2026-08-11T11:02:26+00:00 2025-09-30 331498605 PLANTE & MORAN PLLC 995 YARD STREET SUITE 450 GRANDVIEW HEIGHTS OH 43212 990 2024-10-01 381428164 MCLAREN OAKLAND MCLA 2483385000 50 NORTH PERRY STREET PONTIAC MI 48342 HENRY NEMER DIRECTOR 2483385393 2026-08-11 true AMY TOPALOV CPA P00796388 6148493000 2026-08-04 2024 2025-03-06 01:10:19Z LORENZO SUTER 50 NORTH PERRY STREET PONTIAC MI 48342 326897302 false X WWW.MCLAREN.ORG/OAKLAND X 1953 MI MCLAREN OAKLAND PROVIDES PRIMARY AND SPECIALTY HEALTH CARE SERVICES GUIDED BY THE VALUES OF INTEGRITY, EXCELLENCE, DIVERSITY, AND INTELLIGENCE. WE ASPIRE TO ENHANCE THE QUALITY OF LIFE AND HEALTH STATUS OF THE PEOPLE WE SERVE. DURING THE YEAR, OAKLAND HAD MORE THAN 52,000 EMERGENCY VISITS, PERFORMED SERVICES FOR SURGERIES, MEDICAL IMAGING, PHYSICIAN REHABILITATION, SUBSTANCE ABUSE, AND MORE. 9 6 1526 51 0 58949 1089874 300828275 313908423 3418543 3287273 2864446 8611732 307170213 326897302 0 0 0 111866574 126466938 0 0 0 152767970 158796405 264634544 285263343 42535669 41633959 204910009 248792773 58098652 57702834 146811357 191089939 MCLAREN OAKLAND PROVIDES PRIMARY AND SPECIALTY HEALTH CARE SERVICES GUIDED BY THE PRICIPLES OF OSTEOPATHIC MEDICINE AND THE VALUES OF INTEGRITY, EXCELLENCE, DIVERSITY, AND INTELLIGENCE. WE ASPIRE TO ENHANCE THE QUALITY OF LIFE AND HEALTH STATUS OF THE PEOPLE WE SERVE. false false 276867581 0 321526662 MCLAREN OAKLAND PROVIDES PRIMARY AND SPECIALTY HEALTHCARE SERVICES TO THE GREATER PONTIAC AND OAKLAND COUNTRY, MICHIGAN COMMUNITIES. MCLAREN OAKLAND IS LOCATED IN THE CITY OF PONTIAC, IN OAKLAND COUNTY, MICHIGAN, APPROXIMATELY 16 MILES NORTH OF DETROIT. PONTIAC IS THE ONLY CITY IN OAKLAND COUNTY DESIGNATED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES AS A MEDICALLY UNDERSERVED AREA (MUA). MEDICALLY UNDERSERVED AREAS/POPULATIONS ARE AREAS OR POPULATIONS DESIGNATED BY HRSA (HEALTH RESOURCES AND SERVICES ADMINISTRATION) AS HAVING TOO FEW PRIMARY CARE PROVIDERS, HIGH INFANT MORTALITY, HIGH POVERTY AND/OR HIGH ELDERLY POPULATIONS. FOUNDED IN 1953, MCLAREN OAKLAND HAS GROWN TO A COMPREHENSIVE MEDICAL COMMUNITY THAT INCLUDES OUTPATIENT FACILITIES IN CLARKSTON AND OXFORD, IN ADDITION TO AN INPATIENT HOSPITAL IN PONTIAC PROVIDING A RANGE OF CLINICAL SERVICES INCLUDING EMERGENCY AND TRAUMA CARE, CARDIOLOGY, CANCER SERVICES, MINIMALLY INVASIVE ROBOTIC SURGERY, AND ORTHOPEDIC SERVICES. MCLAREN OAKLAND OFFERS ACGME ACCREDITED RESIDENCY AND FELLOWSHIP PROGRAMS IN ANESTHESIOLOGY, DIAGNOSTIC RADIOLOGY, EMERGENCY MEDICINE, FAMILY MEDICINE, INTERNAL MEDICINE, ORTHOPEDIC SURGERY, OTOLARYNGOLOGY, PULMONARY DISEASE AND CRITICAL CARE MEDICINE, AND TRANSITIONAL YEAR, IN ADDITION TO A CPME ACCREDITED PODIATRY PROGRAM. 