2026-08-07T16:05:16+00:00 2025-09-30 331498605 PLANTE & MORAN PLLC 995 YARD STREET SUITE 450 GRANDVIEW HEIGHTS OH 43212 990 2024-10-01 381420304 MCLAREN CENTRAL MICHIGAN MCLA 9897726720 1221 SOUTH DRIVE MT PLEASANT MI 48858 TARA SOULES CFO 9897726720 2026-08-07 true true AMY TOPALOV CPA P00796388 6148493000 2026-08-04 2024 2025-03-06 01:10:19Z ROBERT DAVID 1221 SOUTH DRIVE MT PLEASANT MI 48858 179925467 false X WWW.MCLAREN.ORG/CENTRALMICHIGAN X 1940 MI TO IMPROVE THE HEALTH STATUS OF THE PEOPLE WE SERVE BY PROVIDING CARING, COMPASSIONATE, HIGH-QUALITY SERVICES. 14 10 855 31 0 0 19846 1288777 142645715 173307984 732932 1604637 -669158 144565 142729335 176345963 0 0 0 0 94879496 99255643 0 0 113243 73889135 83056955 168768631 182312598 -26039296 -5966635 75886992 99420158 19983236 38593464 55903756 60826694 X MCLAREN HEALTH CARE, THROUGH ITS SUBSIDIARIES, WILL BE THE BEST VALUE IN HEALTHCARE AS DEFINED BY QUALITY OUTCOMES AND COST. true false 79645794 70275099 RURAL HEALTH CLINICS (RHC) BECAME PART OF MCLAREN CENTRAL DURING 2021 TO HELP BETTER SERVE THE RURAL COMMUNITIES WITHIN THE MCLAREN NETWORK. 79257358 103032885 PROVIDED IMPATIENT, OUTPATIENT, AND HOME CARE MEDICAL SERVICES. (PATIENT ADMISSIONS - 1,841, PATIENT DAYS - 5,857, TOTAL OUTPATIENT VISITS - 102,340) 158903152 true true false true false false false false false true true false false false 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 false false false false true 93 0 true 855 true false false false false false false false false false false false false X 14 10 true false false false true true true true true false false false false true true true true true false true false false X TARA SOULES 9897726720 1221 SOUTH DRIVE MT PLEASANT MI 48858 ASHOK VASHISHTA MD CMO 1.0 0.0 X X 0 102626 0 DANIEL BOGE VICE-CHAIR 1.0 1.0 X X 0 55000 0 DOUG OUELLETTE DIRECTOR/CHAIR 1.0 0.0 X X 0 0 0 ROBERT DAVID PRESIDENT/CEO 41.0 0.0 X X 0 656569 137066 BRIAN WIEFERICH DIRECTOR 1.0 0.0 X 0 0 0 CHAD GRANT EVP & COO 1.0 54.0 X 0 1733851 48828 CINDY JACOBS DIRECTOR 1.0 0.0 X 0 0 0 ERIK RODRIGUEZ DIRECTOR 1.0 0.0 X 0 0 0 LORI ROGERS DIRECTOR 1.0 0.0 X 0 0 0 MATTHEW ROMASHKO DIRECTOR 1.0 0.0 X 0 0 0 MICHAEL SWIRTZ MD DIRECTOR 1.0 0.0 X 0 0 0 PAMELA MYLER DIRECTOR 1.0 0.0 X 0 0 0 RYAN LILLY DIRECTOR 1.0 0.0 X 0 0 0 VICKIE TUMA DIRECTOR 1.0 0.0 X 0 0 0 CAROLYN POTTER VP HR 20.0 20.0 X 0 327926 16460 JEANNIE SAGE CHIEF NURSING OFFICER 41.0 0.0 X 202171 0 24666 MICHAEL TERWILLIGER VP FACILITIES 40.0 0.0 X 206524 0 32923 TARA SOULES CHIEF FINANCIAL OFFICER 41.0 0.0 X 281145 0 30003 ANN VICTORY HOSPITALIST 40.0 0.0 X 318421 0 19339 COLETTE WILSON DOSIMETRIST III 40.0 0.0 X 171020 0 8736 DR IMAN ZEIDAN HOSPITALIST 40.0 0.0 X 358043 0 19235 DR ROBERT SEALS HOSPITALIST 40.0 0.0 X 343907 0 36475 KEVIN SURFACE HOSPITALIST 40.0 0.0 X 