2025-01-15T09:44:17-06:00 2023-09-30 381357951 PLANTE & MORAN PLLC 3000 TOWN CENTER SUITE 100 SOUTHFIELD MI 48075 990 2022-10-01 381369611 MCLAREN PORT HURON MCLA 8109893749 1221 PINE GROVE AVENUE PORT HURON MI 48060 DAVID MAZURKIEWICZ SENIOR VICE PRESIDENT & CFO 8109893749 2025-01-14 1 1 AMY CIMINELLO P00796388 2483522500 2025-01-14 2022 2024-10-15 13:58:12Z X ERIC CECAVA 1221 PINE GROVE AVENUE PORT HURON MI 48060 254280275 0 X WWW.MCLAREN.ORG/PORTHURON X 1879 MI MCLAREN HEALTHCARE, THROUGH ITS SUBSIDIARIES, WILL BE THE BEST VALUE IN HEALTHCARE AS DEFINED BY QUALITY OUTCOMES AND COST. 17 13 1609 98 1541416 196412 8850804 6721548 239405262 242090444 5744656 3555457 1582173 1708248 255582895 254075697 91800 48949 0 0 115742523 115805239 0 0 0 124075736 129921533 239910059 245775721 15672836 8299976 369031606 382790807 100186738 91459167 268844868 291331640 X MCLAREN HEALTHCARE, THROUGH ITS SUBSIDIARIES, WILL BE THE BEST VALUE IN HEALTHCARE AS DEFINED BY QUALITY OUTCOMES AND COST. 0 0 178118529 48949 240560533 FOR FISCAL YEAR OCTOBER 1, 2022 TO SEPTEMBER 30, 2023, MCLAREN PORT HURON PROVIDED HEALTH CARE SERVICES TO THE POOR AND TO THE BROADER COMMUNITY FOR WHICH THE COST OF PROVIDING SUCH SERVICES EXCEEDED THE RELATED REVENUE. CHARITY CARE IN THE AMOUNT OF $6,628,220 WAS PROVIDED DURING THE YEAR. MCLAREN PORT HURON PROVIDED $550,047,939 IN THIRD PARTY DISCOUNTS. IN TOTAL, THIS REPRESENTS 69.60 PERCENT OF THE GROSS PATIENT REVENUE FOR THIS YEAR. MCLAREN PORT HURON ALSO PROVIDED THE COMMUNITY WITH OPPORTUNITIES TO PARTICIPATE IN NUMEROUS EDUCATIONAL, WELLNESS, SCREENING, AND SUPPORTIVE PROGRAMS AT EITHER NO COST OR AT A NOMINAL CHARGE. THE HOSPITAL PROVIDED A TOTAL OF 620 EVENTS/PROGRAMS TO APPROXIMATELY 28,040 PEOPLE OF THE COMMUNITY. 178118529 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 163 0 1 1609 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 13 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 1 0 X KYLE VINING CFO 8109893749 1221 PINE GROVE AVENUE PORT HURON MI 48060 X ERIC CECAVA PRESIDENT & CEO 40.00 2.00 X X 0 706944 129218 RICHARD LEVEILLE SECRETARY 1.00 1.00 X X 0 0 0 GREG BUSDICKER CHAIR 1.00 0.00 X X 0 0 0 JON LENSMEYER MD TRUSTEE 1.00 1.00 X 0 0 0 LEONARD KARADIMAS DO TRUSTEE 1.00 0.00 X 0 0 0 VASKEN ARTINIAN MD TRUSTEE & MMG PHYSICIAN 1.00 40.00 X 0 1104696 64753 DAVID A THOMPSON TRUSTEE 1.00 1.00 X 0 29500 0 AMANDA HURTUBISE MD TRUSTEE 1.00 0.00 X 0 0 0 TOM BRISSE TRUSTEE 1.00 45.00 X 0 901941 33364 SCOTT SHIGLEY VICE-CHAIR 1.00 0.00 X 0 0 0 GARY JAMES DO TRUSTEE 1.00 0.00 X 0 0 0 KATHLEEN SMITH TRUSTEE 1.00 0.00 X 0 0 0 EVAN WILKINS TRUSTEE - PART YEAR 1.00 0.00 X 0 0 0 KEELY BARIBEAU TRUSTEE 1.00 0.00 X 0 0 0 HILARY GEORGIA TRUSTEE 1.00 0.00 X 0 0 0 CHRISTOPHER FLANN TRUSTEE 1.00 0.00 X 0 0 0 JOSH CHAPMAN TRUSTEE 1.00 0.00 X 0 0 0 DAVID MAZURKIEWICZ TREASURER 1.00 49.00 X 0 1956528 33460 KYLE VINING CFO & ASSISTANT TREASURER 40.00 1.00 X 109117 0 6004 CHAD GRANT CORPORATE COO 1.00 53.00 X 0 1580849 36868 JOHN V BROOKS MD CHIEF MEDICAL OFFICER 40.00 0.00 X 445320 0 45664 KATHLEEN MCKENNA VP PATIENT CARE SERVICES 40.00 0.00 X 239341 0 30199 NICHOLAS COLLERAN CHIEF OPERATING OFFICER 40.00 0.00 X 265336 0 44235 SARA LITER-KUESTER CHIEF MEDICAL INFORM 40.00 0.00 X 352834 0 42299 JACK BELYEA DIR FACILITIES MAINTENANCE 40.00 0.00 X 166670 0 41723 BENJAMIN CATT MEDICAL PHYSICIST 40.00 0.00 X 163806 0 39067 JENNIFER CARBARY VP MARKETING BUSINESS DEV 40.00 0.00 X 159444 0 37288 HOLLY SCHIENKE DIR PATIENT CARE 40.00 0.00 X 151450 0 29800 BRIDGET SHOLTIS FORMER CFO & ASSISTANT TREASURER 0.00 0.00 X 151886 0 53260 2205204 6280458 667202 105 1 1 0 UMS ST CLAIR COUNTY URS LITHOTRIPSY LLC 1700 WEST PARK DR STE 410 WESTBOROUGH MA 01581 MEDICAL STAFF SERVICES 850248 LOCUMTENENSCOM LLC 3901 BEAUBIEN