276867581 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 true false false true 200 0 true 1526 true false false false false false false false false false false false false X 9 6 false false false false true true true true true false false false false true true true true true false true true true X LYNN MARCOTTE 2483385393 50 NORTH PERRY STREET PONTIAC MI 48342 ALLEN PRINCE DO SECRETARY 1.0 0.0 X X 0 0 0 LORENZO SUTER PRESIDENT & CEO 40.0 5.0 X X 0 159702 28812 REV DERRICK MCDONALD CHAIR 1.0 0.0 X X 0 0 0 TONY HAIN VICE CHAIR 1.0 1.0 X X 0 0 0 CHAD GRANT MEMBER, EXECUTIVE VP & COO MCLAREN HEALTH 1.0 54.0 X 0 1733851 48828 JACQUELINE SPICER MEMBER 1.0 0.0 X 0 0 0 JUDGE LEO BOWMAN MEMBER 1.0 0.0 X 0 44500 0 KEVIN BALL MEMBER 1.0 0.0 X 0 0 0 MARY MBIYA MEMBER 1.0 0.0 X 0 0 0 DR JOSEPH ZAJCHOWSKI VP & CHIEF MEDICAL OFFICER 40.0 0.0 X 461334 0 30224 LAURA HARMON VP & CHIEF NURSING OFFICER 40.0 0.0 X 215604 0 11477 LYNN MARCOTTE VP & CFO 40.0 1.0 X 251817 0 54500 MICHAEL WOOLSEY VP HUMAN RESOURCES 13.3 26.7 X 0 210614 37202 ASHRAF INAYAT KHAN PHYSICIAN 40.0 0.0 X 475009 0 0 MOHAMMED T MASRI PHYSICIAN 40.0 0.0 X 454637 0 0 RANA BILBEISI PHYSICIAN 40.0 0.0 X 461538 0 0 SAI RAMESH BIKKINA PHYSICIAN 40.0 0.0 X 461538 0 0 SHALINI THOUTREDDY PHYSICIAN 40.0 0.0 X 498076 0 0 3279553 2148667 211043 124 false true false AUCH CONSTRUCTION 65 UNIVERSITY DRIVE PONTIAC MI 48342 CONSTRUCTION SERVICES 14970962 ACUTE CARE SURGERY MEDICAL GROUP INC PO BOX 2700 GRANITE BAY CA 95746 PHYSICIAN SERVICES 2762843 MORRISON MANAGEMENT SPECIALISTS INC PO BOX 102289 ATLANTA GA 30368 FOOD MANAGEMENT SERVICES 2560678 MECHANICAL SERVICES LLC 9897 WEBER ST BRIGHTON MI 48116 REPAIR & MAINTENANCE SERVICES 1706490 UMS PONTIAC URS LITHOTRIPSY LLC 1700 W PARK DR STE 410 WESTBOROUGH MA 01581 MEDICAL SERVICES 1231374 40 177622 912052 200 1089874 NET PATIENT REVENUE 621110 289228604 289228604 PHARMACY 340B CONTRACTS 456110 24679819 24679819 0 0 0 0 313908423 3270616 3270616 478690 0 478690 0 478690 478690 16657 0 0 16657 16657 16657 BUSINESS INTERRUPTION PROCEEDS 900099 2046478 2046478 FEMA PROCEEDS 900099 1929609 1929609 CAFETERIA SALES 722513 514803 514803 3642152 3642152 0 0 8133042 326897302 321526662 0 4280766 1024956 1024956 103347622 98891279 4456343 2462228 2266094 196134 13591421 13098835 492586 6040711 5569040 471671 179635 1665 177970 121589 42841 78748 17676402 16355375 1321027 0 848160 848160 307158 296955 10203 12347696 12263840 83856 6896269 6896269 204947 125259 79688 196115 193535 2580 1088250 1088250 7921842 7921842 3082221 3082221 MEDICAL SUPPLIES 74057079 74057079 BAD DEBTS 6925583 6925583 MACI/DSH/HRA QAAP TAX 11935356 11935356 EQUIPMENT RENT & MAINT. 