326543 0 37325 2207774 2875972 411056 45 false true false MORRISON MANAGEMENT SPECIALISTS INC PO BOX 102289 ATLANTA GA 303682289 FOOD SERVICE 930854 CPS SOLUTIONS LLC 655 METRO PLACE SOUTH SUITE 450 DUBLIN OH 43017 CONTRACT LABOR 726494 JG ANESTHESIA SERVICES PO BOX 923 ALMA MI 48801 CONTRACT LABOR 519750 PCO PC PO BOX 208368 DALLAS TX 75320 RADIOLOGY READS 482636 HESHAM E GAYAR MD PC PO BOX 1236 GRAND BLANC MI 48439 CONTRACT LABOR 362938 18 952211 336566 6050 1288777 PATIENT SERVICE REVENUE 624100 149152226 149152226 340B RETAIL PHARMACY 456110 24155758 24155758 0 0 0 0 173307984 1611509 1611509 375276 3572632 -3197356 0 -3197356 -3197356 6872 0 -6872 -6872 -6872 INCENTIVE PROGRAMS 900099 226380 226380 FOOD/NUTRITIONAL SERVICES 900099 213726 213726 GIFT SHOP 900099 56256 56256 2845559 0 0 2845559 3341921 176345963 173307984 0 1749202 X 765450 765450 80937423 71626061 9241665 69697 2458745 2236648 219905 2192 10665876 8174662 2483629 7585 4428149 3994752 429141 4256 191251 1517 189734 71976 22000 49976 1157 1157 24975016 23799093 1158658 17265 223106 11133 211973 4148439 3186371 961397 671 907307 768052 134230 5025 6953695 3574793 3378902 135323 104376 30947 38174 37714 460 207374 207374 4106804 1739466 2367088 250 1936680 1008918 927762 MEDICAL SUPPLIES 32194733 31880132 309284 5317 BAD DEBTS 3589981 3589981 QAAP 2763600 2763600 PENALTIES/FEES 223716 41621 182095 388623 342262 45376 985 182312598 158903152 23296203 113243 2399 2400 856222 13774415 40619 41296 10171441 9326798 0 0 0 0 1252131 6813288 2531776 4391251 428558 399680 117144685 88395792 29871601 28748893 20990146 26337205 0 0 7685097 7685097 2057002 1899835 75886992 99420158 17082762 36037949 663898 445056 0 0 2236576 2110459 19983236 38593464 X 55260202 60165492 643554 661202 55903756 60826694 75886992 99420158 X -5966635 1535538 9354035 X X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1157 1157 false SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A PORTION OF OUR DUES TO MICHIGAN HEALTH AND HOSPITAL ASSOCIATION SUPPORT LOBBYING ACTIVITIES. 643661 67018 26401 75879 661201 830028 20375 61410 268152 643661 812445 11824 73672 67913 830028 804264 46592 -19908 18503 812445 804628 39972 13790 54126 804264 0.0 0.2131 0.7869 true false 421143 421143 62203151 46527729 15675422 3465551 3128872 336679 51054840 38739191 12315649 28748893 FEDERAL INCOME TAXES OPERATING LEASES 1372397 PENSION - 457B PLAN 738062 2110459 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS TO ASSIST IN FUTURE CAPITAL NEEDS TO SERVICE OUR COMMUNITY. true true X true X 400 true X true true true false true true 2772010 2772010 0.01551 34206807 22486057 11720750 0.06558 0 0.0 0 0 36978817 22486057 14492760 0.08109 26422 26422 0.00015 17457 17457 0.00010 0 0.0 0 0.0 82908 82908 0.00046 0 0 126787 0 126787 0.00071 0 0 37105604 