2025-01-15T09:23:45-06:00 2023-09-30 331498605 PLANTE & MORAN PLLC 3000 TOWN CENTER SUITE 100 SOUTHFIELD MI 48075 990 2022-10-01 381428164 MCLAREN OAKLAND MCLA 2483385000 50 NORTH PERRY STREET PONTIAC MI 48342 DAVID MAZURKIEWICZ SENIOR VICE PRESIDENT & CFO 2483385000 2025-01-14 1 1 AMY CIMINELLO P00796388 2483522500 2025-01-14 2022 2024-10-15 13:58:12Z X TRACEY FRANOVICH 50 NORTH PERRY STREET PONTIAC MI 48342 270649945 0 X WWW.MCLAREN.ORG/OAKLAND X 1953 MI MCLAREN OAKLAND PROVIDES PRIMARY AND SPECIALTY HEALTH CARE SERVICES GUIDED BY THE VALUES OF INTEGRITY, EXCELLENCE, DIVERSITY, AND INTELLIGENCE. WE ASPIRE TO ENHANCE THE QUALITY OF LIFE AND HEALTH STATUS OF THE PEOPLE WE SERVE. DURING THE YEAR, OAKLAND HAD MORE THAN 52,000 EMERGENCY VISITS, PERFORMED SERVICES FOR SURGERIES, MEDICAL IMAGING, PHYSICIAN REHABILITATION, SUBSTANCE ABUSE, AND MORE. 9 7 1377 8 0 0 3745809 1648627 239463376 263053249 2616555 2239734 3687638 3042249 249513378 269983859 0 0 0 0 101517905 108609064 0 0 0 122194708 136217958 223712613 244827022 25800765 25156837 171441981 180074037 82113215 65288024 89328766 114786013 X MCLAREN OAKLAND PROVIDES PRIMARY AND SPECIALTY HEALTH CARE SERVICES GUIDED BY THE VALUES OF INTEGRITY, EXCELLENCE, DIVERSITY, AND INTELLIGENCE. WE ASPIRE TO ENHANCE THE QUALITY OF LIFE AND HEALTH STATUS OF THE PEOPLE WE SERVE. 0 0 238303210 0 265340475 MCLAREN OAKLAND PROVIDES PRIMARY AND SPECIALTY HEALTHCARE SERVICES TO THE GREATER PONTIAC AND OAKLAND COUNTRY, MICHIGAN COMMUNITIES. MCLAREN OAKLAND IS LOCATED IN THE CITY OF PONTIAC, IN OAKLAND COUNTY, MICHIGAN, APPROXIMATELY 16 MILES NORTH OF DETROIT. PONTIAC IS THE ONLY CITY IN OAKLAND COUNTY DESIGNATED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES AS A MEDICALLY UNDERSERVED AREA (MUA). MEDICALLY UNDERSERVED AREAS/POPULATIONS ARE AREAS OR POPULATIONS DESIGNATED BY HRSA (HEALTH RESOURCES AND SERVICES ADMINISTRATION) AS HAVING TOO FEW PRIMARY CARE PROVIDERS, HIGH INFANT MORTALITY, HIGH POVERTY AND/OR HIGH ELDERLY POPULATIONS. FOUNDED IN 1953, MCLAREN OAKLAND HAS GROWN TO A COMPREHENSIVE MEDICAL COMMUNITY THAT INCLUDES OUTPATIENT FACILITIES IN CLARKSTON AND OXFORD, IN ADDITION TO AN INPATIENT HOSPITAL IN PONTIAC PROVIDING A RANGE OF CLINICAL SERVICES INCLUDING EMERGENCY AND TRAUMA CARE, CARDIOLOGY, CANCER SERVICES, MINIMALLY INVASIVE ROBOTIC SURGERY, AND ORTHOPEDIC SERVICES. MCLAREN OAKLAND OFFERS ACGME ACCREDITED RESIDENCY AND FELLOWSHIP PROGRAMS IN ANESTHESIOLOGY, DIAGNOSTIC RADIOLOGY, EMERGENCY MEDICINE, FAMILY MEDICINE, INTERNAL MEDICINE, ORTHOPEDIC SURGERY, OTORLARYNGOLOGY, PULMONARY DISEASE AND CRITICAL CARE MEDICINE, AND TRANSITIONAL YEAR, IN ADDITION TO A CPME ACCREDITED PODIATRY PROGRAM. 