7155077 7155077 7853026 7853026 0 0 285263343 276867581 8395762 0 22921933 52250775 29725003 27464526 0 0 0 0 3888428 4162962 211493002 130524014 73223512 80968988 43945022 49581451 3415128 3415128 0 3868433 3868433 23922550 27080510 204910009 248792773 20368931 19282534 727517 547714 27253573 26074241 0 0 9748631 11798345 58098652 57702834 146136385 190435960 674972 653979 146811357 191089939 204910009 248792773 X 41633959 3610219 -965596 X X false true true true true X false false false false false false false false true 4583 4583 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. 2554209 2554209 130436476 78045997 52390479 6936993 1978656 4958337 60469305 46967813 13501492 11096019 3531548 7564471 80968988 OTHER ASSETS 21756114 DEFERRED INFORMATION TECHNOLOGY 6597939 DEFERRED CORPORATE LAB 819666 RIGHT OF USE ASSET 934680 RELATED PARTY RECEIVABLES -3027889 27080510 FEDERAL INCOME TAXES CLAIMS LIABILITY 333698 ESTIMATED THIRD PARTY PAYMENTS 9101653 OTHER LIABILITIES 2362994 11798345 true true X true X 400 true X true true true false true true 6813031 6813031 0.02448 54508692 53188240 1320452 0.00474 0 0.0 0 0 61321723 53188240 8133483 0.02922 18655 18655 0.00007 18094946 6838602 11256344 0.04044 0 0.0 0 0.0 0 0.0 0 0 18113601 6838602 11274999 0.04051 0 0 79435324 60026842 19408482 0.06973 0 0.0 44700 44700 0.00016 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 44700 0 44700 0.00016 true 6925583 36844610 36084982 759628 X true true 1 1 MCLAREN OAKLAND 50 N PERRY ST PONTIAC MI 48342 WWW.MCLAREN.ORG/OAKLAND 1060000084 X X X X REHABILITATIVE & PSYCHIATRIC SERVICES AND MCLAREN OAKLAND 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 5 FACILITY , 1 FACILITY , 1 - MCLAREN OAKLAND. THE SIX STEPS OF THE CHNA PROCESS GATHERING INPUT - INTERVIEWS WITH COMMUNITY MEMBERS AND LOCAL DISTRICT LEADERS, AS WELL AS PROVIDER PARTNER DISCUSSIONS AND COMMUNITY PARTNERS. REVIEWING HEALTH INDICATOR DATA - ANALYZING TRENDS IN HEALTH OUTCOMES AND SOCIAL DETERMINANTS. IDENTIFYING PRIORITY ISSUES - BASED ON DATA CONVERGENCE AND STAKEHOLDER FEEDBACK. REVIEWING PROGRESS SINCE 2022- EVALUATING IMPLEMENTATION OF PRIOR STRATEGIES. ASSESSING AVAILABLE RESOURCES - IDENTIFYING ASSETS AND GAPS IN SERVICE. DETERMINING ACTIONS -SELECTING EVIDENCE-INFORMED STRATEGIES FOR THE IMPLEMENTATION PLAN. THROUGH THIS COLLABORATIVE, MULTI-STEP PROCESS, MCLAREN OAKLAND ENSURES THAT COMMUNITY VOICES ARE HEARD AND THAT STRATEGIES ARE ALIGNED WITH QUANTITATIVE DATA AND MAJOR FINDINGS THAT FOCUS ON OUR SERVICE AREA IN OAKLAND COUNTY, SPECIFICALLY THE CITY OF PONTIAC. MCLAREN OAKLAND ADMISSIONS DATA KARMANOS CANCER INSTITUTE AT MCLAREN OAKLAND DATA PONTIAC MICHIGAN POPULATION AND DEMOGRAPHICS ENERGIZING CONNECTIONS FOR HEALTHIER OAKLAND (ECHO) DATA OAKLAND COUNTY'S COMMUNITY HEALTH PROFILE AND ASSESSMENT PLAN MICHIGAN'S STATE HEALTH ASSESSMENT AND IMPROVEMENT PLAN (MSHA) THE MICHIGAN BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (MIBRFSS) SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1 FACILITY , 1 - MCLAREN OAKLAND. THE COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE IDENTIFIED THE FOLLOWING MAJOR HEALTH NEEDS OF THE COMMUNITY: 1) PROMOTING HEALTH BEHAVIORS THROUGH SMOKING AND OPIOD MISUE AND ABUSE, 2) CHRONIC DISEASE PREVENTION AND MANAGEMENT, 3) ACCESS TO HEALTH IMPROVEMENTS - HEALTH INEQUITIES FOR HIGH-RISK POPULATIONS. SMOKING AND VAPING LONG TERM GOAL: REDUCE TOBACCO AND VAPING RATES AMONG AT RISK POPULATIONS. STRATEGIES : - COLLABORATE WITH PARTNERS WITHIN THE COMMUNITY IN HEALTH EDUCATION PROGRAMS AND SCREENINGS. - PROMOTE REFERRALS TO TOBACCO CESSATION PROGRAMS; SUCH AS TOBACCO QUIT LINE, SELF-HELP PAMPHLETS OR BEHAVIORAL SUPPORT PROGRAMS. - PROVIDE TOBACCO CESSATION EDUCATION PROGRAMS. - SUPPORT STATE AND COMMUNITY-LEVEL CESSATION AND PREVENTION INTERVENTIONS SUCH AS THE TOBACCO 21 INITIATIVES COMMUNITY RESOURCES: AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION, AMERICAN LUNG ASSOCIATION, KARMANOS CANCER INSTITUTE, OAKLAND COUNTY COMMUNITY HEALTH NETWORK OPIOID MISUSE & ABUSE LONG TERM GOAL: REDUCE OPIOID MISUSE AND ABUSE AMONG AT RISK POPULATIONS STRATEGIES: - PARTICIPATE IN COMMUNITY COALITIONS AND PARTNERSHIPS: INCLUDING TRAINING, INTERVENTION, AND TREATMENT AS PART OF A BROAD MULTICOMPONENT APPROACH. - COLLABORATE WITH COMMUNITY PARTNERS TO PROMOTE COMMUNITY AWARENESS AND EDUCATION TO REDUCE NON-MEDICAL PRESCRIPTION DRUG USE/ABUSE. COMMUNITY RESOURCES: MOUD, OAKLAND COUNTY COMMUNITY HEALTH NETWORK, SAMSHA PROGRAMS, OAKLAND COUNTY SUBSTANCE ABUSE PREVENTION CHRONIC DISEASE PREVENTION, MAINTENANCE AND TREATMENT LONG TERM GOAL: INCREASE OPPORTUNITIES FOR RESIDENTS TO IMPROVE AND MANAGE HEALTH ISSUES AND PREVENT DISEASE. THIS INCLUDES BUT IS NOT LIMITED TO HEART DISEASE, STROKE, CANCER, CHRONIC RESPIRATORY LUNG DISEASE AND DIABETES. STRATEGIES: - COLLABORATE WITH REGIONAL STAKEHOLDERS AND PARTNERS WITHIN THE COMMUNITY IN PARTICIPATE IN HEALTH EDUCATION PROGRAMS AND SCREENINGS TO IMPROVE HEALTH OUTCOMES RELATED TO CHRONIC DISEASE - PROVIDE PROGRAMS TO TEACH PATIENTS ABOUT CHRONIC DISEASE, HEALTHY BEHAVIORS CHANGES, MEDICATION ADHERENCE, SKILLS FOR SELF- MANAGEMENT AND SUPPORT. - PROVIDE AND PROMOTE TOBACCO CESSATION EDUCATION PROGRAMS. - PROVIDE EVIDENCE-BASED SCREENINGS FOR EARLY IDENTIFICATION COMMUNITY RESOURCES: AMERICAN CANCER SOCIETY, AMERICAN DIABETES ASSOCIATION, AMERICAN HEART ASSOCIATION, AMERICAN LUNG ASSOCIATION, KARMANOS CANCER INSTITUTE, OAKLAND