DETROIT MI 48201 MEDICAL STAFF SERVICES 593437 SANJEEV KAUL MD PLLC 2573 GINGER CT BLOOMFIELD HILLS MI 48304 MEDICAL STAFF SERVICES 396360 PRECISION CARE LLC 5221 PARK RD EAST CHINA MI 48054 MEDICAL STAFF SERVICES 283606 NORTHPOINTE OB GYN PC 1206 WASHINGTON AVE PORT HURON MI 48060 MEDICAL STAFF SERVICES 159113 17 5024444 1697104 6721548 PATIENT REVENUE 621500 185430562 185430562 LABORATORY 621500 56519397 54989486 1529911 EMS TRANSPORT SERVICE REVENUE 621910 140485 140485 242090444 3376385 3376385 419192 183359 235833 235833 11505 224328 200291 21219 0 -21219 200291 179072 179072 PARKVIEW PROPERTY MGMT 531310 958507 958507 CAFETERIA 722514 423446 423446 ATHLETIC TRAINING 621300 90462 90462 1472415 254075697 240560533 1541416 5252200 48949 48949 1482776 1482776 94541475 75537988 19003487 3034926 2436219 598707 11360052 9013934 2346118 5386010 4311095 1074915 18653547 14440748 4212799 49927 49927 4454 4454 329998 329998 16305646 2519309 13786337 335757 335757 383196 351112 32084 888562 888562 4316256 1037583 3278673 108923 45846 63077 13070 11912 1158 1291519 1291519 15641258 3159980 12481278 2004988 156193 1848795 MEDICAL/FOOD SUPPLY 47514691 47340749 173942 BAD DEBTS 9909157 9909157 QAAP TAX 7569179 7569179 REPAIRS & MAINTENANCE 4601405 228576 4372829 245775721 178118529 67657192 0 29593878 27242905 122411614 140671247 22025410 22606533 12915152 20092944 6509395 6795842 953747 1350902 255448063 94833391 171148835 160614672 2582100 2733558 155901 155901 735574 526303 369031606 382790807 35148686 29671783 73 73 5671878 2739474 52305323 52042605 7060778 7005232 100186738 91459167 X 268844868 291331640 268844868 291331640 369031606 382790807 X 8299976 15715436 -1528640 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4454 4454 0 PART II-B, LINE 1: PORTION OF MICHIGAN HEALTH HOSPITAL ASSOCATION DUES TO LOBBYING. 5484367 5484367 179691033 46056188 133634845 2866022 1684516 1181506 50794669 45011718 5782951 16611972 2080969 14531003 160614672 CLAIM LIABILITY 5076130 OTHER NONCURRENT LIABILITIES 1929102 7005232 1 1 X 1 X 400.000000000000 1 X 1 1 0 1 1 1887710 1887710 0.00800 41703422 37807388 3896034 0.01650 43591132 37807388 5783744 0.02450 448143 1250 446893 0.00190 70069 70069 0.00030 518212 1250 516962 0.00220 44109344 37808638 6300706 0.02670 115 14355 14355 0.00010 115 14355 14355 0.00010 1 9909157 44519698 44000482 519216 X 1 1 1 1 MCLAREN PORT HURON 1221 PINE GROVE AVENUE PORT HURON MI 48060 WWW.MCLAREN.ORG/PORTHURON 1060000087 X X X MCLAREN PORT HURON 1 0 0 1 X X X X X X X X X X 22 1 0 0 1 X HTTPS://TINYURL.COM/YAWXCYL4 X X 1 22 1 HTTPS://TINYURL.COM/YAWXCYL4 0 1 X 400.000000000000 400.000000000000 X X X 1 1 X X X X 1 X HTTPS://TINYURL.COM/YYA9C5OC X HTTPS://TINYURL.COM/YYA9C5OC X HTTPS://TINYURL.COM/YYA9C5OC X X X X X X 1 X 0 X X X X 1 X 0 0 MCLAREN PORT HURON PART V, SECTION B, LINE 3J: DATA THAT CONTRIBUTED TO OUR CORE AREAS OF FOCUS INCLUDED: LEADING CAUSES OF DEATH, TOP CANCER SITES, HOSPITAL DISCHARGES AND HEALTHY BEHAVIOR RANKINGS IN OUR TWO COUNTIES COMPARED TO STATEWIDE DATA AND LEADING US PERFORMERS.THE CHNA ALSO INCLUDED A LISTING OF COMMUNITY HEALTH ASSETS OTHER RESOURCES SUCH AS MCLAREN PORT HURON'S TODAY'S HEALTH TELEVISION PROGRAM THAT FOCUSES ON A VARIETY OF HEALTH EDUCATION AND PREVENTION PROGRAMS. ADDITIONALLY, THIS CHNA PROVIDES AN EVALUATION OF OUR PREVIOUS CHNA. MCLAREN PORT HURON PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS VIA COMMUNITY GROUPS, HEALTH PROVIDERS, KEY INFORMANT INTERVIEWS, AND FOCUS GROUPS. INDIVIDUALS WITH THE KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED. THESE INDIVIDUALS INCLUDED REPRESENTATIVES FROM THE LOCAL HEALTH DEPARTMENT, LOCAL HUMAN AND SOCIAL SERVICE AGENCIES AS WELL AS LEADERS, REPRESENTATIVES, OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. ADDITIONALLY, WHERE