2025-08-08T16:11:39-05:00 2024-09-30 331498605 PLANTE & MORAN PLLC 3000 TOWN CENTER SUITE 100 SOUTHFIELD MI 48075 990 2023-10-01 382689033 MCLAREN LAPEER REGION MCLA 8106625500 1375 N MAIN ST LAPEER MI 48446 TIFFANY DAVIS V.P. & CFO 8106625500 2025-08-05 1 1 AMY CIMINELLO P00796388 2483522500 2025-07-22 2023 2025-03-06 01:10:19Z TIM VARGAS 1375 N MAIN ST LAPEER MI 48446 164200920 0 X SEE SCHEDULE O X 1986 MI PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY AND PROVIDE VARIOUS HEALTH PROMOTION EVENTS. 8 6 1051 50 3824 2074 959647 1761694 142274780 157255145 2237325 4485918 559731 658461 146031483 164161218 15494 29847 0 0 60754733 65266158 0 0 0 77813891 84632744 138584118 149928749 7447365 14232469 155839311 179364862 61245208 58206612 94594103 121158250 MCLAREN HEALTH CARE, THROUGH ITS SUBSIDIARIES, WILL BE THE BEST VALUE IN HEALTH CARE AS DEFINED BY QUALITY OUTCOMES AND COST. 0 0 127680626 29847 157394055 PROVISION OF MEDICAL SERVICES FOR THE INPATIENT AND OUTPATIENT CARE OF PERSONS SUFFERING FROM ILLNESS, INJURY AND DISABILITY; FOR THE PREVENTION OF ILLNESS, INJURY AND DISABILITY AND FOR THE MAINTENANCE OF HEALTH. SELECTED ACTIVITY STATISTICS ARE PRESENTED. 31,641 PATIENT DAYS, 27,429 EMERGENCY ROOM VISITS, 6,006 DISCHARGES, 118,625 OUTPATIENT VISITS, AND 131 BIRTHS. 127680626 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 1 0 0 0 0 0 1 1 1 0 0 1 112 0 1 1051 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 8 6 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 1 0 X TIFFANY DAVIS 8106675866 1375 N MAIN STREET LAPEER MI 48446 HON JUSTUS SCOTT CHAIRMAN 1.00 0.00 X 0 35000 0 DR KENNETH TARR VICE CHAIRMAN 1.00 1.00 X 0 0 0 CHAD GRANT TRUSTEE/MCLAREN COO 1.00 53.00 X 0 1951299 44181 TIM VARGAS PRESIDENT AND CEO 41.00 1.00 X X 0 523220 99777 NEENA SHARMA MD MEDICAL CHIEF OF STAFF - PART YEAR 1.00 0.00 X 0 0 0 D WESLEY SMITH TRUSTEE 1.00 0.00 X 0 0 0 MAJED NOUNOU MD MEDICAL CHIEF OF STAFF 1.00 0.00 X 0 0 0 MICHAEL BURKE TRUSTEE 1.00 0.00 X 0 0 0 RICK BURROUGH TRUSTEE 1.00 1.00 X 0 0 0 ROBERT RIEHL TRUSTEE 1.00 1.00 X 0 0 0 TIFFANY DAVIS V.P. & CFO 41.00 1.00 X 61848 0 4008 FRED KORTE REGIONAL CFO 20.00 21.00 X 0 467171 25244 JOSEPH ZAJCHOWSKI CMO 40.00 0.00 X 376110 0 34615 MARY SPANKE V.P PATIENT CARE SRV'S CNO 40.00 0.00 X 231462 0 5067 MYROSLAV HARHULA PHYSICIAN-HOSPITALIST 40.00 0.00 X 426232 0 35075 MOHAMMED SIDDIQUI PHYSICIAN-HOSPITALIST 40.00 0.00 X 439353 0 38450 ALBANA AMANDA CAMAJ PHYSICIAN-HOSPITALIST 40.00 0.00 X 191392 0 3525 KENT ALLEN H.R. DIRECTOR 40.00 0.00 X 169450 0 15782 JOSEPH W FELTON PHARMACIST 40.00 0.00 X 160820 0 29458 2056667 2976690 335182 49 0 1 0 ANESTHESIA ASSOCIATES OF ANN ARBOR PLLC 2006 HOGBACK RD STE 5A ANN ARBOR MI 48105 PHYSICIAN SERVICES 3313190 MORRISON MGMT SPECIALISTS INC PO BOX 102289 ATLANTA GA 30368 STAFFING SERVICES 1621423 ADVANCED PSYCHIATRIC SERVICES PLLC 32905 W 12 MILE RD STE 410 FARMINGTON HILLS MI 48334 PHYSICIAN SERVICES 638000 HCS GROUP 729 W ANN ARBOR