22486057 14619547 0.08180 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 9078 9078 0.00005 0 0.0 308390 308390 0.00173 0 0.0 0 0 317468 0 317468 0.00178 true 3589981 29205153 28242940 962213 X true true 1 1 MCLAREN CENTRAL MICHIGAN 1221 SOUTH DR MT PLEASANT MI 48858 HTTPS://TINYURL.COM/BDZFB2AS 1060000040 X X X MCLAREN CENTRAL MICHIGAN 1 false false true X X X X X X X X X 25 true false true true X HTTPS://TINYURL.COM/YAWXCYL4 X X true 23 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 5 FACILITY , 1 FACILITY , 1 - MCLAREN CENTRAL MICHIGAN. THERE WERE SEVEN PHASES TO MITHRIVE. THE FIRST FOUR INCLUDED, COMMUNITY THEMES & STRENGTHS ASSESSMENT, COMMUNITY HEALTH STATUS ASSESSMENT, LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT, AND FORCES OF CHANGE ASSESSMENT. THE COMMUNITY WAS EVALUATED BY COLLECTING DATA VIA MINI CLIENT INTERVIEWS, COMMUNITY INPUT BOARDS, GATHERING SECONDARY DATA FROM RELIABLE AND REPUTABLE SOURCES, COMMUNITY DISCUSSIONS, REGIONAL MEETINGS, COMMUNITY SURVEY AND A HEALTHCARE PROVIDER SURVEY. PHASE 5 PRIORITIZED THE ISSUES IDENTIFIED IN THE FIRST FOUR PHASES. PHASE SIX FORMED GOALS AND STRATEGIES FOR THE PRIORITIZED ISSUES, AND PHASE SEVEN WAS BUILDING THE ACTION PLAN FOR CARRYING OUT THE VISION. -3496 INDIVIDUALS PARTICIPATED IN A COMMUNITY SURVEY -57 PHYSICIANS AND HEALTHCARE PROVIDERS PARTICIPATED IN THE HEALTHCARE SURVEY -REGIONAL MEETINGS WERE CONDUCTED ALONG WITH STRATEGIC COMMUNITY-FOCUSED CONVERSATIONS -100 HEALTH INDICATORS SUCH AS LEADING CAUSES OF DEATH, DISEASE RATES, HEALTH RISK BEHAVIORS AND ACCESS TO HEALTH CARE WERE COLLECTED AND ANALYZED CHNA AND IMPLEMENTATION POLICY CAN BE ACCESSED AT: HTTPS://WWW.MCLAREN.ORG/MAIN/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SCHEDULE H, PART V, SECTION B, LINE 6B FACILITY , 1 FACILITY , 1 - MCLAREN CENTRAL MICHIGAN. MITHRIVE SCHEDULE H, PART V, SECTION B, LINE 7 FACILITY , 1 FACILITY , 1 - MCLAREN CENTRAL MICHIGAN. ANNOUNCEMENTS WERE MADE AT HOSPITAL EXECUTIVE TEAM MEETINGS, SHARED WITH COMMUNITY SERVICE GROUPS, AND MENTIONED AT COMMUNITY EVENTS WHICH IMPACTED IDENTIFIED NEEDS. SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1 FACILITY , 1 - MCLAREN CENTRAL MICHIGAN. THE HOSPITAL HAS A WRITTEN IMPROVEMENT PLAN THAT WAS ADOPTED BY THE MCLAREN CENTRAL MICHIGAN BOARD OF DIRECTORS ON JANUARY 25, 2023. THE PLAN INCLUDES STRATEGIES AND IMPLEMENTATIONS FOR THE HOSPITAL TO ADDRESS ACCESS TO HEALTHCARE/CHRONIC DISEASE PREVENTION, HEALTH EQUITY, MENTAL HEALTH, SAFETY AND WELL-BEING, SUBSTANCE USE, AND TRANSPORTATION. MCLAREN CENTRAL MICHIGAN ACKNOWLEDGES THE WIDE RANGE OF ISSUES THAT EMERGED FROM THE CHNA PROCESS, AND DETERMINED THAT WITH THE BROAD NATURE OF THE STRATEGIC ISSUES WE COULD EFFECTIVELY FOCUS ON ONLY THOSE ISSUES THAT WERE HEALTH RELATED. DUE TO THE LOWER PRIORITIZATION, MCM WILL NOT TARGET THE FOLLOWING IDENTIFIED STRATEGIC ISSUES: -AFFORDABLE HOUSING -ECONOMIC SECURITY -BROADBAND ACCESS THE HOSPITAL FELT THESE WOULD HAVE LESS OF A VIABLE IMPACT WITH CHANGING. SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY , 1 FACILITY , 1 - MCLAREN CENTRAL MICHIGAN. 