APPLICABLE, OTHER INDIVIDUALS WITH EXPERTISE OF LOCAL HEALTH NEEDS WERE CONSULTED. COMMUNITY INPUT ADDRESSING THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS ARE DISCUSSED AT COMMUNITY PROGRAMS, SUCH AS THE ST. CLAIR COUNTY COMMUNITY SERVICE COORDINATING BODY. AGENCIES INCLUDING THE ST. CLAIR COUNTY HEALTH DEPARTMENT, THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, COMMUNITY FIRST HEALTH CENTERS AND THE BLUE WATER COMMUNITY ACTION AGENCY PROVIDE UPDATES ON THEIR PROGRAMS THAT SERVE THE MINORITY POPULATIONS AS WELL AS PROVIDE INPUT ON INITIATIVES IN WHICH THE HOSPITAL CAN SUPPORT. A COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON THE HOSPITAL'S WEBSITE LOCATED AT HTTPS://WWW.MCLAREN.ORG/MAIN/COMMUNITY-HEALTH-NEEDS-ASSESSMENT MCLAREN PORT HURON PART V, SECTION B, LINE 7D: COPIES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT ARE AVAILABLE UPON REQUEST, FREE OF CHARGE. ADDITIONALLY, MEMBERS OF THE COMMUNITY ARE ENCOURAGED TO OFFER SUGGESTIONS FOR FUTURE HEALTH PROGRAMS, SCREENINGS AND SEMINARS AND ARE ENCOURAGED TO VISIT OUR WEBSITE AT WWW.MCLAREN.ORG/PHCONTACT TO SEND COMMENTS TO MCLAREN PORT HURON COMMUNITY EDUCATION AND OUTREACH PERSONNEL. MCLAREN PORT HURON PART V, SECTION B, LINE 11: MCLAREN PORT HURON'S CHNA IMPLEMENTATION STRATEGY OUTLINES THE HOSPITAL'S APPROACH TO ADDRESS THE IDENTIFIED NEEDS OF THE COMMUNITY. IN ADDITION TO HOSPITAL DIRECTED STRATEGIES LISTED BELOW, WE WILL WORK IN PARTNERSHIP WITH PUBLIC AND COMMUNITY RESOURCES. THE OVERALL GOAL OF THE ACTION PLAN IS TO IMPROVE THE OVERALL HEALTH FACTORS AND BEHAVIORS OF ST. CLAIR AND SANILAC COUNTIES, LEADING TO IMPROVEMENTS IN HEALTH BEHAVIORS AND OUTCOMES.THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED TWO SIGNIFICANT HEALTH NEEDS. THESE INCLUDE PROMOTING HEALTHLY BEHAVIORS WHILE ADDRESSING CHRONIC DISEASE PREVENTION & MANAGEMENT, OBESITY & OVERWEIGHT, AND TRAUMA & INJURY PREVENTION; AND ACCESS TO HEALTH CARE WHILE ADDRESSING HEALTH INEQUITIES AND BUILDING TALENT PIPELINES. STRATEGIES INCLUDE: -PROVIDE EVIDENCE-BASED SCREENINGS FOR EARLY IDENTIFICATION.-PROVIDE PROGRAMS TO TEACH PATIENTS ABOUT CHRONIC DISEASE, HEALTHY BEHAVIOR CHANGES, MEDICATION ADHERENCE, SKILLS FOR SELF-MANAGEMENT AND SUPPORT.-PROVIDE EDUCATION ON THE IMPORTANCE OF OBESITY PREVENTION; INCLUDING PROGRAMS THAT ADDRESS HEALTHY EATING AND PHYSICAL ACTIVITY.-PROMOTE REFERRALS FOR OBESITY PREVENTION AND TREATMENT.-CONTINUE TO PROVIDE AND MONITOR THE BARIATRIC PROGRAM; INCLUDING NUTRITION COUNSELING, SUPPORT PROGRAMS, AND EVALUATING IMMERGING TRENDS IN WEIGHT MANAGEMENT.-PROVIDE FALL PREVENTION EDUCATION PROGRAMS AND SCREENINGS.-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).-CONTINUE TO FOCUS ON LGBTQ+ POPULATION, USING HEALTHCARE EQUALITY INDEX AS A ROADMAP TO IMPLEMENT BEST PRACTICES AND REDUCE DISPARITIES AMONG THE LGBTQ+ COMMUNITY.-PROVIDE AND PROMOTE LGBTQ+ EDUCATION TO HOSPITAL STAFF.-PROVIDE ANNUAL TRAINING FOR ALL MPH STAFF ON ACCESSING AND UTILIZING SERVICES (E.G., LEVI'S LINK PROGRAM, ALLY PROJECT, INTERPRETER SERVICES, ETC.)-COLLABORATE WITH LOCAL SCHOOLS AND COLLEGES TO EVALUATE CURRENT PROGRAMS AND EXPLORE OPPORTUNITIES TO EXPAND HEALTH CARE RELATED PROGRAMS.-WORK WITH SCHOOLS TO PROVIDE SUPERVISED INTERNSHIPS AND WORKFORCE TRAINING OPPORTUNITIES AT MCLAREN PORT HURON.