TRAIL STE 3 PLYMOUTH MI 48170 STAFFING SERVICES 268581 MICHIGAN HEAD & SPINE INSTITUTE PC 29275 NORTHWESTERN HWY STE 100 SOUTHFIELD MI 48034 PHYSICIAN SERVICES 240000 10 167508 1507966 86220 1761694 NET PATIENT CARE SERVICE 621400 156732386 156732386 CONTRACTED MEDICAL SERVICES 621400 313175 313175 RELATED PARTY RENT 531120 209584 209584 157255145 4485918 4485918 178612 39702 138910 138910 138910 CAFETERIA INCOME 722514 409744 409744 GIFT SHOP INCOME 900099 105983 105983 NON-PATIENT LAB REVENUE 621400 3824 3824 519551 164161218 157394055 3824 5001645 X 29847 29847 1040934 1040934 52994518 49740852 3253666 1848320 1722598 125722 5662264 697193 4965071 3720122 3468158 251964 505987 505987 49401 49401 2384 2384 199422 199422 35678818 32242804 3436014 276624 276624 22247305 21819507 427798 374270 219066 155204 2295700 408132 1887568 22943 9085 13858 12544 12070 474 1655995 1655995 4355626 2300841 2054785 1422424 118608 1303816 BAD DEBT EXPENSE 7962932 7962932 QUALITY ASSURANCE ASSES 5279945 5279945 REPAIRS AND MAINTENANCE 891653 661140 230513 SERVICE & MAINT AGREEME 544827 506452 38375 853944 481396 372548 149928749 127680626 22248123 0 1723 1723 25747998 22993292 13851701 22854155 3517560 3402936 617617 573250 134603151 92077463 45552062 42525688 62581672 83250741 3968978 3763077 155839311 179364862 5846737 6885953 46686391 45617467 8712080 5703192 61245208 58206612 X 94594103 121096766 0 61484 94594103 121158250 155839311 179364862 X 14232469 12119817 211861 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 2384 2384 0 PART II-B, LINE 1: A PORTION OF OUR DUES TO MICHIGAN HEALTH AND HOSPITAL ASSOCIATION SUPPORT LOBBYING ACTIVITIES. 1094258 1094258 60489703 31728082 28761621 87138 84784 2354 67793557 57703305 10090252 5138495 2561292 2577203 42525688 WORKERS COMP RESERVE 167520 COST REPORT PAYABLE 5148358 LEASE LIABILITIES - OPERATING 40275 SALES TAX LIABILITY 1988 INTEREST PAYABLE 345051 5703192 1 1 X 1 X 400.000000000000 1 X 1 1 1 0 1 1 2378726 0 2378726 0.01680 24229156 26568002 0 0.00000 26607882 26568002 2378726 0.01680 24111 650 23461 0.00020 2262 2262 0.00000 5415 5415 0.00000 31788 650 31138 0.00020 26639670 26568652 2409864 0.01700 1 7962932 27851287 23630394 4220893 X 1 1 1 1 MCLAREN LAPEER REGION 1375 N MAIN STREET LAPEER MI 48446 HTTPS://TINYURL.COM/YC6CMTNC 1060000079 X X X PSYCHIATRIC SERVICES, NURSING MCLAREN LAPEER REGION 1 0 0 1 X X X X X X X X X 22 1 0 1 1 X HTTPS://TINYURL.COM/YAWXCYL4 X 1 22 1 HTTPS://TINYURL.COM/YAWXCYL4 0 1 X 400.000000000000 400.000000000000 X X 1 1 X X X 1 X HTTPS://TINYURL.COM/43WYY8FX X HTTPS://TINYURL.COM/43WYY8FX X HTTPS://TINYURL.COM/43WYY8FX X X X X X X 1 X 0 X X X X 1 X 0 0 MCLAREN LAPEER REGION PART V, SECTION B, LINE 5: THE HOSPITAL FACILITY IDENTIFIED RISKS WITH THE LAPEER COUNTY COMMUNITY COLLABORATIVE, WHICH CONSISTS OF 40 ORGANIZATIONS IN THE COUNTY. (UNITED WAY, LAPEER COUNTY HEALTH DEPARTMENT, AND VARIOUS OTHER NON PROFIT AND FAITH BASED ORGANIZATIONS IN THE