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. 48 MCLAREN CENTRAL - RHC HEALTH PARK 7 2940 HEALTH PARKWAY MT PLEASANT MI 48858 PROVIDER OFFICE MCLAREN CENTRAL - RHC HEALTH PARK 7 2940 HEALTH PARKWAY MT PLEASANT MI 511528531 UROLOGY MCLAREN CENTRAL - RHC PICKARD STREET 5115 E PICKARD ST MT PLEASANT MI 48858 PRIMARY CARE MCLAREN CENTRAL - RHC HEALTH PARK 4 2853 HEALTH PARKWAY SUITE A MT PLEASANT MI 48858 PROVIDER OFFICE MCLAREN CENTRAL - RHC READYCARE 1523 S MISSION ST MT PLEASANT MI 48858 WALK-IN CLINIC MCLAREN HEART CENTER - RHC MT PLEASA 5115 E PICKARD ST MT PLEASANT MI 48858 CARDIOLOGY MCLAREN CENTRAL - RHC CLARE CLINIC 1509 N MCEWAN ST CLARE MI 48617 PROVIDER OFFICE MCLAREN CENTRAL - RHC WEIDMAN CLINIC 3520 N WOODRUFF PO BOX 36 WEIDMAN MI 48893 PROVIDER OFFICE MCLAREN BAY - RHC HEART AND VASCULAR 2110 M-76 SUITE 8 WEST BRANCH MI 48661 CARDIOLOGY MCLAREN BAY - RHC HEART AND VASCULAR 4489 W M-61 STANDISH MI 48658 CARDIOLOGY MCLAREN BAY REGION - RHC STANDISH FAM 4489 W M-61 SUITE 1 STANDISH MI 48658 FAMILY MEDICINE MCLAREN BAY REGION - RHC TAWAS INTERN 312 W M-55 TAWAS MI 48763 FAMILY MEDICINE MCLAREN PRIMARY CARE - RHC ROSE CITY 2990 CAMPBELL ROAD ROSE CITY MI 48654 FAMILY MEDICINE MCLAREN PRIMARY CARE - RHC ST HELEN 1360 N ST HELEN ROAD ST HELEN MI 48656 FAMILY MEDICINE MCLAREN PRIMARY CARE - WEST BRANCH 2110 M-76 SUITE 6 WEST BRANCH MI 48661 FAMILY MEDICINE MCLAREN PRIMARY CARE - RHC MIO 558 LOCKWOOD LANE MIO MI 48647 FAMILY MEDICINE MCLAREN CENTRAL - RHC INTERNAL MEDICI 1201 SOUTH DRSUITE 131 MT PLEASANT MI 48858 INTERNAL MEDICINE MCLAREN CENTRAL - RHC PULMONOLOGY 1201 SOUTH DRSUITE 341 MT PLEASANT MI 48858 PULMONOLOGY MCLAREN CENTRAL - RHC MEDICAL ARTS GE 1201 SOUTH DR SUITE 352 MT PLEASANT MI 48858 GENERAL SURGERY MCLAREN CENTRAL - RHC MEDICAL ARTS VA 1201 SOUTH DR SUITE 352 MT PLEASANT MI 48858 INTERVENTIONAL RADIOLOGY MCLAREN CENTRAL - RHC PEDIATRICS 1201 SOUTH DRSUITE 341 MT PLEASANT MI 48858 PEDIATRICS MCLAREN LAPEER - RHC BROWN CITY HEALT 7115 CADE ROAD BROWN CITY MI 48416 FAMILY MEDICINE MCLAREN THUMB REGION - RHC WOMEN'S HE 1005 S VAN DYKE RD BAD AXE MI 48413 OBSTETRICS/GYNECOLOGY MCLAREN NORTHERN MICHIGAN - RHC FAMI 820 ARLINGTON AVE SUITE 258 PETOSKEY MI 49770 FAMILY MEDICINE/PRIMARY CARE MCLAREN NORTHERN MICHIGAN - RHC GAYL 1320 E M-32 GAYLORD MI 49735 FAMILY MEDICINE MCLAREN NORTHERN MICHIGAN - RHC CHEBO 740 S MAIN STREET SUITE 3B CHEBOYGAN MI 49721 GENERAL SURGERY MCLAREN NORTHERN MICHIGAN - RHC ROGER 573 NORTH BRADLEY HIGHWAY ROGERS CITY