2025-08-11T11:22:03-05:00 2024-09-30 331498605 PLANTE & MORAN PLLC 3000 TOWN CENTER SUITE 100 SOUTHFIELD MI 48075 990 2023-10-01 382397643 MCLAREN HEALTH CARE CORPORATION MCLA 8103422000 ONE MCLAREN PARKWAY GRAND BLANC MI 48439 DAVID MAZURKIEWICZ EXECUTIVE VICE PRESIDENT & CFO 8103422000 2025-08-07 1 1 AMY CIMINELLO P00796388 2483522500 2025-08-07 2023 2025-03-06 01:10:19Z MCLAREN HEALTH CARE DAVID MAZURKIEWICZ ONE MCLAREN PARKWAY GRAND BLANC MI 48439 365901003 0 X WWW.MCLAREN.ORG X 1981 MI TO PROVIDE PLANNING AND ADMINISTRATIVE SERVICES TO RELATED ENTITIES. 11 10 1634 0 125086 20318 0 0 361122771 354956481 20449961 9236331 2667026 1258250 384239758 365451062 9219716 6903297 0 0 162697029 178167277 0 0 0 200515119 182333984 372431864 367404558 11807894 -1953496 834576176 862500208 858913962 857194137 -24337786 5306071 MCLAREN HEALTH CARE, THROUGH ITS SUBSIDIARIES, WILL BE MICHIGAN'S BEST VALUE IN HEALTHCARE AS DEFINED BY QUALITY OUTCOMES AND COST. 0 0 334506459 6903297 355846270 PLANNING AND ADMINISTRATIVE SUPPORT SERVICES TO RELATED HEALTH CARE ORGANIZATIONS. 334506459 1 0 0 1 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 234 0 1 1634 1 1 1 1 CJ 0 0 0 0 0 0 0 0 1 0 X 11 10 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MI X DAVID MAZURKIEWICZ 8103422000 ONE MCLAREN PARKWAY GRAND BLANC MI 48439 PHILIP INCARNATI PRESIDENT AND CEO 41.00 5.00 X X 11811455 0 48318 GREGORY LANE CAO ASSIST, SECRETARY 41.00 2.00 X 2489012 0 52165 DAVID MAZURKIEWICZ TREASURER, EXECUTIVE VP & CFO 41.00 9.00 X 2440589 0 41435 CHAD GRANT EXECUTIVE VP CHIEF OPERATING OFFICER 41.00 13.00 X 1951299 0 44181 JUSTIN KLAMERUS EXECUTIVE VP CHIEF CLINICAL OFFICER 41.00 1.00 X 1534376 0 28241 KEVIN TOMPKINS SENIOR VP MARKETING - PART YEAR 41.00 0.00 X 1483349 0 47775 MICHAEL LACUSTA SENIOR VP BUSINESS DEVELOP 41.00 1.00 X 1287135 0 38841 CARISSA BURTON SENIOR VP HR 41.00 0.00 X 876186 0 181414 DEREK MORKEL SENIOR VP CIO 41.00 0.00 X 723246 0 108602 JENNIFER MONTGOMERY SVP CHIEF NURSING OFFICER 41.00 2.00 X 670701 319824 41209 ROBERT FLORA CHIEF ACADEMIC OFFICER 40.00 0.00 X 614174 0 37091 BRIAN BALUTANSKI CORPORATE CONTROLLER 41.00 2.00 X 572212 0 117087 DAVID BUEBY VP SUPPLY CHAIN 40.00 0.00 X 505527 0 47997 DEIDRA WILSON VP GOVERNMENT RELATION 41.00 1.00 X 504908 0 85197 DAN MEDRANO VP FACILITIES 40.00 0.00 X 462888 0 36374 JOHN TIKKA VP INFO TECH APPLICATIONS 40.00 0.00 X 386588 0 33164 MATTHEW AJLUNI VP INSURANCE RISK MANAGEMENT 40.00 0.00 X 363737 0 17953 MATTHEW ELSEY FORMER CORPORATE CONTROLLER 0.00 0.00 X 334714 0 16336 BRIAN BROWN SENIOR VP MARKETING 41.00 3.00 X 237842 0 2342 DANIEL BOGE CHAIRPERSON 1.00 0.00 X X 47000 