COUNTY PUBLIC HEALTH ACCESS TO HIGH QUALITY HEALTH CARE AND PREVENTION SERVICES LONG TERM GOAL: INCREASE OPPORTUNITIES FOR ALL RESIDENTS TO ATTAIN HIGHEST LEVEL OF HEALTH, INCLUDING EQUAL ACCESS TO HEALTH CARE AS WELL AS BUILDING TALENT PIPELINES TO MEET FUTURE HEALTH CARE NEEDS. MEDICAL CARE STRATEGIES: - PARTNER WITH LOCAL COMMUNITY GROUPS, SCHOOLS, FIRST RESPONDERS AND OTHER ENTITIES TO PROVIDE ACCESS TO CPR AND AED TRAINING. - CONTINUOUSLY MONITOR AND ADDRESS DISPARITIES THAT AFFECT ACCESS TO HEALTH CARE(E.G., RACE, ETHNICITY, SOCIOECONOMIC STATUS, AGE, SEX, DISABILITY STATUS, SEXUAL ORIENTATION, GENDER IDENTITY, AND RESIDENTIAL LOCATION). - MONITOR TRENDS IN PRIMARY AND SPECIALTY CARE PROVIDERS AND CONTINUE TO RECRUIT, ESPECIALLY IN TARGET AREAS AND COMMUNITIES. - MONITOR INSURANCE COVERAGE RATES AND ACCESS TO THE ENTIRE CARE CONTINUUM FROM CLINICAL PREVENTATIVE SERVICES TO LONG TERM AND PALLIATIVE CARE. - EXPLORE AND MONITOR THE USE OF TELEHEALTH AS A METHOD OF DELIVERING CARE. FACTORS SUCH AS A PATIENT'S LEVEL OF EDUCATION, INCOME, TRANSPORTATION, AND ENVIRONMENT MUST BE CONSIDERED. SOCIAL DETERMINANTS OF HEALTH INCLUDING FOOD INSECURITY, EMPLOYMENT, HOUSING, EDUCATION, ACCESS TO HEALTH CARE, HEALTH LITERACY AND CRIME WERE CONSIDERED AND DISCUSSED WHILE EVALUATING HEALTH DATA FOR THE COMMUNITY THAT WE SERVE BUT THE HOSPITAL DOES NOT HAVE THE BANDWIDTH AND RESOURCES TO TACKLE THOSE DETERMINANTS OF HEALTH. THEREFORE THE DECISION WAS MADE TO UTILIZE THE RESOURCES THAT WE DO HAVE AND FOCUS ON PRIORITIZATION OF HEALTH NEEDS. SIGNIFICANT NEEDS THAT ARE BEING ADDRESSED INCLUDE: 1. PROMOTION OF HEALTHY BEHAVIORS IS A SIGNIFICANT HEALTH NEED IN THE PRIMARY AND SECONDARY SERVICE AREAS FOR MCLAREN OAKLAND WHILE ADDRESSING SMOKING AND OPIOID ABUSE. 2. CHRONIC DISEASE PREVENTION, MAINTENANCE AND TREATMENT ARE ALSO SIGNIFICANT HEALTH NEEDS IN THE PRIMARY AND SECONDARY SERVICE AREAS FOR MCLAREN OAKLAND, INCLUDING BUT NOT LIMITED TO, HEART DISEASE, CANCER, LUNG DISEASE AND DIABETES. 3. ACCESS TO HIGH QUALITY HEALTH CARE AND PREVENTION SERVICES IS VITAL FOR THE HEALTH OF OUR COMMUNITY AND IS A CRITICAL ASPECT OF HEALTH PREVENTION TO UNDERSTAND POTENTIAL BARRIERS THAT CAN AFFECT ACCESS TO CARE. SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY , 1 FACILITY , 1 - MCLAREN OAKLAND. 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. 