COMMUNITY). OTHER ORGANIZATIONS INVOLVED IN THE ASSESSMENT INCLUDE LAPEER COUNTY COMMUNITY FOUNDATION VISIONING COMMITTEE AND LAPEER COUNTY GREAT START COLLABORATIVE.THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN CAN BE FOUND ON THE ORGANIZATIONS WEBSITE AT HTTPS://WWW.MCLAREN.ORG/MAIN/COMMUNITY-HEALTH-NEEDS-ASSESSMENT MCLAREN LAPEER REGION PART V, SECTION B, LINE 6B: THUMB COMMUNITY HEALTH PARTNERSHIP (TCHP) AND LAPEER COUNTY HEALTH DEPARTMENT MCLAREN LAPEER REGION PART V, SECTION B, LINE 11: OF THE RISKS IDENTIFIED, THE GROUP ADDRESSED SEVERAL RISKS IDENTIFIED WHICH WERE TO IMPROVE PERINATAL HEALTH, REDUCE ADOLESCENT HEALTH RISKS, REDUCE CHRONIC DISEASE DEATHS, REDUCE INFECTIOUS DISEASE, REDUCE THE IMPACT OF SUBSTANCE USE DISORDERS, REDUCE INJURIES AMONG ADULTS, INCREASE ACCESS TO SAFE FOOD, WATER, SOIL, AND AIR. THIS PLAN WAS CHOSEN BY THE GROUP TO GET THE MOST IMMEDIATE IMPACT REGARDING THE QUALITY OF LIFE IN THE COMMUNITY. OTHER RISKS WILL BE ADDRESSED AS FINANCIAL RESOURCES BECOME AVAILABLE.THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN CAN BE FOUND ON THE ORGANIZATION'S WEBSITE AT HTTPS://WWW.MCLAREN.ORG/MAIN/COMMUNITY-HEALTH-NEEDS-ASSESSMENT MCLAREN LAPEER REGION 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. 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. 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 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 BENEFITS IN LINES 7E-7I. PART I, LN 7 COL(F): BAD DEBT EXPENSE OF $7,962,932 WAS INCLUDED IN FORM 990, PART IX, LINE 25 BUT SUBTRACTED WHEN CALCULATING SCH H, PART I, LINE 7, COL F. 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: THE AMOUNTS REPORTED FOR MEDICARE ARE FROM THE MEDICARE COST REPORT. THIS IS BASED ON THE METHODOLOGY REQUIRED FOR COMPLETING THE MEDICARE COST REPORT. ANY SHORTFALLS REPORTED ARE CONSIDERED COMMUNITY BENEFIT. 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 ATTORNEYS. PART VI, LINE 2: 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. 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(S). FINANCIAL AND 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. PART VI, LINE 4: THE SERVICE AREA OF MCLAREN LAPEER REGION IS COMPOSED OF 28 ZIP CODES AND IS CENTERED PRINCIPALLY ON THE CITY OF LAPEER, MI IN THE COUNTY OF LAPEER. THE PRIMARY SERVICE AREA, ACCOUNTING FOR 92% OF ANNUAL INPATIENT DISCHARGES, IS COMPOSED OF 16 ZIP CODES AND CAN BE CHARACTERIZED AS LARGELY URBAN IN NATURE. THE SECONDARY SERVICE AREA, ACCOUNTING FOR 8% OF ANNUAL INPATIENT DISCHARGES, IS COMPOSED OF 12 ZIP CODES AND CAN BE CHARACTERIZED AS LARGELY RURAL IN NATURE. PRIMARY SERVICE AREA DEMOGRAPHIC DISTRIBUTIONSAGE DISTRIBUTION<18 21%18 - 64 60.5%65+ 18.5%EDUCATION LEVELLESS THAN HIGH SCHOOL 2.3%SOME HIGH SCHOOL 7.7HIGH SCHOOL DEGREE 39.3%SOME COLLEGE/ASSOC. DEGREE 35.1%BACHELOR'S DEGREE OR GREATER 15.5%HOUSEHOLD INCOME DISTRIBUTION<$15K 4.0%$15 - 25K 11.0%$25 - 50K 16.0%$50 - 75K 26.0%$75 - 100K 20.0%OVER $100K 23.0%RACE/ETHNICITYWHITE NON-HISPANIC 91.0%BLACK NON-HISPANIC 1%HISPANIC 5%ASIAN & PACIFIC IS. NON-HISPANIC 0.7%ALL OTHERS 2.3% 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 MCLAREN LAPEER FOUNDATION 1375 N MAIN STREET LAPEER MI 48446 382689603 501(C)(3) 29847 0 N/A N/A SUPPORT OF FOUNDATION 1 0 PART I, LINE 2: GRANTS ARE PROVIDED TO RELATED ORGANIZATIONS THAT SUPPORT THE MISSION OF MCLAREN LAPEER REGION. 