0 0 HONORABLE LEO BOWMAN DIRECTOR 1.00 0.00 X 37500 0 0 DAVID A THOMPSON VICE CHAIRPERSON 1.00 0.00 X X 37000 0 0 JAMES GEORGE SECRETARY 1.00 0.00 X X 36000 0 0 TIM MONAHAN DIRECTOR 1.00 0.00 X 36000 0 0 TOM CATTEL DIRECTOR 1.00 0.00 X 35000 0 0 RALPH SHAHEEN DIRECTOR 1.00 0.00 X 35000 0 0 HONORABLE JUSTUS SCOTT DIRECTOR 1.00 0.00 X 35000 0 0 JOE SERRA DIRECTOR 1.00 0.00 X 30500 0 0 HEATHER GALLEGOS DIRECTOR 1.00 0.00 X 23000 0 0 29601938 319824 1025722 271 1 1 0 AMERICAN HEALTHCARE STAFFING ASSOC LLC PO BOX 670529 DALLAS TX 75267 STAFFING AGENCY 34318951 CENTER FOR CARDIOVASCULAR & THORACIC SUR 22201 MOROSS RD STE 356 DETROIT MI 48236 CARDIOTHORACIC SERVICES 9890010 CLIENT FINANCIAL SVCS OF MICHIGAN LLC 209 S ALLOY DRIVE FENTON MI 48430 PT FINANCIAL SERVICES 6872250 MEDSPEED LLC 140 INDUSTRIAL DRIVE ELMHURST IL 60126 COURIER SERVICES 5523266 HCL TECHNOLOGIES CORPORATE SERVICES LTD 70 6TH FL GRACECHURCH ST LONDON UK EC3V 0XL IT SERVICES 4977265 102 HEALTH SYSTEM SERVICE REVENUE 900099 348215655 348215655 RENTAL TO AFFILIATED EXEMPT ORG 900099 5994016 5994016 RELATED JV INCOME 900099 746810 746810 354956481 9236331 125086 9111245 163611 595161 95604 354337 68007 240824 308831 308831 PATIENT CLINICAL TRIALS 900099 889789 889789 CAFETERIA INCOME 722514 76032 76032 JV INCOME 900099 -16402 -16402 949419 365451062 355846270 125086 9479706 X 6903297 6903297 30339768 30339768 116461258 116461258 8944309 8944309 14233878 14233878 8188064 8188064 1572259 1572259 3676053 3676053 570078 570078 401422 401422 45122094 34857844 10264250 7112217 7112217 752754 752754 87669999 84175521 3494478 4108163 4108163 935211 935211 115702 115702 4430423 4430423 23802548 21909714 1892834 587185 587185 RECRUITING 604691 604691 DUES & MEMBERSHIPS 387769 387769 RELOCATION 110940 110940 FREIGHT 59032 59032 315444 315444 367404558 334506459 32898099 0 2163743 503283 360606240 302457792 507405 507405 22509975 24052766 403531667 240438082 163865112 163093585 196255043 260323960 33405365 43887597 34249149 34249149 21014144 33424671 834576176 862500208 135814011 170084967 107978801 107212824 275244826 275094029 339876324 304802317 858913962 857194137 X -30184739 -1430671 5846953 6736742 -24337786 5306071 834576176 862500208 X -1953496 30494885 1102468 X X 0 1 X 1 1 1 X X 16 MCLAREN FLINT 382383119 3 1 0 0 MCLAREN MEDICAL GROUP 382988086 3 0 0 0 MCLAREN GREATER LANSING 381434090 3 1 0 0 MCLAREN BAY REGION 381976271 3 1 0 0 MCLAREN LAPEER REGION 382689033 3 1 0 0 VISITING NURSE SERVICES OF MICHIGAN 383491714 10 1 0 0 MCLAREN HEALTH PLAN 383383640 3 0 0 0 MCLAREN MACOMB 381218516 3 1 0 0 MCLAREN CENTRAL MICHIGAN 381420305 3 1 0 0 MCLAREN OAKLAND 