238303210 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 204 0 1 1377 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 7 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 1 1 1 X LESLIE KAPPEN 2483385261 50 NORTH PERRY STREET PONTIAC MI 48342 X JAMES STEPHANSKI DO CHAIR - PART YEAR 1.00 0.00 X X 0 0 0 REV DERRICK MCDONALD CHAIR 1.00 0.00 X X 0 0 0 TONY HAIN VICE CHAIR 1.00 1.00 X X 0 0 0 ALLEN PRINCE DO SECRETARY 1.00 0.00 X X 0 0 0 MARY MBIYA MEMBER 1.00 0.00 X 0 0 0 TRACEY FRANOVICH PRESIDENT AND CEO 40.00 5.00 X X 0 516974 79538 JUDGE LEO BOWMAN MEMBER 1.00 0.00 X 0 28000 0 KEVIN BALL MEMBER 1.00 0.00 X 0 0 0 CHAD GRANT MEMBER, EXEC. VP & COO MCLAREN HEALTH 1.00 53.00 X 0 1580849 36868 JACQUELINE SPICER MEMBER 1.00 0.00 X 0 0 0 PAUL PALINSKI MEMBER - PART YEAR 1.00 0.00 X 0 0 0 TIMOTHY KASPRZAK MD VP AND CMO - PART YEAR 40.00 0.00 X 447235 0 19027 LYNN MARCOTTE VP AND CFO 40.00 1.00 X 253193 0 55093 LAURA HARMON VP AND CHIEF NURSING OFFICER 40.00 0.00 X 18917 0 1371 LAURA GIBBARD VP HUMAN RESOURCES 13.30 26.70 X 0 284299 46558 SAI BIKKINA MD PHYSICIAN 40.00 0.00 X 933880 0 50303 ASHRAF KHAN DO PHYSICIAN 40.00 0.00 X 673002 0 63801 FRANK KNECHTL DO PHYSICIAN 40.00 0.00 X 658166 0 43803 SALMAN FATEH DO PHYSICIAN 40.00 0.00 X 653285 0 64303 RANA BILBEISI DO PHYSICIAN 40.00 0.00 X 618995 0 46723 4256673 2410122 507388 89 0 1 0 ACUTE CARE SURGERY MEDICAL GROUP INC 2450 DEL PASO RD STE 250 SACRAMENTO CA 95834 HEALTHCARE MGMT SERVICES 2789537 FRANK REWOLD & SONS INC 303 EAST THIRD STREET SUITE 300 ROCHESTER MI 48307 CONSTRUCTION SERVICES 1561497 ANESTHESIA SERVICES ASSOCIATES PC 1990 UNION LAKE RD STE 350 COMMERCE TWP MI 48382 HEALTHCARE SERVICES 817786 H&H DESIGN-BUILD 135 W MARKET STREET NEW ALBANY IN 47150 CONSTRUCTION SERVICES 767825 MICHIGAN HEAD & SPINE INSTITUTE PC 44200 WOODWARD AVE STE 112 PONTIAC MI 48341 HEALTHCARE SERVICES 517000 27 180049 1450274 18304 1648627 NET PATIENT REVENUE 621110 246173655 246173655 PHARMACY 340B CONTRACTS 456110 16879594 16879594 263053249 1957643 1957643 755023 0 755023 755023 755023 948177 666086 282091 282091 282091 GRADUATE MEDICAL EDUCATION REVENU 900099 368750 368750 MICHIGAN MEDICAID REIMBURSEMENT 900099 322636 322636 CAFETERIA SALES 722513 319172 319172 1276668 1276668 2287226 269983859 265340475 0 2994757 684197 684197 89227287 84889056 4338231 2044776 1917563 127213 11591284 11207068 384216 5061520 4724888 336632 21751 21751 65887 65887 3945 3945 21543332 21217215 326117 653957 653957 215508 195664 19844 12465124 12272996 192128 6588787 6588787 146404 130492 15912 101741 94002 7739 1256490 1256490 8207651 8207651 2448884 2448884 MEDICAL SUPPLIES 56626100 56626100 BAD DEBTS 9651075 9651075 MACI/DSH/HRA QAAP TAX 6966367 6966367 EQUIPMENT RENT & MAINT. 