-CONTINUE TO PARTNER WITH COLLEGES TO PROVIDE CLINICAL EXPERIENCES THROUGHOUT MCLAREN PORT HURON FOR A VARIETY OF HEALTH CARE DISCIPLINES.UNADDRESSED SIGNIFICANT HEALTH NEEDS AND RATIONALETHE 2021 ST. CLAIR COUNTY RFS INCLUDED THE HEALTH NEEDS THAT WILL NOT BE ADDRESSED BY THE MCLAREN PORT HURON CHNA AND IMPLEMENTATION STRATEGY REPORT. THESE INCLUDE:-THE COVID-19 PANDEMIC-MENTAL HEALTH & SUBSTANCE ABUSE-SDOH (AFFORDABLE HOUSING, ACCESS TO AFFORDABLE AND HEALTHY FOOR, AND SAFE SPACES) MCLAREN PORT HURON PART V, SECTION B, LINE 13B: 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. MCLAREN PORT HURON PART V, SECTION B, LINE 15E: FINANCIAL ASSISTANCE INFORMATION AND APPLICATION ARE ON MCLAREN'S PUBLIC WEBSITE. AT THE POINT OF REGISTRATION, IN OUR EMERGENCY DEPARTMENT, OR IN ANY OF OUR FINANCIAL COUNSELOR OR CASHIER OFFICES. MCLAREN PORT HURON PART V, SECTION B, LINE 16J: PAMPHLETS ARE DISPLAYED AND AVAILABLE IN EMERGENCY ROOM PART V, 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. 15 1 - MPH ST CLAIR HEALTH CENTER 1163 S CARNEY DR ST CLAIR MI 48079 FAMILY MEDICINE 2 - MPH FAMILY MEDICINE 1216 RICHARDSON ST PORT HURON MI 48060 FAMILY MEDICINE 3 - MPH PULMONARY CRITICAL CARE AND SLEEP ME 1231 PINE GROVE AVE SUITE 2B PORT HURON MI 48060 PULMONARY/SLEEP 4 - MPH THORACIC AND CARDIOVASCULAR SURGERY 1107 STONE ST SUITE 1 PORT HURON MI 48060 CARDIO THORACIC 5 - MPH ADVANCED ORTHOPEDICS 1231 PINE GROVE AVE SUITE 1A PORT HURON MI 48060 ORTHOPEDICS 6 - MPH FORT GRATIOT INTERNAL MEDICINE 5979 LAKESHORE RD FORT GRATIOT MI 48059 INTERNAL MEDICINE 7 - MPH UROLOGY ASSOCIATES 1037 WATER STREET SUITE 1 PORT HURON MI 48060 UROLOGY 8 - MPH INDUSTRIAL HEALTH 1644 STONE ST PORT HURON MI 48060 INDUSTRIAL HEALTH 9 - WOMEN'S WELLNESS 1221 PINE GROVE AVE PORT HURON MI 48060 HOSPITAL DEPT 10 - CARDIO THORACIC 1221 PINE GROVE AVE PORT HURON MI 48060 HOSPITAL DEPT 11 - BREAST CARE SURGERY 1221 PINE GROVE AVE PORT HURON MI 48060 HOSPITAL DEPT 12 - WOUND CARE 1221 PINE GROVE AVE PORT HURON MI 48060 HOSPITAL DEPT 13 - NEUROLOGY 1221 PINE GROVE AVE PORT HURON MI 48060 HOSPITAL DEPT 14 - PEDIATRIC HOSPITALISTS 1221 PINE GROVE AVE PORT HURON MI 48060 HOSPITAL DEPT 15 - PSYCH LOCUM TENENS 1221 PINE GROVE AVE PORT HURON MI 48060 HOSPITAL DEPT 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. 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. PART I, LINE 7: 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 AND CASH CONTRIBUTIONS (LINES 7E AND 7I). PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $9,909,157. PART II, COMMUNITY BUILDING ACTIVITIES: THE PORT HURON COMMUNITY HAS ALWAYS HOSTED A VIBRANT DISCUSSION ON COMMUNITY-BUILDING AND ITS INFLUENCE ON COMMUNITY HEALTH. MCLAREN PORT HURON, WITH OTHER COMMUNITY AGENCIES SUCH AS THE COMMUNITY FOUNDATION, THE HEALTH DEPARTMENT, COMMUNITY MENTAL HEALTH, PUBLIC SAFETY, CLERGY AND OTHER COMMUNITY HOSPITALS REGULARLY COME TOGETHER AROUND COMMON INTERESTS. COLLECTIVELY, THERE IS A CONSENSUS AMONG THESE GROUPS- AND OTHERS- THAT A COMMUNITY'S "HEALTH" IS DEFINED BY MUCH BROADER MEASUREMENTS THAN TRADITIONAL VITAL HEALTH STATISTICS. OBESITY, DEPRESSION, DIABETES, TEEN PREGNANCY ARE ISSUES THAT HAVE GARNERED OUR COLLECTIVE ACTION, BUT OTHER ISSUES SUCH AS UNEMPLOYMENT, IMPROVED ACCESS TO PARKS, AVAILABILITY OF FRESH PRODUCE, YOUTH MENTORING ALSO GAIN OUR ATTENTION. MCLAREN PORT HURON, IN PARTICULAR, INFLUENCES, INFORMS AND DRAWS FROM THESE CONVERSATIONS. OUR MANAGEMENT TEAM, COMPRISED OF ABOUT 50 INDIVIDUALS, IS INVOLVED IN (AND OFTEN PROVIDES LEADERSHIP TO) OVER 50 COMMUNITY SERVICE AGENCIES SUCH AS ROTARY CLUBS, CHAMBERS OF COMMERCE, THE YMCA, THE COMMUNITY COLLEGE, SCHOOL AND CHURCH BOARDS, CHILD ADVOCACY GROUPS, THE UNITED WAY, COUNCILS ON AGING, HUMAN SERVICES COORDINATING COUNCILS, ECONOMIC DEVELOPMENT, AND AREA MUSEUMS. THESE RELATIONSHIPS- AND THEIR LEADERS- REGULARLY INFORM A LESS FORMAL, BUT MORE MEANINGFUL, COMMUNITY NEEDS ASSESSMENT. THE LEADERSHIP AT MCLAREN PORT HURON CLEARLY COMMUNICATES ITS EXPECTATION THAT EVERY MANAGER IS COMMITTED TO AT LEAST ONE SUCH COMMUNITY SERVICE GROUP AND THE HOSPITAL, IN TURN, SUPPORTS THOSE MANAGERS IN THEIR ROLES. ADDITIONALLY, MCLAREN PORT HURON TAKES PRIDE IN ITS SUPPORT