381428164 3 1 0 0 MCLAREN NORTHERN MICHIGAN 382445613 3 1 0 0 MCLAREN PORT HURON 381369611 3 1 5000000 0 KARMANOS CANCER INSTITUTE 381613280 7 1 0 0 MCLAREN CARO REGION 383426063 3 0 1903297 0 MCLAREN THUMB REGION 381474929 3 0 0 0 ST LUKE'S HOSPITAL 344428232 3 0 0 0 16 6903297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION C: MCLAREN HEALTH CARE CORPORATION IS THE SOLE MEMBER OF ITS SUBSIDIARY ORGANIZATIONS AND HAS THE POWER TO ELECT OR APPOINT THE DIRECTORS OF THE SUBSIDIARY ORGANIZATIONS. THE PRESIDENT AND CEO OF MHC IS THE ONLY MANAGERIAL MEMBER OF THE PARENT BOARD WITH VOTING RIGHTS. THE PARENT BOARD IS OTHERWISE COMPRISED OF SUBSIDIARY BOARD MEMBERS. THE PARENT BOARD HAS THE SOLE AUTHORIZATION TO APPROVE BOARD MEMBERS OF THE SUBSIDIARIES, APPROVE ANNUAL OPERATING BUDGETS, ANNUAL FINANCIAL PERFORMANCE, THE AUDIT PLAN, THE AUDITED FINANCIAL STATEMENTS, RISK MANAGEMENT, THE ANNUAL COMPLIANCE PLAN, EXECUTIVE COMPENSATION, AND OTHER REGULATORY AND OPERATIONAL ITEMS. THE OVERLAP BETWEEN THE GOVERNING BOARD AND MANAGEMENT IS MINIMAL. MANAGEMENT IS RESPONSIBLE FOR DAY-TO-DAY OPERATIONS AND IMPLEMENTING STRATEGIES TO ACHIEVE THE GOALS SET FORTH BY THE BOARD. PART IV, SECTION A, LINE 1: ALL SUPPORTED ORGANIZATIONS ARE LISTED BY NAME IN THE ORGANIZATION'S GOVERNING DOCUMENTS EXCEPT FOR MCLAREN HEALTH PLAN, MCLAREN MEDICAL GROUP, MCLAREN CARO REGION, MCLAREN THUMB REGION HOSPITAL AND ST. LUKE'S HOSPITAL (NON-LISTED ENTITIES). THE ORGANIZATION IS THE SOLE MEMBER OF ALL FIVE NON-LISTED ENTITIES. ALL FIVE NON-LISTED ENTITIES SHARE A SIMILAR PURPOSE AND ARE PART OF A COMMON CLASS OF ORGANIZATIONS IDENTICAL TO THE OTHER SUPPORTED ORGANIZATIONS. 0 1 0 0 0 0 0 0 1 401422 401422 0 PART II-B, LINE 1: CONTRACTED WITH CONSULTING FIRMS ON A FEDERAL AND STATE LEVEL REGARDING VARIOUS HEALTHCARE LEGISLATION. INCLUDED IN LINE 1I IS COMPENSATION PAID TO STAFF AS INDICATED ON LINE 1B. 29419658 29419658 19732717 7392441 12340276 11095091 8621487 2473604 331029362 221732917 109296445 12254839 2691237 9563602 163093585 PROFESSIONAL LIAB TRUST-CASH 52168118 C PROFESSIONAL LIAB TRUST-CTF -24549576 C INVESTMENT-CENTAUR HEALTH HOLD 4999954 C INVESTMENT-PYRAMID TECH CONSLT 4150000 C INVESTMENT-CLARK CANCR CTR 2535362 C INVEST-EX PRE HOLDING (PREMIER 2104097 C INVESTMENT-OTHER UNCON AFFIL 1279642 C INVESTMENT IN MHP AFFILIATE 1200000 C 43887597 ACCRUED PENSION COSTS 37494337 DEFERRED EQUIPMENT COSTS TO SUBSIDIARIES 89543941 FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 11405594 DEFERRED COMPENSATION 35407321 OPERATING LEASE LIABILITIES 11616921 DUE TO AFFILIATES 119334203 304802317 1 MCLAREN PORT HURON 1221 PINE GROVE