5912387 5912387 3342568 3342568 244827022 238303210 6523812 0 34738433 36430529 32419831 32778124 3627608 4000309 1689527 941868 166376032 117780035 47920024 48595997 23025001 26432177 3700363 3791565 3868433 3868433 20452761 23235035 171441981 180074037 21721936 16964374 16509 1268802 29416359 28340401 30958411 18714447 82113215 65288024 X 88684019 114104492 644747 681521 89328766 114786013 171441981 180074037 X 25156837 2944753 -2644343 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 3949 3949 0 PART II-B, LINE 1: A PORTION OF OUR DUES TO MICHIGAN HEALTH AND HOSPITAL ASSOCIATION SUPPORT LOBBYING ACTIVITIES. 2105535 2105535 99220318 72813091 26407227 1484357 1463745 20612 50725809 40920878 9804931 12840013 2582321 10257692 48595997 OTHER ASSETS 12412825 DEFERRED INFORMATION TECHNOLOGY 6916208 DEFERRED CORPORATE LAB 1034078 RIGHT OF USE ASSET 2871924 23235035 CLAIMS LIABILITY 4153016 ESTIMATED THIRD PARTY PAYMENTS 4333634 OTHER LIABILITIES 4433033 RELATED PARTY RECEIVABLES/(PAYABLES) 5794764 18714447 1 1 X 1 X 400.000000000000 1 X 1 1 1 0 1 1 1188356 1188356 0.00510 55247850 49565041 5682809 0.02420 56436206 49565041 6871165 0.02930 48492 48492 0.00020 13351468 6070981 7280487 0.03100 13399960 6070981 7328979 0.03120 69836166 55636022 14200144 0.06050 44700 44700 0.00020 44700 44700 0.00020 1 9651075 0 29870842 19093674 10777168 X 1 1 1 1 MCLAREN OAKLAND 50 N PERRY ST PONTIAC MI 48342 WWW.MCLAREN.ORG/OAKLAND 1060000084 X X X X REHABILITATIVE & PSYCHIATRIC SERVICES AND DIAGNOSTIC CENTER MCLAREN OAKLAND 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X HTTPS://TINYURL.COM/YAWXCYL4 X 1 23 1 HTTPS://TINYURL.COM/YAWXCYL4 0 1 X 400.000000000000 400.000000000000 X X X 1 1 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 OAKLAND PART V, SECTION B, LINE 5: A COMMITTEE REPRESENTING VARIOUS DEPARTMENTS (COMMUNITY, FINANCE, CANCER SERVICES AND INFECTION CONTROL) WITHIN MCLAREN OAKLAND MET TO DEVELOP THE 4 PAGE SURVEY TOOL. A TOTAL OF 318 SURVEYS WERE COLLECTED AND ANALYZED. THE METHOD OF DISTRIBUTION INCLUDED: COMMUNITY HEALTH FAIRS, MCLAREN OAKLAND CANCER SCREENING PROGRAMS, MAILINGS TO SENIOR PERKS MEMBERS, REQUESTS FOR VOLUNTARY PARTICIPATION FROM THE MCLAREN OAKLAND WEBSITE, PERSONAL DISTRIBUTION AT CHURCH GROUPS, AND VARIOUS MCLAREN OAKLAND FACILITIES - OXFORD FAMILY PRACTICE, BALDWIN CLINIC, BAYBROOKE CLINIC, CHILDREN'S CLINIC, CARDIOLOGY, SURGICAL WAITING ROOM, ORTONVILLE FAMILY PRACTICE, CLARKSTON ED, OXFORD CONVENIENT CARE AND OUTPATIENT PHYSICAL THERAPY.CHNA AND IMPLEMENTATION POLICY CAN BE ACCESSED AT:HTTPS://WWW.MCLAREN.ORG/MAIN/COMMUNITY-HEALTH-NEEDS-ASSESSMENT MCLAREN OAKLAND PART V, SECTION B, LINE 11: THE COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE IDENTIFIED