLE AVENUE PETOSKEY MI 49770 382445611 FOUNDATION MI 501(C)(3) 7 MCLAREN NORTHERN MICHIGAN true MCLAREN PORT HURON 1221 PINE GROVE AVENUE PORT HURON MI 48060 381369611 HOSPITAL MI 501(C)(3) 3 MCLAREN HEALTH CARE CORPORATION true MCLAREN FLINT 401 S BALLENGER HWY FLINT MI 48532 382383119 HOSPITAL MI 501(C)(3) 3 MCLAREN HEALTH CARE CORPORATION true MICHIGAN CANCER SOCIETY 4100 JOHN R ST DETROIT MI 48201 382823451 CANCER RESEARCH MI 501(C)(3) 7 BARBARA ANN KARMANOS CANCER INSTITUTE true MOUNT CLEMENS REGIONAL HEALTHCARE FOUNDATION PO BOX 326 MOUNT CLEMENS MI 48046 382578873 FOUNDATION MI 501(C)(3) 10 MCLAREN MACOMB true MCLAREN MACOMB 1000 HARRINGTON MOUNT CLEMENS MI 48043 381218516 HOSPITAL MI 501(C)(3) 3 MCLAREN HEALTH CARE CORPORATION true NORTH OAKLAND NORTH MACOMB IMAGING INC 50 NORTH PERRY STREET PONTIAC MI 48342 382807040 MRI IMAGING MI 501(C)(3) 3 MCLAREN OAKLAND true NORTHERN MICHIGAN HEMATOLOGY AND ONCOLOGY 416 CONNABLE AVENUE PETOSKEY MI 49770 320020293 PHYSICIAN PRACTICE MI 501(C)(3) 3 MCLAREN NORTHERN MICHIGAN true NORTHERN MICHIGAN MEDICAL MANAGEMENT 416 CONNABLE AVENUE PETOSKEY MI 49770 208458840 PHYSICIAN PRACTICE MI 501(C)(3) 3 MCLAREN NORTHERN MICHIGAN true MCLAREN OAKLAND FOUNDATION 50 NORTH PERRY STREET PONTIAC MI 48342 200442217 FOUNDATION MI 501(C)(3) TYPE III-FI MCLAREN OAKLAND true MCLAREN OAKLAND 50 NORTH PERRY STREET PONTIAC MI 48342 381428164 HOSPITAL MI 501(C)(3) 3 MCLAREN HEALTH CARE CORPORATION true PORT HURON HOSPITAL FOUNDATION PO BOX 5011 PORT HURON MI 48060 382777750 FOUNDATION MI 501(C)(3) TYPE I PORT HURON HOSPITAL true THE CARDIAC INSTITUTE DBA MICHIGAN HEART & VASCULAR SPECIALISTS 416 CONNABLE AVENUE PETOSKEY MI 49770 262774689 PHYSICIAN PRACTICE MI 501(C)(3) 3 MCLAREN NORTHERN MICHIGAN true MCLAREN HEALTH MANAGEMENT GROUP 1515 CAL DRIVE DAVISON MI 48423 383491714 HEALTH CARE SERVICES MI 501(C)(3) 10 MCLAREN HEALTH CARE CORPORATION true VITALCARE INC 761 LAFAYETTE AVENUE CHEBOYGAN MI 49721 382527255 HOSPICE CARE/HOME HEALTH SERVICES MI 501(C)(3) 10 MCLAREN NORTHERN MICHIGAN true MCLAREN FLINT FOUNDATION 401 S BALLENGER HIGHWAY FLINT MI 48532 381358053 SUPPORTING ORGANIZATION MI 501(C)(3) TYPE I MCLAREN FLINT true CARO COMMUNITY HOSPITAL ENDOWMENT FOUNDATION 401 N HOOPER ST CARO MI 48724 382422995 FOUNDATION MI 501(C)(3) TYPE III-FI MCLAREN CARO REGION true MDWISE INC 2955 N MERIDIAN STREET SUITE 201 INDIANAPOLIS IN 46208 351931354 HEALTH MAINTENANCE ORGANIZATION IN 501(C)(4) MCLAREN INTEGRATED HMO GROUP true MDWISE MEDICAID NETWORK INC 2955 N MERIDIAN STREET SUITE 201 INDIANAPOLIS IN 46208 473192307 HEALTH CARE SERVICES IN 501(C)(4) MCLAREN INTEGRATED HMO GROUP true MCLAREN THUMB REGION 1100 S VAN DYKE ROAD BAD AXE MI 48413 381474929 HOSPITAL MI 501(C)(3) 3 MCLAREN HEALTH CARE CORPORATION true HURON MEMORIAL FOUNDATION 1100 S VAN DYKE ROAD BAD AXE MI 48413 382717147 FOUNDATION MI 501(C)(3) 7 MCLAREN THUMB REGION true MCLAREN INTEGRATED HMO GROUP G-3245 BEECHER