AVENUE PORT HURON MI 48060 381369611 501(C)(3) 5000000 0 N/A N/A GENERAL SUPPORT MCLAREN CARO REGION 401 N HOOPER ST CARO MI 48723 383426063 501(C)(3) 1903297 0 N/A N/A GENERAL SUPPORT 2 0 PART I, LINE 2: ALL GRANTS ARE MADE TO RELATED ORGANIZATIONS OF MCLAREN HEALTH CARE FOR ASSISTANCE IN CARRYING OUT PROGRAMS AND OPERATIONS IN LINE WITH THE MISSION OF THE MCLAREN HEALTH CARE SYSTEM. X X X X 1 1 X X X X X 0 1 0 0 0 0 0 1 0 PHILIP INCARNATI PRESIDENT AND CEO 2700387 0 1562972 0 7548096 0 7694 0 40624 0 11859773 0 0 0 GREGORY LANE CAO ASSIST, SECRETARY 1040017 0 742971 0 706024 0 3752 0 48413 0 2541177 0 0 0 DAVID MAZURKIEWICZ TREASURER, EXECUTIVE VP & CFO 1389087 0 404214 0 647288 0 4589 0 36846 0 2482024 0 0 0 CHAD GRANT EXECUTIVE VP CHIEF OPERATING OFFICER 907101 0 491250 0 552948 0 3461 0 40720 0 1995480 0 0 0 JUSTIN KLAMERUS EXECUTIVE VP CHIEF CLINICAL OFFICER 725449 0 399762 0 409165 0 2969 0 25272 0 1562617 0 0 0 KEVIN TOMPKINS SENIOR VP MARKETING - PART YEAR 648765 0 207175 0 627409 0 413 0 47362 0 1531124 0 0 0 MICHAEL LACUSTA SENIOR VP BUSINESS DEVELOP 583261 0 374571 0 329303 0 2348 0 36493 0 1325976 0 0 0 CARISSA BURTON SENIOR VP HR 455412 0 354750 0 66024 0 133476 0 47938 0 1057600 0 0 0 DEREK MORKEL SENIOR VP CIO 654902 0 0 0 68344 0 100011 0 8591 0 831848 0 0 0 JENNIFER MONTGOMERY SVP CHIEF NURSING OFFICER 286033 295685 0 0 384668 24139 1599 0 19476 20134 691776 339958 0 0 ROBERT FLORA CHIEF ACADEMIC OFFICER 493924 0 120250 0 0 0 1374 0 35717 0 651265 0 0 0 BRIAN BALUTANSKI CORPORATE CONTROLLER 426606 0 47031 0 98575 0 77589 0 39498 0 689299 0 0 0 DAVID BUEBY VP SUPPLY CHAIN 407247 0 98280 0 0 0 1134 0 46863 0 553524 0 0 0 DEIDRA WILSON VP GOVERNMENT RELATION 307001 0 137493 0 60414 0 69349 0 15848 0 590105 0 0 0 DAN MEDRANO VP FACILITIES 372545 0 90343 0 0 0 1032 0 35342 0 499262 0 0 0 JOHN TIKKA VP INFO TECH APPLICATIONS 311463 0 75125 0 0 0 859 0 32305 0 419752 0 0 0 MATTHEW AJLUNI VP INSURANCE RISK MANAGEMENT 296121 0 60470 0 7146 0 817 0 17136 0 381690 0 0 0 MATTHEW ELSEY FORMER CORPORATE CONTROLLER 0 0 326721 0 7993 0 0 0 16336 0 351050 0 0 0 BRIAN BROWN SENIOR VP MARKETING 226751 0 0 0 11091 0 1253 0 1089 0 240184 0 0 0 PART I, LINE 1A 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 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. A MICHIGAN FINANCE AUTHORITY 800596186 NONEAVAIL 2020-01-30 67125000 REFUND PRIOR BONDS ISSUED 0 0 0 B MICHIGAN FINANCE AUTHORITY 800596186 NONEAVAIL 2014-09-26 36220000 HOSPITAL EQUIPMENT & REFUNDING PRIOR BONDS ISSUED 0 0 0 C MICHIGAN FINANCE AUTHORITY 800596186 59447TAW3 2015-03-31 191447638 REFUND PRIOR BONDS ISSUED 0 0 0 D MICHIGAN FINANCE