THE FOLLOWING MAJOR HEALTH NEEDS OF THE COMMUNITY: 1) PROMOTING HEALTH BEHAVIORS THROUGH SMOKING AND OPIOD MISUE AND ABUSE, 2) CHRONIC DISEASE PREVENTION AND MANAGEMENT, 3) ACCESS TO HEALTH IMPROVEMENTS - HEALTH INEQUITIES FOR HIGH-RISK POPULATIONS. SMOKING AND VAPING LONG TERM GOAL: REDUCE TOBACCO AND VAPING RATES AMONG AT RISK POPULATIONS. STRATEGIES : - COLLABORATE WITH PARTNERS WITHIN THE COMMUNITY IN HEALTH EDUCATION PROGRAMS AND SCREENINGS.- PROMOTE REFERRALS TO TOBACCO CESSATION PROGRAMS; SUCH AS TOBACCO QUIT LINE, SELF-HELP PAMPHLETS OR BEHAVIORAL SUPPORT PROGRAMS. - PROVIDE TOBACCO CESSATION EDUCATION PROGRAMS. - SUPPORT STATE AND COMMUNITY-LEVEL CESSATION AND PREVENTION INTERVENTIONS SUCH AS THE TOBACCO 21 INITIATIVES COMMUNITY RESOURCES: AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION, AMERICAN LUNG ASSOCIATION, KARMANOS CANCER INSTITUTE, OAKLAND COUNTY COMMUNITY HEALTH NETWORK OPIOID MISUSE & ABUSE LONG TERM GOAL: REDUCE OPIOID MISUSE AND ABUSE AMONG AT RISK POPULATIONS STRATEGIES: - PARTICIPATE IN COMMUNITY COALITIONS AND PARTNERSHIPS: INCLUDING TRAINING, INTERVENTION, AND TREATMENT AS PART OF A BROAD MULTICOMPONENT APPROACH. - COLLABORATE WITH COMMUNITY PARTNERS TO PROMOTE COMMUNITY AWARENESS AND EDUCATION TO REDUCE NON-MEDICAL PRESCRIPTION DRUG USE/ABUSE. COMMUNITY RESOURCES: MOUD, OAKLAND COUNTY COMMUNITY HEALTH NETWORK, SAMSHA PROGRAMS, OAKLAND COUNTY SUBSTANCE ABUSE PREVENTION CHRONIC DISEASE PREVENTION, MAINTENANCE AND TREATMENT LONG TERM GOAL: INCREASE OPPORTUNITIES FOR RESIDENTS TO IMPROVE AND MANAGE HEALTH ISSUES AND PREVENT DISEASE. THIS INCLUDES BUT IS NOT LIMITED TO HEART DISEASE, STROKE, CANCER, CHRONIC RESPIRATORY LUNG DISEASE AND DIABETES. STRATEGIES: - COLLABORATE WITH REGIONAL STAKEHOLDERS AND PARTNERS WITHIN THE COMMUNITY IN PARTICIPATE IN HEALTH EDUCATION PROGRAMS AND SCREENINGS TO IMPROVE HEALTH OUTCOMES RELATED TO CHRONIC DISEASE- PROVIDE PROGRAMS TO TEACH PATIENTS ABOUT CHRONIC DISEASE, HEALTHY BEHAVIORS CHANGES, MEDICATION ADHERENCE, SKILLS FOR SELF- MANAGEMENT AND SUPPORT. - PROVIDE AND PROMOTE TOBACCO CESSATION EDUCATION PROGRAMS. - PROVIDE EVIDENCE-BASED SCREENINGS FOR EARLY IDENTIFICATION COMMUNITY RESOURCES: AMERICAN CANCER SOCIETY, AMERICAN DIABETES ASSOCIATION, AMERICAN HEART ASSOCIATION, AMERICAN LUNG ASSOCIATION, KARMANOS CANCER INSTITUTE, OAKLAND COUNTY PUBLIC HEALTHACCESS TO HIGH QUALITY HEALTH CARE AND PREVENTION SERVICES LONG TERM GOAL: INCREASE OPPORTUNITIES FOR ALL RESIDENTS TO ATTAIN HIGHEST LEVEL OF HEALTH, INCLUDING EQUAL ACCESS TO HEALTH CARE AS WELL AS BUILDING TALENT PIPELINES TO MEET FUTURE HEALTH CARE NEEDS.MEDICAL CARE STRATEGIES: - PARTNER WITH LOCAL COMMUNITY GROUPS, SCHOOLS, FIRST RESPONDERS AND OTHER ENTITIES TO PROVIDE ACCESS TO CPR AND AED TRAINING. - CONTINUOUSLY MONITOR AND ADDRESS DISPARITIES THAT AFFECT ACCESS TO HEALTH CARE(E.G., RACE, ETHNICITY, SOCIOECONOMIC STATUS, AGE, SEX, DISABILITY STATUS, SEXUAL ORIENTATION, GENDER IDENTITY, AND RESIDENTIAL LOCATION).