MI 49779 FAMILY MEDICINE MCLAREN NORTHERN MICHIGAN - RHC INFEC 560 WEST MITCHELL ST SUITE 170 PETOSKEY MI 49770 INFECTIOUS DISEASE MCLAREN NORTHERN MICHIGAN - RHC HEMAT 560 W MITCHELL ST SUITE 185 PETOSKEY MI 49770 HEMATOLOGY/ONCOLOGY MCLAREN NORTHERN MICHIGAN - RHC DIGES 560 WEST MITCHELL ST SUITE M-40 PETOSKEY MI 49770 GASTROENTEROLOGY & INTERNAL MED. MCLAREN NORTHERN MICHIGAN - RHC CHEBO 740 S MAIN STREET SUITE 3A CHEBOYGAN MI 49721 FAMILY MEDICINE MCLAREN NORTHERN MICHIGAN - RHC NEURO 560 WEST MITCHELL ST SUITE 125 PETOSKEY MI 49770 NEUROLOGY MCLAREN NORTHERN MICHIGAN - RHC UROLO 560 WEST MITCHELL SUITE 340 PETOSKEY MI 49770 UROLOGY MCLAREN NORTHERN MICHIGAN - RHC MITCH 560 W MITCHELL ST SUITE C70 PETOSKEY MI 49770 FAMILY MEDICINE MCLAREN NORTHERN MICHIGAN - RHC HEAR 560 WEST MITCHELL ST SUITE 400 PETOSKEY MI 49770 CARDIOLOGY MCLAREN NORTHERN MICHIGAN - RHC HEART 740 SOUTH MAIN ST SUITE 1D CHEBOYGAN MI 49721 VACANT MCLAREN NORTHERN - RHC ORTHOPEDIC SUR 560 WEST MITCHELL ST SUITE 560 PETOSKEY MI 49770 ORTHOPEDICS/PODIATRY MCLAREN NORTHERN MICHIGAN - RHC INTER 560 W MITCHELL STREET SUITE 300 PETOSKEY MI 49770 INTERNAL MEDICINE/ENDOCRINOLOGY MCLAREN NORTHERN MICHIGAN RHC MEDCENT 1890 US-131 4 PETOSKEY MI 49770 VACANT MCLAREN NORTHERN MEDCENTER - RHC MEDC 1249 M-75 BOYNE CITY MI 49712 PRIMARY CARE MCLAREN BAY - RHC HEART AND VASCULAR 2137 W-M61 GLADWIN MI 48624 CARDIOLOGY MCLAREN WEST BRANCH - RHC ORTHO 2110 S M-76 SUITE 9 WEST BRANCH MI 48661 ORTHOPEDICS MCLAREN BAY - WEST BRANCH - PHYSICAL 2110 S M-76 WEST BRANCH MI 48661 PHYSICAL MEDICINE & REHAB MCLAREN BAY - RHC GENERAL SURGERY - W 2110 S M-76 SUITE 9 WEST BRANCH MI 48661 GENERAL SURGERY MCLAREN CENTRAL - PODIATRY 2940 HEALTH PARKWAY MT PLEASANT MI 48858 PODIATRY MCLAREN NORTHERN MICHIGAN - RHC NEURO 560 WEST MITCHELL ST SUITE 250 PETOSKEY MI 49770 NEUROSURGERY MCLAREN NORTHERN MICHIGAN - RHC BEHAV 560 WEST MITCHELL ST SUITE C70 PETOSKEY MI 49770 BEHAVIORAL HEALTH MCLAREN NORTHERN MICHIGAN - RHC HEART 573 NORTH BRADLEY HIGHWAY ROGERS CITY MI 49779 CARDIOLOGY SCHEDULE H, PART V, SECTION B, LINE 13 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 3C INCOME CRITERIA IS BASED ON A 400% FEDERAL POVERTY GUIDELINES PER THE FEDERAL REGISTER. COLLECTIONS MAY BE CONSIDERED IF THE PATIENT HAS SUFFICIENT LIQUID ASSETS. SCHEDULE H, PART I, LINE 7 COLUMN (F) THE PERCENTAGE IS CALCULATED BASED ON TOTAL FUNCTIONAL EXPENSES SHOWN ON PART IX, LINE 25, LESS BAD DEBT OF $3,589,981. SCHEDULE H, PART I, LINE 6A COMMUNITY BENEFIT REPORT PREPARED BY RELATED ORGANIZATION 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 I, LINE 7 BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE CALCULATION 3589981 SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE A COST TO CHARGE RATIO WAS USED TO COMPLETE THE CHARITY CARE (LINE 7A) AND MEANS-TESTED GOVERNMENT PROGRAMS (LINE 7B AND 7C). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 THAT ACCOMPANIES THE INSTRUCTIONS TO THIS SCHEDULE. THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO COMPLETE THE COMMUNITY BEENFIT IMPROVEMENT SERVICES AND COMMUNITY BEENFIT OPERATIONS (LINE 7E) AND HEALTH PROFESSIONALS EDUCATION (LINE 7F). SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES COMMUNITY-BUILDING ACTIVITIES ARE DESIGNED AND IMPLEMENTED BASED ON COMMUNITY NEEDS ASSESSMENTS AND INPUT FROM COMMUNITY-BASED ORGANIZATIONS AND OTHER COMMUNITY STAKEHOLDERS, INCLUDING BUSINESS VENDORS, RELIGIOUS ORGANIZATIONS AND POLITICAL LEADERS. EACH ORGANIZATION DEFINES ANNUAL COMMUNITY-BUILDING AND OUTREACH ACTIVITY PLANS. THESE PLANS ARE DESIGNED TO ADDRESS THE SPECIFIC HEALTH PREVENTION, EDUCATION, DIAGNOSIS, TREATMENT AND FOLLOW-UP CARE REQUIREMENTS OF UNIQUE DISEASE, DEMOGRAPHIC, AND GEOGRAPHIC COMMUNITIES IDENTIFIED BY ONGOING NEEDS ASSESSMENTS DESCRIBED ABOVE. 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 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 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 CENTRAL MICHIGAN: LINE 16A URL: HTTPS://TINYURL.COM/YYA9C5OC; SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE - MCLAREN CENTRAL MICHIGAN: LINE 16B URL: HTTPS://TINYURL.COM/YYA9C5OC; SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE - MCLAREN CENTRAL MICHIGAN: LINE 16C URL: HTTPS://TINYURL.COM/YYA9C5OC; SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT MCLAREN CENTRAL MICHIGAN PARTICIPATED IN A REGION WIDE COMMUNITY HEALTH ASSESSMENT CALLED MITHRIVE. MITHRIVE IS A COLLABORATION OF LOCAL HEALTH DEPARTMENTS, HOSPITALS, AND COMMUNITY ORGANIZATIONS WORKING WITH LOCAL RESIDENTS TO IMPROVE HEALTH AND WELLBEING IN THE 31 COUNTIES OF NORTHERN-LOWER MICHIGAN. OVER 150 COMMUNITY PARTNERS PARTICIPATED AND INPUT WAS RECEIVED FROM OVER 3,000 RESIDENTS. THERE WERE SEVEN PHASES TO MITHRIVE. THE FIRST FOUR INCLUDED, COMMUNITY THEMES & STRENGTHS ASSESSMENT, COMMUNITY HEALTH STATUS ASSESSMENT, LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT, AND FORCES OF CHANGE ASSESSMENT. THE COMMUNITY WAS EVALUATED BY COLLECTING DATA VIA MINI CLIENT INTERVIEWS, COMMUNITY INPUT BOARDS, GATHERING SECONDARY DATA FROM RELIABLE AND REPUTABLE SOURCES, COMMUNITY DISCUSSIONS, REGIONAL MEETINGS, COMMUNITY SURVEY AND A HEALTHCARE PROVIDER SURVEY. PHASE 5 PRIORITIZED THE ISSUES IDENTIFIED IN THE FIRST FOUR PHASES. PHASE SIX FORMED GOALS AND STRATEGIES FOR THE PRIORITIZED ISSUES, AND PHASE SEVEN WAS BUILDING THE ACTION PLAN FOR CARRYING OUT THE VISION. -MORE THAN 3496 INDIVIDUALS PARTICIPATED IN A COMMUNITY SURVEY -57 PHYSICIANS AND HEALTHCARE PROVIDERS PARTICIPATED IN THE HEALTHCARE SURVEY -REGIONAL MEETINGS WERE CONDUCTED ALONG WITH STRATEGIC