OF OTHER AGENCIES' FUNDRAISING AND COMMUNITY-BUILDING ACTIVITIES SUCH AS THE MARCH OF DIMES' JAIL-N-BAIL, WALK FOR SUMMER READING, AMERICAN HEART WALK, UNITED WAY, BACKPACK/SCHOOL SUPPLIES GIVEAWAYS AND THE CHILD ABUSE AND NEGLECT ROOFSIT. THESE EVENTS PROMOTE WELLNESS AND HEALTHIER LIFESTYLES, OFFER HEALTH SCREENINGS AND RAISE FUNDS FOR AGENCIES WHOSE MISSIONS ARE ALIGNED WITH THE HOSPITAL'S. PART III, LINE 2: THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2, IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX. PART III, LINE 4: 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. PART III, LINE 8: MCLAREN PORT HURON APPLIES THE COST TO CHARGE RATIO METHODOLOGY AS REQUIRED. ALL OF THE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT DUE TO THE ELDERLY POPULATION IN THE HOSPITAL'S SERVICE AREA. PART III, LINE 9B: 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 ATTORNEY'S. PART VI, LINE 2: IN ADDITION TO THOSE METHODS DESCRIBED IN PART II AND PART V, THE HOSPITAL UTILIZES MANY MORE METHODS TO ASSESS - AND ADDRESS - THE HEALTH CARE NEEDS OF OUR COMMUNITY. VARIOUS ONGOING AND AD-HOC EFFORTS INCLUDE: - PARTICIPATION IN VARIOUS FORMAL COUNTY-WIDE NEEDS ASSESSMENTS WITH THE ST.CLAIR COUNTY HEALTH DEPARTMENT (INCLUDING EMERGENCY MANAGEMENT) - WITH THE MICHIGAN INPATIENT DATABASE, AN ANNUAL GAP ANALYSIS FOR COMMUNITY OUTMIGRATION FOR HEALTHCARE SERVICES NOT OFFERED IN COUNTY (WHICH TO AN ANALYSIS AND COMMITMENT TO INVESTMENT IN INCREASED CANCER TREATMENT SERVICES) - PERIODIC CONSUMER PERCEPTION AND PREFERENCE SURVEYS (SUCH AS EPIC MRA, PRESS GANEY) - A COMMUNITY ADVISORY BOARD THAT PROVIDES THE HOSPITAL WITH DIRECTION AND TIMELY FEEDBACK REGARDING WOMEN'S HEALTH NEEDS (RECENTLY DIRECTED THE HOSPITAL TO INVEST IN DIGITAL MAMMOGRAPHY TECHNOLOGY) - AN ANNUAL STRATEGIC PLANNING PROCESS THAT INCORPORATES INPUT FROM THE COMMUNITY, MANAGERS, PHYSICIANS, TRUSTEES AND PATIENTS FEEDBACK - FEEDBACK AND DIRECTION FROM THE HOSPITAL'S "55-PLUS" MEMBERSHIP GROUP, WHICH DIRECTED THE HOSPITAL'S ATTENTION TO SCREENINGS AND SUPPORT GROUPS THAT ARE NOT TYPICALLY PAID FOR BY HEALTH PLANS - KEY COMMUNITY CONSTITUENTS - WHO HAVE SUPPORTED THE HOSPITAL'S EDUCATION AND OUTREACH MISSION - ULTIMATELY RESULTING IN CLASSROOMS PROMINENTLY POSITIONED IN THE HOSPITAL'S MAIN LOBBY, THAT PROVIDE EDUCATIONAL RESOURCES, SUPPORT AND INSTRUCTION TO COMMUNITY GROUPS, PHYSICIANS, HOSPITAL STAFF - "TODAY'S HEALTH" - A WEEKLY HEALTH INFORMATION TELEVISION AND CABLE SHOW - PROVIDES EDUCATIONAL CONTENT THAT IS ALIGNED WITH COMMUNITY NEED - HEALTH ACCESS - A MEDIUM THROUGH WHICH THE HOSPITAL IS ABLE TO ANSWER SPECIFIC EDUCATIONAL INTERESTS, PROVIDE EMERGENCY DIRECTION, PROMOTE THE AVAILABILITY OF HEALTH OUTREACH RESOURCES AND FACILITATE CLASS ENROLLMENT - COUNTY EMERGENCY MANAGEMENT, "REGION 2" HOMELAND SECURITY, LOCAL PUBLIC SAFETY - THESE AGENCIES ROUTINELY ADVISE THE HOSPITAL ON NEEDED PREPARATIONS FOR SPECIFIC EMERGENCY PLANNING THAT IS IN THE COMMUNITY'S INTEREST. IN ADDITION TO ACTUAL EVENTS AND EXERCISES FOR FIRE, TORNADO AND HAZARDOUS MATERIALS EXPOSURES, THESE AGENCIES ASSISTED THE HOSPITAL IN TESTING ITS ABILITY TO CARE FOR AN H1N1 EPIDEMIC, MANAGE AN "ACTIVE SHOOTER" SCENARIO AND CONDUCTING AN INFANT ABDUCTION DRILL. FINALLY, THE HOSPITAL'S HISTORY OF PUBLIC ACCOUNTABILITY FACILITATES A REGULAR DIALOG WITH THE COMMUNITY REGARDING THE HOSPITAL'S COMMITMENT TO COMMUNITY BENEFIT. EACH YEAR, THE HOSPITAL PUBLISHES AND DISTRIBUTES AN ANNUAL REPORT, WHICH IS SHARED WITH TRUSTEES AND OTHER COMMUNITY REPRESENTATIVES. MORE CONCURRENTLY, THE HOSPITAL REPORTS ON NUMEROUS COMMUNITY BENEFIT RESOURCES IN A HALF-PAGE AD THAT IS PUBLISHED MONTHLY IN THE LOCAL NEWSPAPER UNDER A "YOUR PARTNER IN HEALTH" SERIES. PART VI, LINE 3: 