0 1 0 0 0 0 0 1 0 CHAD GRANT TRUSTEE/MCLAREN COO 0 907101 0 491250 0 552948 0 3461 0 40720 0 1995480 0 0 TIM VARGAS PRESIDENT AND CEO 0 360436 0 84000 0 78784 0 69115 0 30662 0 622997 0 0 FRED KORTE REGIONAL CFO 0 378043 0 89128 0 0 0 16500 0 8744 0 492415 0 0 MOHAMMED SIDDIQUI PHYSICIAN-HOSPITALIST 286983 0 152370 0 0 0 16500 0 21950 0 477803 0 0 0 MYROSLAV HARHULA PHYSICIAN-HOSPITALIST 277851 0 148381 0 0 0 16500 0 18575 0 461307 0 0 0 JOSEPH ZAJCHOWSKI CMO 338189 0 37921 0 0 0 16500 0 18115 0 410725 0 0 0 MARY SPANKE V.P PATIENT CARE SRV'S CNO 231462 0 0 0 0 0 3576 0 1491 0 236529 0 0 0 ALBANA AMANDA CAMAJ PHYSICIAN-HOSPITALIST 117255 0 74137 0 0 0 0 0 3525 0 194917 0 0 0 JOSEPH W FELTON PHARMACIST 160820 0 0 0 0 0 8436 0 21022 0 190278 0 0 0 KENT ALLEN H.R. DIRECTOR 158899 0 10551 0 0 0 8547 0 7235 0 185232 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. VIEW NEWSPAPER GROUP VIEW NEWSPAPER GROUP IS OWNED >35% BY RICK BURROUGH, TRUSTEE. 117595 VIEW NEWSPAPER GROUP SOLD ADVERTISING SECTIONS TO MCLAREN LAPEER 0 COMPLETE TEXTILE SERVICES HUSBAND OF LAURA GIBBARD, OFFICER, OWNS >35% OF COMPLETE TEXTILE SERVICES 172309 MCLAREN LAPEER DOES BUSINESS WITH COMPLETE TEXTILE SERVICES, A DISTRIBUTION COMPANY 0 DR VISHNU SHARMA FATHER OF NEENA SHARMA, DIRECTOR & MEDICAL CHIEF OF STAFF 30000 MCLAREN LAPEER CONTRACTED DR. VISHNU SHARMA AS DIRECTOR OF TRANSITIONAL CARE UNIT 0 FORM 990, PAGE 1, LINE J: HTTPS://WWW.MCLAREN.ORG/LAPEER-REGION/MCLAREN-LAPEER-REGION-HOME FORM 990, PART VI, SECTION A, LINE 2 RICK BURROUGH AND WESLEY SMITH HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THIS ORGANIZATION IS MCLAREN HEALTH CARE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER SHALL HAVE THE EXCLUSIVE RIGHT TO ELECT OR APPOINT THE DIRECTORS OF THE CORPORATION. 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 2024. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G ALLOCATION FROM RELATED CORPORATIONS: PROGRAM SERVICE EXPENSES 15,872,479. MANAGEMENT AND GENERAL EXPENSES 2,074,364. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,946,843. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,367,620. MANAGEMENT AND GENERAL EXPENSES 696,091. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,063,711. TEMPORARY/CONTRACT LABOR: PROGRAM SERVICE EXPENSES 2,832,568. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,832,568. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 7,498,928. MANAGEMENT AND GENERAL EXPENSES 12,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,510,928. ALL OTHER EXPENSES: PROGRAM SERVICE EXPENSES 1,671,209. MANAGEMENT AND GENERAL EXPENSES 653,559. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,324,768. FORM 990, PART XI, LINE 9: MINIMUM PENSION LIABILITY ADJUSTMENT 211,861. 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 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 MAINTENANCE ORGANIZATION 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 PORT HURON 1221 PINE GROVE AVENUE PORT HURON MI 48060 381369611 HOSPITAL MI 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 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 MCLAREN CARO REGION 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 MCLAREN THUMB REGION 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 BEECHER ROAD FLINT MI 48532 824449304 HEALTH CARE SERVICES MI 501(C)(4) MCLAREN HEALTH CARE CORPORATION 1 ST LUKE'S HOSPITAL 5901 MONCLOVA ROAD MAUMEE OH 43537 344428232 HOSPITAL OH 501(C)(3) LINE 3 MCLAREN HEALTH CARE CORPORATION 1 ST LUKE'S HOSPITAL FOUNDATION 5901 MONCLOVA ROAD MAUMEE OH 43537 341292849 FOUNDATION OH 501(C)(3) LINE 12A, I ST LUKE'S HOSPITAL 1 LAKE ORION NURSING CENTER CORPORATION 50 NORTH PERRY STREET PONTIAC MI 48342 382895426 NURSING HOME MI 501(C)(3) LINE 10 MCLAREN OAKLAND 1 SPARTAN IMAGING INC 2900 COLLINS ROAD LANSING MI 48910 853196614 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 MCLAREN GREATER LANSING 1 MCLAREN HOSPITAL GROUP G-3235 BEECHER ROAD FLINT MI 48532 992212966 MANAGEMENT COMPANY MI 501(C)(3) LINE 12B, II MCLAREN MEDICAL GROUP 1 MCLAREN - NORTHERN EQUITIES CANCER CENTER PROJECT LLC 39000 COUNTRY CLUB DRIVE FARMINGTON HILLS MI 48331 263112935 RENTAL REAL ESTATE MI N/A 0 1 MOUNT CLEMENS REGIONAL HEALTH BUILDING HEALTH PARTNERS 101 W BIG BEAVER RD STE 200 TROY MI 48084 262524717 BUILDING MANAGEMENT MI N/A 0 1 SOUTH VAN DYKE MEDICAL COMPLEX-A 125 N HANSELMAN ST BAD AXE MI 48413 383372174 VARIOUS HEALTHCARE ACTIVITIES MI N/A 0 1 CLARKSTON ASC PARTNERS LLC 5701 BOW POINTE DR STE 145 CLARKSTON MI 48346 203360827 SURGERY CENTER MI N/A 0 1 CLARKSTON PROPERTY ASSOCIATES 50 NORTH PERRY STREET PONTIAC MI 48342 432006072 REAL ESTATE MI N/A C 1 DELPHINUS INVESTMENT INC 4100 JOHN R ST DETROIT MI 48075 454758176 HOLD PASSIVE INVESTMENT MI N/A C 1 HEALTH ADVANTAGE INC G3245 BEECHER ROAD FLINT MI 48532 912141720 INSURANCE MI N/A C 1 MCLAREN INSURANCE COMPANY LTD 10 MAIN ST GRAND CAYMAN CJ INSURANCE CJ N/A C 1 MID-MICHIGAN PHYSICIANS PC 2510 KERRY STREET SUITE 200 LANSING MI 48912 383267121 PHYSICIAN PRACTICE MI N/A C 1 MCLAREN PHYSICIAN PARTNERS ONE MCLAREN PARKWAY GRAND BLANC MI 48439 383136458 MANAGED CARE MI N/A C 1 VITALCARE HOME MEDICAL EQUIPMENT INC 761 LAFAYETTE AVENUE CHEBOYGAN MI 49721 382662954 SALE AND RENTAL OF DURABLE MEDICAL EQUIPMENT MI N/A C 1 HURON CLINIC CONDOMINIUMS OWNERS 125 N HANSELMAN ST BAD AXE MI 48413 412144341 VARIOUS HEALTHCARE ACTIVITIES MI N/A C 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 MCLAREN LAPEER FOUNDATION Q 105013 ALLOCATION OF ACTUAL COST