COMMUNITY-FOCUSED CONVERSATIONS -100 HEALTH INDICATORS SUCH AS LEADING CAUSES OF DEATH, DISEASE RATES, HEALTH RISK BEHAVIORS AND ACCESS TO HEALTH CARE WERE COLLECTED AND ANALYZED SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE AVAILABILITY OF FINANCIAL ASSISTANCE INFORMATION AND EDUCATION IS PROVIDED AT ALL INPATIENT AND OUTPATIENT REGISTRATION POINTS-OF-SERVICE. INFORMATION AND EDUCATION IS ALSO AVAILABLE THROUGH THE ORGANIZATION'S WEBSITE. FINANCIAL AND APPLICATION FORMS ARE AVAILABLE AT ALL INPATIENT AND OUTPATIENT REGISTRATION POINTS-OF-SERVICE, INCLUDING PROVIDING ASSISTANCE IN COMPLETING THE APPLICATION. ORGANIZATION AND IT'S SUBSIDIARIES/AFFILIATES ALSO PROVIDE SPECIFICALLY-TRAINED COUNSELORS TO ASSIST PATIENTS AND REVIEW ELIGIBILITY FOR FEDERAL, STATE AND OTHER GOVERNMENT PROGRAMS, INCLUDING, BUT NOT LIMITED TO, MEDICAID, DISABILITY, SOCIAL SECURITY, AND ANY OTHER FORMS OF THIRD PARTY PAYMENT. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION THE SERVICE AREA FOR MCLAREN CENTRAL MICHIGAN IS CLARE AND ISABELLA COUNTIES. COVERING 1,137 SQUARE MILES, BOTH COUNTIES ARE DESIGNATED AS "RURAL" BY THE U.S. CENSUS BUREAU, WITH THE EXCEPTION OF MOUNT PLEASANT IN ISABELLA COUNTY. THIS IS ONE OF ITS MOST IMPORTANT GEOGRAPHIC CHARACTERISTICS AS RURALITY INFLUENCES HEALTH AND WELL-BEING. THE COMPOSITION OF THE POPULATION IS ALSO IMPORTANT, AS HEALTH AND SOCIAL ISSUES CAN IMPACT GROUPS IN DIFFERENT WAYS, AND DIFFERENT STRATEGIES MAY BE MORE APPROPRIATE TO SUPPORT THESE DIVERSE GROUPS. OF THE 101,018 PEOPLE WHO LIVE IN CLARE AND ISABELLA COUNTIES, 89.58% ARE WHITE. THE LARGEST RACIAL OR ETHNIC MINORITY GROUPS ARE MULTIPLE RACES (3.98%), AMERICAN INDIAN AND ALASKA NATIVE (2.38%), BLACK (1.89%) AND ASIAN (1.19%), ACCORDING TO THE US CENSUS BUREAU AMERICAN COMMUNITY SURVEY 2016-20 5-YEAR ESTIMATES. IN ADDITION, A GREATER PROPORTION OF PEOPLE16.78% OF RESIDENTS MCLAREN CENTRAL MICHIGAN 38-1420304 IN CLARE AND ISABELLA COUNTIES HAVE A DISABILITY, COMPARED TO THE STATE (14.2%). 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 true false ROBERT DAVID PRESIDENT/CEO 0 435587 0 152513 0 68469 0 95099 0 41967 0 793635 0 0 CHAD GRANT EVP & COO 0 972181 0 179725 0 581945 0 7918 0 40910 0 1782679 0 0 CAROLYN POTTER VP HR 0 315960 0 10724 0 1242 0 15392 0 1068 0 344386 0 0 JEANNIE SAGE CHIEF NURSING OFFICER 160943 0 28428 0 12800 0 8170 0 16496 0 226837 0 0 0 MICHAEL TERWILLIGER VP FACILITIES 178589 0 27935 0 0 0 10391 0 22532 0 239447 0 0 0 TARA SOULES CHIEF FINANCIAL OFFICER 247723 0 33422 0 0 0 14119 0 15884 0 311148 0 0 0 DR IMAN ZEIDAN HOSPITALIST 358043 0 0 0 0 0 17250 0 1985 0 377278 0 0 0 DR ROBERT SEALS HOSPITALIST 343907 0 0 0 0 0 17250 0 19225 0 380382 0 0 0 KEVIN SURFACE HOSPITALIST 326543 0 0 0 0 0 16350 0 20975 0 363868 0 0 0 ANN VICTORY HOSPITALIST 