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 ITS 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. PART VI, LINE 4: FOR THE PURPOSE OF THIS ASSESSMENT, COMMUNITY IS DEFINED AS PRIMARY AND SECONDARY SERVICES AREAS, INCLUDING ST. CLAIR AND SANILAC COUNTIES. THE TARGET POPULATION OF THE ASSESSMENT REFLECTS AN OVERALL REPRESENTATION OF THE COMMUNITIES SERVED BY MCLAREN PORT HURON. MCLAREN PORT HURON IS LOCATED IN NORTH-EAST ST. CLAIR COUNTY. MARKET SHARE ANALYSIS INDICATES THE LARGEST AREA SURROUNDING PORT HURON AND HEADING WEST AND NORTH INTO SANILAC COUNTY. DATA ON POPULATION, AGE, RACE AND POVERTY LEVELS PROVIDED ADDITIONAL INFORMATION ABOUT OUR SERVICE AREA AND THE PEOPLE WE SERVE. IN JULY 2019, THE TOTAL POPULATION BETWEEN THE TWO COUNTIES WAS 200,298. IN TERMS OF RACE AND ETHNICITY, 95.2% ARE WHITE IN ST. CLAIR COUNTY AND 97.9% ARE WHITE IN SANILAC COUNTY. THE MEDIAN HOUSEHOLD INCOME IS $53,641 IN ST. CLAIR COUNTY AND $44,417 IN SANILAC COUNTY. PART VI, LINE 5: 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. PART VI, LINE 6: 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. PART VI, LINE 7, REPORTS FILED WITH STATES MI 1 CITY OF PORT HURON 100 MCMORRAN BLVD PORT HURON MI 48060 386004727 GOVERNMENT 17550 0 N/A N/A SPONSORSHIPS PORT HURON AREA SCHOOL DISTRICT 2720 RIVERSIDE DR PORT HURON MI 48060 386003498 GOVERNMENT 18000 0 N/A N/A SPONSORSHIPS BLUE WATER AREA CHAMBER OF COMMERCE 512 MCMORRAN PORT HURON MI 48060 380937380 501C3 13399 0 N/A N/A SPONSORSHIP 3 0 PART I, LINE 2: GRANT FUNDS ARE SPENT ACCORDING TO THE INTENT OF THE DONOR. MONITORING OF THESE FUNDS HAPPENS THROUGH THE OVERLAP IN MANAGEMENT OR BOARD MEMBERS OR DAILY OPERATIONS AS PER THE FOLLOWING PROCEDURE: FOUNDATION DIRECTOR TO VERIFY AVAILABILITY OF FUNDS AND USE OF FUNDS IS APPROPRIATE WITH DONOR'S INTENTION. A) FOUNDATION DIRECTOR WILL REVIEW REQUESTS RECEIVED BY FOUNDATION AND INITIATE A CHECK REQUEST UP TO $50,000. B) CHECK REQUESTS FOR PURCHASE AND/OR CAPITAL OVER $50,001 - $250,000 TO BE APPROVED BY FOUNDATION CFO & ASSISTANT TREASURER, KYLE VINING. C) CHECK REQUESTS FOR PURCHASE AND/OR CAPITAL OVER $250,001 TO BE APPROVED BY PRESIDENT, ERIC CECAVA. D) CAPITAL PURCHASES OVER $500,001 WILL BE PRESENTED TO NEXT SCHEDULED FOUNDATION BOARD MEETING FOR AUTHORIZATION TO DISTRIBUTE. E) CHECK REQUESTS WILL BE PROCESSED AND CREDITED INTO THE INDIVIDUAL DEPARTMENT ACCOUNTS OF FOUNDATION OPERATING REVENUE OR FOUNDATION EDUCATION REVENUE FOR NON-CAPITAL PURCHASES. 0 1 0 0 0 0 0 1 0 DAVID MAZURKIEWICZ TREASURER 0 1025619 0 374629 0 556280 0 0 0 33460 0 1989988 0 0 CHAD GRANT CORPORATE COO 0 851712 0 257835 0 471302 0 0 0 36868 0 1617717 0 0 VASKEN ARTINIAN MD TRUSTEE & MMG PHYSICIAN 0 1104696 0 0 0 0 0 41000 0 23753 0 1169449 0 0 TOM BRISSE TRUSTEE 0 728088 0 0 0 173853 0 0 0 33364 0 935305 0 0 ERIC CECAVA PRESIDENT & CEO 0 466400 0 164300 0 76244 0 98667 0 30551 0 836162 0 0 JOHN V BROOKS MD CHIEF MEDICAL OFFICER 396983 0 48337 0 0 0 27000 0 18664 0 490984 0 0 0 SARA LITER-KUESTER CHIEF MEDICAL INFORM 314382 0 38452 0 0 0 21499 0 20800 0 395133 0 0 0 NICHOLAS COLLERAN CHIEF OPERATING OFFICER 234239 0 31097 0 0 0 20500 0 23735 0 309571 0 0 0 KATHLEEN MCKENNA VP PATIENT CARE SERVICES 213928 0 25413 0 0 0 19719 0 10480 0 269540 0 0 0 JACK BELYEA DIR FACILITIES MAINTENANCE 155150 0 11520 0 0 0 27000 0 14723 0 208393 0 0 0 BRIDGET SHOLTIS FORMER CFO & ASSISTANT TREASURER 136665 0 15221 0 0 0 47500 0 5760 0 205146 0 0 0 BENJAMIN CATT MEDICAL PHYSICIST 163806 0 0 0 0 0 34720 0 4347 0 202873 0 0 0 JENNIFER CARBARY VP MARKETING BUSINESS DEV 153444 0 6000 0 0 0 19788 0 17500 0 196732 0 0 0 HOLLY SCHIENKE DIR PATIENT CARE 140525 0 10925 0 0 0 12763 0 17037 0 181250 0 0 0 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. 