2 MCLAREN CLARKSTON EMERGENCY CENTER 5701 BOW POINT DRIVE SUITE 120 CLARKSTON MI 48346 ER - 24 HOURS MCLAREN OAKLAND OXFORD CONVENIENT CARE 385 NORTH LAPEER ROAD OXFORD MI 48371 URGENT CARE SCHEDULE H, PART I, LINE 3 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 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 7F EXPLANATION OF CALCULATION METHODOLOGY USED FOR CALCULATING LINE 7 TABLE THE BAD DEBT INCLUDED ON FORM 990, PART IX, LINE 24E - BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE SCHEDULE H, PART I, COLUMN F PERCENTAGE EQUALS $6,925,583. SCHEDULE H, PART VI IN CONNECTION WITH AN IRS EXAMINATION OF THE ORGANIZATION'S IRC § 501(R) COMPLIANCE FOR THE TAXABLE YEAR ENDED SEPTEMBER 30, 2022, THE ORGANIZATION RESOLVED CERTAIN MATTERS RELATING TO ITS FINANCIAL ASSISTANCE POLICY. THE MATTERS RELATED TO THE POLICY'S DESCRIPTION OF ELIGIBILITY CRITERIA AND THE EXPLANATION OF HOW MEMBERS OF THE PUBLIC MAY OBTAIN A FREE COPY OF THE ORGANIZATION'S SEPARATE BILLING AND COLLECTION POLICY. THE ORGANIZATION REVISED ITS FINANCIAL ASSISTANCE POLICY TO CLARIFY ELIGIBILITY CRITERIA AND TO DESCRIBE HOW THE BILLING AND COLLECTION POLICY MAY BE OBTAINED, AND THE REVISED POLICY WAS POSTED TO THE ORGANIZATION'S WEBSITE. THE ORGANIZATION ALSO RESTORED AFFECTED INDIVIDUALS AS APPROPRIATE, SO THAT THEY PAID NO MORE THAN THE AMOUNT FOR WHICH A FINANCIAL-ASSISTANCE-ELIGIBLE INDIVIDUAL WOULD BE PERSONALLY RESPONSIBLE. THE IRS EXECUTED A CLOSING AGREEMENT RESOLVING THE MATTER AND TREATING THE ORGANIZATION AS HAVING COMPLIED WITH IRC § 501(R) FOR THE RELEVANT TAXABLE YEAR. NO IRC § 4959 EXCISE TAX IS REPORTED WITH RESPECT TO THESE MATTERS. 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. COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLANS ALSO AVAILABLE ON THE MCLAREN HEALTH CARE CORPORATION WEBSITE. 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). 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 HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, AND CASH CONTRIBUTIONS (LINES 7E, 7F, 7G, AND 7I). 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 $6,925,583. 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 OAKLAND: LINE 16A URL: HTTPS://TINYURL.COM/YYA9C5OC; SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE - MCLAREN OAKLAND: LINE 16B URL: HTTPS://TINYURL.COM/YYA9C5OC; SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE - MCLAREN OAKLAND: LINE 16C URL: HTTPS://TINYURL.COM/YYA9C5OC; SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT PRIMARY AND SECONDARY MARKET RESEARCH IS CONDUCTED BY AND THROUGH COMMUNITY-BASED HEALTH COALITIONS, ACADEMIC INSTITUTIONS, THIRD PARTY DATA ANALYTICS ORGANIZATIONS, HEALTH NEEDS ASSESSMENTS AND SURVEYS, HISTORIC HEALTH SERVICES UTILIZATION PATTERNS, DEMOGRAPHIC ANALYSIS AND POPULATION-BASED HEALTH CARE SERVICES UTILIZATION FORECASTS. 