318421 0 0 0 0 0 11155 0 8184 0 337760 0 0 0 COLETTE WILSON DOSIMETRIST III 171020 0 0 0 0 0 8555 0 181 0 179756 0 0 0 SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN 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 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. SCHEDULE J, PART I, LINE 7 NON-FIXED 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. SCHEDULE J, PART I, LINE 1A ADDITIONAL BENEFITS 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 CEO/EXECUTIVE DIRECTOR COMPENSATION 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. FORM 990, PART III, LINE 2 NEW PROGRAM SERVICES IN SEPTEMBER 2025 THE ORGANIZATION EXPANDED INFUSION SERVICES. FORM 990, PART VI, LINE 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS DANIEL BOGE & PAM MYLER. - BUSINESS RELATIONSHIP 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 ENTITY CFO AND THE FINANCE LEADERSHIP OF MCLAREN HEALTH CARE (MHC). COPIES OF DRAFT RETURNS ARE MADE AVAILABLE TO THE MHC BOARD MEMBERS, WHO SERVE AS THE OVERALL GOVERNING BOARD. RETURNS ARE AVAILABLE FOR ALL CORPORATIONS OF WHICH MHC 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 MHC IS THE ULTIMATE ACCOUNTABLE ORGANIZATION FOR THE SYSTEM; AS SUCH IT IS THE OVERALL GOVERNING BOARD OF THE SYSTEM, WHOSE RESPONSIBILITIES INCLUDE 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 PERQUISITES 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 2025. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VIII, LINE 11D OTHER MISCELLANEOUS REVENUE - TOTAL REVENUE: 2845559, RELATED OR EXEMPT FUNCTION REVENUE: , UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: 2845559; FORM 990, PART IX, LINE 11G OTHER FEES CONTRACT THERAPIES - TOTAL EXPENSE: 3822515, PROGRAM SERVICE EXPENSE: 3822515, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; PHYSICIAN FEES - TOTAL EXPENSE: 2781462, PROGRAM SERVICE EXPENSE: 2683012, MANAGEMENT AND GENERAL EXPENSES: 98450, FUNDRAISING EXPENSES: ; PURCHASED SERVICES - TOTAL EXPENSE: 2048568, PROGRAM SERVICE EXPENSE: 1275054, MANAGEMENT AND GENERAL EXPENSES: 756249, FUNDRAISING EXPENSES: 17265; AUXILIARY DEPARTMENTAL FEES - TOTAL EXPENSE: 16322471, PROGRAM SERVICE EXPENSE: 16018512, MANAGEMENT AND GENERAL EXPENSES: 303959, FUNDRAISING EXPENSES: ; FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES RELATED PARTY TRANSFERS - 9428850; RESTRICTED CHANGE IN FAIR VALUE OF PERPETUAL TRUST - 676; RESTRICTED NET ASSETS RELEASED FROM RESTRICTIONS - -75491; TOTAL - 9354035; FORM 990, PART XII, LINE 2C CHANGE OF OVERSIGHT PROCESS OR SELECTION PROCESS THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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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 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 false true true true false true