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. PART I, LINE 4B MCLAREN MAINTAINS TWO SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES (THE "SERPS"). THE OLD SERP WAS CLOSED TO NEW PARTICIPANTS ON OCTOBER 1, 2006, AND THE NEW SERP BECAME EFFECTIVE AS OF JANUARY 1, 2007. NO EMPLOYEE MAY PARTICIPATE IN BOTH OF THE SERPS. THE OLD SERP IS STRUCTURED AS A DEFINED BENEFIT PLAN THAT ESSENTIALLY REPLACES THE BENEFITS THE PARTICIPANT IS NOT PERMITTED TO RECEIVE UNDER MCLAREN'S QUALIFIED RETIREMENT PLAN DUE TO IRS LIMITATIONS APPLICABLE TO QUALIFIED PLANS. THE BENEFIT UNDER THE OLD SERP IS PAYABLE IN EITHER THE FORM OF A 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. PART I, LINE 7 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, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS MCLAREN HEALTH CARE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER SHALL HAVE THE EXCLUSIVE RIGHT TO APPOINT AND REMOVE MEMBERS OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS BY THE GOVERNING BODY ARE SUBJECT TO THE POWERS OF THE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B 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, SECTION B, LINE 12C 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, SECTION B, LINE 15B 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 2023. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. PART VII AND SCHEDULE J THIS FY 2023 RETURN IS BEING AMENDED TO PROPERLY CATEGORIZE COMPENSATION AND HOURS ON PART VII AND SCHEDULE J. FORM 990, PART XI, LINE 9: CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY -799,121. TRANSFERS FROM RELATED ORGANIZATIONS -729,519. PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. MCLAREN BAY MEDICAL FOUNDATION 1900 COLUMBUS AVE BAY CITY MI 48708 382156534 FOUNDATION MI 501(C)(3) LINE 12A, I MCLAREN BAY REGION 1 MCLAREN BAY REGION 1900 COLUMBUS AVE BAY CITY MI 48708 381976271 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 BAY REGIONAL MEDICAL CENTER AUXILIARY 1908 COLUMBUS AVENUE BAY CITY MI 48708 386081235 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12A, I MCLAREN BAY REGION 1 MCLAREN BAY SPECIAL CARE 3250 E MIDLAND ROAD STE 1 BAY CITY MI 48706 383161753 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN BAY REGION 1 MCLAREN CENTRAL MICHIGAN 1221 SOUTH DRIVE MT PLEASANT MI 48858 381420304 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 CHARLEVOIX NURSING HOME CORPORATION DBA BOULDER PARK TERRACE 14676 WEST UPRIGHT CHARLEVOIX MI 49720 383038683 SKILLED NURSING FACILITY MI 501(C)(3) LINE 10 MCLAREN NORTHERN MICHIGAN 1 KARMANOS CANCER FOUNDATION 4100 JOHN R ST DETROIT MI 48201 383584572 FOUNDATION MI 501(C)(3) LINE 7 BARBARA ANN KARMANOS CANCER INSTITUTE 1 MCLAREN GREATER LANSING FOUNDATION 2900 COLLINS ROAD LANSING MI 48910 382463637 FOUNDATION MI 501(C)(3) LINE 7 MCLAREN GREATER LANSING 1 MCLAREN GREATER LANSING 2900 COLLINS ROAD LANSING MI 48910 381434090 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 BARBARA ANN KARMANOS CANCER HOSPITAL 4100 JOHN R ST DETROIT MI 48201 201649466 HOSPITAL MI 501(C)(3) LINE 3 BARBARA ANN KARMANOS CANCER INSTITUTE 1 BARBARA ANN KARMANOS CANCER INSTITUTE 4100 JOHN R ST DETROIT MI 48201 381613280 CANCER RESEARCH & CARE CENTER MI 501(C)(3) LINE 7 MCLAREN HEALTH CARE CORPORATION 1 MCLAREN LAPEER REGION 1375 N MAIN ST LAPEER MI 48446 382689033 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 MCLAREN LAPEER REGION FOUNDATION 1375 N MAIN ST LAPEER MI 48446 382689603 FOUNDATION MI 501(C)(3) LINE 12A, I MCLAREN LAPEER REGION 1 MARWOOD MANOR NURSING HOME PO BOX 5011 PORT HURON MI 48060 382683251 NURSING HOME MI 501(C)(3) LINE 10 PORT HURON HOSPITAL 1 MCLAREN HEALTH CARE CORPORATION ONE MCLAREN PARKWAY GRAND BLANC MI 48439 382397643 SUPPORTING ORG MI 501(C)(3) LINE 12A, I N/A 0 MCLAREN HEALTH CARE