ROAD FLINT MI 48532 824449304 HEALTH CARE SERVICES MI 501(C)(4) MCLAREN HEALTH CARE CORPORATION true ST LUKE'S HOSPITAL 5901 MONCLOVA ROAD MAUMEE OH 43537 344428232 HOSPITAL OH 501(C)(3) 3 MCLAREN HEALTH CARE CORPORATION true ST LUKE'S HOSPITAL FOUNDATION 5901 MONCLOVA ROAD MAUMEE OH 43537 341292849 FOUNDATION OH 501(C)(3) TYPE I ST LUKE'S HOSPITAL true LAKE ORION NURSING CENTER CORPORATION 50 NORTH PERRY STREET PONTIAC MI 48342 382895426 NURSING HOME MI 501(C)(3) 10 MCLAREN OAKLAND true SPARTAN IMAGING INC 2900 COLLINS ROAD LANSING MI 48910 853196614 HEALTH CARE SERVICES MI 501(C)(3) 10 MCLAREN GREATER LANSING true MCLAREN HOSPITAL GROUP G-3235 BEECHER ROAD FLINT MI 48532 992212966 MANAGEMENT COMPANY MI 501(C)(3) TYPE II MCLAREN MEDICAL GROUP true MCLAREN COMMUNITY BASED PRIMARY CARE GROUP G-3235 BEECHER ROAD FLINT MI 48532 333765012 MANAGEMENT COMPANY MI 501(C)(3) TYPE II MCLAREN MEDICAL GROUP true MCLAREN - NORTHERN EQUITIES CANCER CENTER PROJECT LLC 263112935 RENTAL REAL ESTATE MI NA N/A false true MOUNT CLEMENS REGIONAL HEALTH BUILDING HEALTH PARTNERS 101 W BIG BEAVER RD STE 200 TROY MI 48084 262524717 BUILDING MANAGEMENT MI NA N/A false true SOUTH VAN DYKE MEDICAL COMPLEX-A 125 N HANSELMAN ST BAD AXE MI 48413 383372174 VARIOUS HEALTHCARE ACTIVITIES MI NA N/A false true CLARKSTON ASC PARTNERS LLC 5701 BOW POINTE DR STE 145 CLARKSTON MI 48346 203360827 SURGERY CENTER MI NA N/A false true CLARKSTON PROPERTY ASSOCIATES 50 NORTH PERRY STREET PONTIAC MI 48342 432006072 REAL ESTATE MI NA C CORPORATION true DELPHINUS INVESTMENT INC 4100 JOHN R ST DETROIT MI 48075 454758176 HOLD PASSIVE INVESTMENT MI NA C CORPORATION true HEALTH ADVANTAGE INC G3245 BEECHER ROAD FLINT MI 48532 912141720 INSURANCE MI NA C CORPORATION true MCLAREN INSURANCE COMPANY LTD 10 MAIN ST GRAND CAYMAN CJ INSURANCE CJ NA C CORPORATION true MID-MICHIGAN PHYSICIANS PC 2510 KERRY STREET SUITE 200 LANSING MI 48912 383267121 PHYSICIAN PRACTICE MI NA C CORPORATION true MCLAREN PHYSICIAN PARTNERS ONE MCLAREN PARKWAY GRAND BLANC MI 48439 383136458 MANAGED CARE MI NA C CORPORATION true VITALCARE HOME MEDICAL EQUIPMENT INC 761 LAFAYETTE AVENUE CHEBOYGAN MI 49721 382662954 SALE AND RENTAL OF DURABLE MEDICAL EQUIPMENT MI NA C CORPORATION true HURON CLINIC CONDOMINIUMS OWNERS 125 N HANSELMAN ST BAD AXE MI 48413 412144341 VARIOUS HEALTHCARE ACTIVITIES MI NA C CORPORATION true false false false false false false false false false false false false false true true false false false SCHEDULE R, PART III IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS PARTNERSHIP: NAME, ADDRESS, AND EIN OF RELATED ORGANIZATION: MCLAREN - NORTHERN EQUITIES CANCER CENTER PROJECT, LLC EIN: 26-3112935 39000 COUNTRY CLUB DRIVE FARMINGTON HILLS, MI 48331 SCHEDULE R, PART IV IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS CORP OR TRUST: NAME OF RELATED ORGANIZATION: DELPHINUS INVESTMENT INC DIRECT CONTROLLING ENTITY: BARBARA ANN KARMANOS CANCER INSTITUTE