AUTHORITY 800596186 59447TDC4 2015-05-04 154160000 REFUND PRIOR BONDS ISSUED 0 0 0 A 10068750 67125000 118355 67006645 2012 1 0 1 1 B 36027069 36220000 166679 20523048 15521273 2014 1 0 1 1 C 35965000 191447638 2574 191445064 2018 1 1 1 1 D 23805000 154160000 1201391 152958609 2015 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 1 1 1 0 0.00990 0.00000 0.00990 0 0 1 D 0 1 1 1 0 0.02890 0.00040 0.02930 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 0 0 1 1 1 PNC BANK 16.400000000000 0 0 0 0 1 A 0 B 0 C 0 D 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/01/2010 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/04/2015 A MICHIGAN FINANCE AUTHORITY 800596185 39447TJR5 2016-07-28 154140000 HOSPITAL EQUIPMENT & BUILDINGS 0 0 0 B MICHIGAN FINANCE AUTHORITY 800596186 59447TVE0 2019-06-25 654804563 HOSPITAL EQUIPMENT & BUILDINGS 0 0 0 C MICHIGAN FINANCE AUTHORITY 800596186 NONEAVAIL 2022-07-20 45215000 REFUND PRIOR BONDS ISSUED 0 0 0 A 154140000 629990 156235415 2020 0 0 1 1 B 654804563 3952041 663598308 2022 0 0 0 1 C 10815000 45215000 45215000 1 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 1 0 0 0 0 0 1 A 0 B 0 C 0 HEALTHTECH LLC DEREK MORKEL, KEY EMPLOYEE, IS CHAIRMAN OF & COMPENSATED BY HEALTHTECH LLC. 278543 HEALTHTECH, LLC HAD SALES TO MCLAREN HEALTH CARE. 0 FORM 990, PART VI, SECTION A, LINE 2 DANIEL BOGE AND PAM MYLER HAVE A BUSINESS RELATIONSHIP. 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 15 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 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,047,439. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,047,439. FINANCE ADMINISTRATION: PROGRAM SERVICE EXPENSES 6,449,733. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,449,733. HEALTH INFORMATION MANAGEMENT: PROGRAM SERVICE EXPENSES 8,110,302. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,110,302. PATIENT FINANCIAL SERVICES: PROGRAM SERVICE EXPENSES 12,388,872. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,388,872. COVID-EMERGENCY PREPAREDNESS: PROGRAM SERVICE EXPENSES 4,211,406. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,211,406. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 2,154,275. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,154,275. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,543,256. MANAGEMENT AND GENERAL EXPENSES 5,216,811. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,760,067. FORM 990, PART XI, LINE 9: PENSION TERMINATION 115,991. NET ASSET TRANSFER CAPITAL 986,477. FORM 990, PART XI, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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