VILLAGE FOUNDATION 401 S BALLENGER HIGHWAY FLINT MI 48532 262693350 SUPPORTING ORG MI 501(C)(3) LINE 12A, I MCLAREN HEALTH CARE CORPORATION 1 MCLAREN HEALTH PLAN COMMUNITY G-3245 BEECHER ROAD FLINT MI 48532 272204037 INSURANCE MI 501(C)(4) 1 MCLAREN HEALTH PLAN 1 MCLAREN HEALTH PLAN INC G-3245 BEECHER ROAD FLINT MI 48532 383252216 HEALTH CARE SERVICES MI 501(C)(4) MCLAREN INTEGRATED HMO GROUP 1 MCLAREN HOSPICE AND HOME CARE FOUNDATION 1515 CAL DR DAVISON MI 48423 463643089 FOUNDATION MI 501(C)(3) LINE 12A, I MCLAREN HEALTH MANAGEMENT GROUP 1 MCLAREN MEDICAL GROUP 401 S BALLENGER HWY FLINT MI 48532 382988086 MANAGEMENT COMPANY MI 501(C)(3) LINE 12A, I MCLAREN HEALTH CARE CORPORATION 1 MCLAREN NORTHERN MICHIGAN 416 CONNABLE AVENUE PETOSKEY MI 49770 382146751 ACUTE CARE HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 MCLAREN NORTHERN MICHIGAN FOUNDATION 360 CONNABLE AVENUE PETOSKEY MI 49770 382445611 FOUNDATION MI 501(C)(3) LINE 7 MCLAREN NORTHERN MICHIGAN 1 MCLAREN FLINT 401 S BALLENGER HWY FLINT MI 48532 382383119 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 MICHIGAN CANCER SOCIETY 4100 JOHN R ST DETROIT MI 48201 382823451 CANCER RESEARCH MI 501(C)(3) LINE 7 BARBARA ANN KARMANOS CANCER INSTITUTE 1 MOUNT CLEMENS REGIONAL HEALTHCARE FOUNDATION PO BOX 326 MOUNT CLEMENS MI 48046 382578873 FOUNDATION MI 501(C)(3) LINE 10 MCLAREN MACOMB 1 MCLAREN MACOMB 1000 HARRINGTON MOUNT CLEMENS MI 48043 381218516 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 NORTH OAKLAND NORTH MACOMB IMAGING INC 50 NORTH PERRY STREET PONTIAC MI 48342 382807040 MRI IMAGING MI 501(C)(3) LINE 3 MCLAREN OAKLAND 1 NORTHERN MICHIGAN HEMATOLOGY AND ONCOLOGY 416 CONNABLE AVENUE PETOSKEY MI 49770 320020293 PHYSICIAN PRACTICE MI 501(C)(3) LINE 3 MCLAREN NORTHERN MICHIGAN 1 NORTHERN MICHIGAN MEDICAL MANAGEMENT 416 CONNABLE AVENUE PETOSKEY MI 49770 208458840 PHYSICIAN PRACTICE MI 501(C)(3) LINE 12A, I MCLAREN NORTHERN MICHIGAN 1 MCLAREN OAKLAND FOUNDATION 50 NORTH PERRY STREET PONTIAC MI 48342 200442217 FOUNDATION MI 501(C)(3) LINE 12C, III-FI MCLAREN OAKLAND 1 MCLAREN OAKLAND 50 NORTH PERRY STREET PONTIAC MI 48342 381428164 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 PORT HURON HOSPITAL FOUNDATION PO BOX 5011 PORT HURON MI 48060 382777750 FOUNDATION MI 501(C)(3) LINE 12A, I PORT HURON HOSPITAL 1 THE CARDIAC INSTITUTE DBA MICHIGAN HEART & VASCULAR SPECIALISTS 416 CONNABLE AVENUE PETOSKEY MI 49770 262774689 PHYSICIAN PRACTICE MI 501(C)(3) LINE 3 MCLAREN NORTHERN MICHIGAN 1 MCLAREN HEALTH MANAGEMENT GROUP 1515 CAL DRIVE DAVISON MI 48423 383491714 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 MCLAREN HEALTH CARE CORPORATION 1 VITALCARE INC 761 LAFAYETTE AVENUE CHEBOYGAN MI 49721 382527255 HOSPICE CARE/HOME HEALTH SERVICES MI 501(C)(3) LINE 10 MCLAREN NORTHERN MICHIGAN 1 MCLAREN FLINT FOUNDATION 401 S BALLENGER HIGHWAY FLINT MI 48532 381358053 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12A, I MCLAREN FLINT 1 CARO COMMUNITY HOSPITAL 401 N HOOPER ST CARO MI 48723 383426063 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 CARO COMMUNITY HOSPITAL ENDOWMENT FOUNDATION 401 N HOOPER ST CARO MI 48724 382422995 FOUNDATION MI 501(C)(3) LINE 12C, III-FI CARO COMMUNITY HOSPITAL 1 MDWISE INC 2955 N MERIDIAN STREET SUITE 201 INDIANAPOLIS IN 46208 351931354 HEALTH MAINTENANCE ORGANIZATION IN 501(C)(4) MCLAREN INTEGRATED HMO GROUP 1 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 1 HURON MEMORIAL HOSPITAL 1100 S VAN DYKE ROAD BAD AXE MI 48413 381474929 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 HURON MEMORIAL FOUNDATION 1100 S VAN DYKE ROAD BAD AXE MI 48413 382717147 FOUNDATION MI 501(C)(3) LINE 7 HURON MEMORIAL HOSPITAL 1 MCLAREN INTEGRATED HMO GROUP G-3245 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