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(S). FINANCIAL AID APPLICATION FORMS ARE AVAILABLE AT ALL INPATIENT AND OUTPATIENT POINTS-OF-SERVICE, INCLUDING PROVIDING ASSISTANCE IN COMPLETING THE APPLICATION. ORGANIZATION AND ITS SUBSIDIARIES/AFFILIATES ALSO PROVIDE SPECIALLY-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 OF MCLAREN OAKLAND IS COMPOSED OF 29 ZIP CODES AND IS CENTER PRINCIPALLY ON THE CITY OF PONTIAC, MI IN THE COUNTY OF OAKLAND. THE PRIMARY SERVICE AREA, ACCOUNTING FOR 82% OF ANNUAL INPATIENT DISCHARGES, IS COMPOSED OF 13 ZIP CODES AND CAN BE CHARACTERIZED AS LARGELY URBAN IN NATURE. THE SECONDARY SERVICE AREA, ACCOUNTING FOR 18% OF ANNUAL INPATIENT DISCHARGES, IS COMPOSED OF 16 ZIP CODES AND CAN BE CHARACTERIZED AS LARGELY URBAN IN NATURE. AGE DISTRIBUTION 0 - 14 21.2% 15 - 17 4.4% 18 - 24 8.4% 25 - 34 12.3% 35 - 54 31.1% 55 - 64 11.7% 65+ 10.8% EDUCATION LEVEL LESS THAN HIGH SCHOOL 3.2% SOME HIGH SCHOOL 8.5% HIGH SCHOOL DEGREE 27.8% SOME COLLEGE/ASSOC. DEGREE 32.5% BACHELOR'S DEGREE OR GREATER 28.0% HOUSEHOLD INCOME DISTRIBUTION <$15K 9.1% $15 - 25K 8.5% $25 - 50K 20.2% $50 - 75K 17.3% $75 - 100K 13.1% OVER $100K 31.7% RACE/ETHNICITY WHITE NON-HISPANIC 74% BLACK NON-HISPANIC 13.7% HISPANIC 3.6% ASIAN & PACIFIC IS. NON-HISPANIC 6% ALL OTHERS 2.7% 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 LORENZO SUTER PRESIDENT & CEO 0 125193 0 0 0 34509 0 22611 0 6201 0 188514 0 0 CHAD GRANT MEMBER, EXECUTIVE VP & COO MCLAREN HEALTH 0 972181 0 179725 0 581945 0 7918 0 40910 0 1782679 0 0 MICHAEL WOOLSEY VP HUMAN RESOURCES 0 209527 0 0 0 1087 0 28286 0 8916 0 247816 0 0 LYNN MARCOTTE VP & CFO 251817 0 0 0 0 0 54500 0 0 0 306317 0 0 0 LAURA HARMON VP & CHIEF NURSING OFFICER 215604 0 0 0 0 0 11477 0 0 0 227081 0 0 0 DR JOSEPH ZAJCHOWSKI VP & CHIEF MEDICAL OFFICER 461334 0 0 0 0 0 30224 0 0 0 491558 0 0 0 SHALINI THOUTREDDY PHYSICIAN 91500 0 406576 0 0 0 0 0 0 0 498076 0 0 0 SAI RAMESH BIKKINA PHYSICIAN 187050 0 274488 0 0 0 0 0 0 0 461538 0 0 0 ASHRAF INAYAT KHAN PHYSICIAN 238317 0 236692 0 0 0 0 0 0 0 475009 0 0 0 MOHAMMED T MASRI PHYSICIAN 279253 0 175384 0 0 0 0 0 0 0 454637 0 0 0 RANA BILBEISI PHYSICIAN 294646 0 166892 0 0 0 0 0 0 0 461538 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 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 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 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 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 2019. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VIII, LINE 11D OTHER MISCELLANEOUS REVENUE ALL OTHER REVENUE - TOTAL REVENUE: 3642152, RELATED OR EXEMPT FUNCTION REVENUE: 3642152, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES PENSION ADJUSTMENT - -24316; TRANSFERS TO CORPORATE/MMG - -941280; TOTAL - -965596; 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 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