- MONITOR TRENDS IN PRIMARY AND SPECIALTY CARE PROVIDERS AND CONTINUE TO RECRUIT, ESPECIALLY IN TARGET AREAS AND COMMUNITIES. - MONITOR INSURANCE COVERAGE RATES AND ACCESS TO THE ENTIRE CARE CONTINUUM FROM CLINICAL PREVENTATIVE SERVICES TO LONG TERM AND PALLIATIVE CARE. - EXPLORE AND MONITOR THE USE OF TELEHEALTH AS A METHOD OF DELIVERING CARE. FACTORS SUCH AS A PATIENT'S LEVEL OF EDUCATION, INCOME, TRANSPORTATION, AND ENVIRONMENT MUST BE CONSIDERED. SOCIAL DETERMINANTS OF HEALTH INCLUDING FOOD INSECURITY, EMPLOYMENT, HOUSING, EDUCATION, ACCESS TO HEALTH CARE, HEALTH LITERACY AND CRIME WERE CONSIDERED AND DISCUSSED WHILE EVALUATING HEALTH DATA FOR THE COMMUNITY THAT WE SERVE BUT THE HOSPITAL DOES NOT HAVE THE BANDWIDTH AND RESOURCES TO TACKLE THOSE DETERMINANTS OF HEALTH. THEREFORE THE DECISION WAS MADE TO UTILIZE THE RESOURCES THAT WE DO HAVE AND FOCUS ON PRIORITIZATION OF HEALTH NEEDS. SIGNIFICANT NEEDS THAT ARE BEING ADDRESSED INCLUDE: 1. PROMOTION OF HEALTHY BEHAVIORS IS A SIGNIFICANT HEALTH NEED IN THE PRIMARY AND SECONDARY SERVICE AREAS FOR MCLAREN OAKLAND WHILE ADDRESSING SMOKING AND OPIOID ABUSE.2. CHRONIC DISEASE PREVENTION, MAINTENANCE AND TREATMENT ARE ALSO SIGNIFICANT HEALTH NEEDS IN THE PRIMARY AND SECONDARY SERVICE AREAS FOR MCLAREN OAKLAND, INCLUDING BUT NOT LIMITED TO, HEART DISEASE, CANCER, LUNG DISEASE AND DIABETES. 3. ACCESS TO HIGH QUALITY HEALTH CARE AND PREVENTION SERVICES IS VITAL FOR THE HEALTH OF OUR COMMUNITY AND IS A CRITICAL ASPECT OF HEALTH PREVENTION TO UNDERSTAND POTENTIAL BARRIERS THAT CAN AFFECT ACCESS TO CARE. MCLAREN OAKLAND 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. 2 1 - MCLAREN CLARKSTON EMERGENCY CENTER 5701 BOW POINT DRIVE SUITE 120 CLARKSTON MI 48346 ER - 24 HOURS 2 - MCLAREN OAKLAND OXFORD CONVENIENT CARE 385 NORTH LAPEER ROAD OXFORD MI 48371 URGENT CARE PART I, LINE 3C: INCOME CRITERIA IS BASED ON A 400% FEDERAL POVERTY GUIDELINES PER THE FEDERAL REGISTER. COLLECTIONS MAY BE CONSIDERED IF THE PATIENT HAS SUFFICIENT LIQUID ASSETS. 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. COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLANS ALSO AVAILABLE ON THE MCLAREN HEALTH CARE CORPORATION WEBSITE. PART I, LINE 7: COST TO CHARGE RATIO BASED ON WORKSHEET 2 OF THE INSTRUCTIONS 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 SCHEDULE H, PART I, COLUMN F PERCENTAGE EQUALS $9,651,075. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY-BUILDING ACTIVITIES ARE DESIGNED AND IMPLEMENTED BASED ON THE COMMUNITY NEEDS ASSESSMENTS AND INPUT FROM THE COMMUNITY-BASED ORGANIZATIONS AND OTHER COMMUNITY STAKEHOLDERS, INCLUDING BUSINESS VENDORS, RELIGIOUS ORGANIZATIONS, AND POLITICAL LEADERS. EACH ORGANIZATION DEFINES ANNUAL COMMUNITY-BUILDING AND OUTREACH ACTIVITY PLANS. THESE PLANS ARE DESIGNED TO ADDRESS THE SPECIFIC HEALTH PREVENTION, EDUCATION, DIAGNOSIS, TREATMENT, AND FOLLOW-UP CARE REQUIREMENTS OF UNIQUE DISEASE, DEMOGRAPHIC, AND GEOGRAPHIC COMMUNITIES IDENTIFIED BY ONGOING NEEDS DESCRIBED ABOVE. 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 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: 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 AID APPLICATION FORMS ARE AVAILABLE AT ALL INPATIENT AND OUTPATIENT POINTS-OF-SERVICE, INCLUDING PROVIDING ASSISTANCE IN COMPLETING THE APPLICATION. ORGANIZATION AND ITS SUBSIDIARIES/AFFILIATES ALSO PROVIDE SPECIALLY-TRAINED COUNSELORS TO ASSIST PATIENTS AND REVIEW ELIGIBILITY FOR FEDERAL, STATE AND OTHER GOVERNMENT PROGRAMS, INCLUDING, BUT NOT LIMITED TO, MEDICAID, DISABILITY, SOCIAL SECURITY, AND ANY OTHER FORMS OF THIRD PARTY PAYMENT. PART VI, LINE 4: THE SERVICE AREA OF MCLAREN OAKLAND IS COMPOSED OF 29 ZIP CODES AND IS CENTER PRINCIPALLY ON THE CITY OF PONTIAC, MI IN THE COUNTY OF OAKLAND. THE PRIMARY SERVICE AREA, ACCOUNTING FOR 82% OF ANNUAL INPATIENT DISCHARGES, IS COMPOSED OF 13 ZIP CODES AND CAN BE CHARACTERIZED AS LARGELY URBAN IN NATURE. THE SECONDARY SERVICE AREA, ACCOUNTING FOR 18% OF ANNUAL INPATIENT DISCHARGES, IS COMPOSED OF 16 ZIP CODES AND CAN BE CHARACTERIZED AS LARGELY URBAN IN NATURE. AGE DISTRIBUTION0 - 14 21.2%15 - 17 4.4%18 - 24 8.4%25 - 34 12.3%35 - 54 31.1%55 - 64 11.7%65+ 10.8%EDUCATION LEVELLESS THAN HIGH SCHOOL 3.2%SOME HIGH SCHOOL 8.5%HIGH SCHOOL DEGREE 27.8%SOME COLLEGE/ASSOC. DEGREE 32.5%BACHELOR'S DEGREE OR GREATER 28.0%HOUSEHOLD INCOME DISTRIBUTION<$15K 9.1%$15 - 25K 8.5%$25 - 50K 20.2%$50 - 75K 17.3%$75 - 100K 13.1%OVER $100K 31.7%RACE/ETHNICITYWHITE NON-HISPANIC 74%BLACK NON-HISPANIC 13.7%HISPANIC 3.6%ASIAN & PACIFIC IS. NON-HISPANIC 6%ALL OTHERS 2.7% 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 0 1 0 0 0 0 0 1 0 CHAD GRANT MEMBER, EXEC. VP & COO MCLAREN HEALT 0 851712 0 257835 0 471302 0 0 0 36868 0 1617717 0 0 SAI BIKKINA MD PHYSICIAN 886832 0 43571 0 3477 0 27000 0 23303 0 984183 0 0 0 ASHRAF KHAN DO PHYSICIAN 671022 0 0 0 1980 0 47500 0 16301 0 736803 0 0 0 SALMAN FATEH DO PHYSICIAN 616859 0 36126 0 300 0 41000 0 23303 0 717588 0 0 0 FRANK KNECHTL DO PHYSICIAN 622893 0 34823 0 450 0 20500 0 23303 0 701969 0 0 0 RANA BILBEISI DO PHYSICIAN 574409 0 44286 0 300 0 41000 0 5723 0 665718 0 0 0 TRACEY FRANOVICH PRESIDENT AND CEO 0 408654 0 0 0 108320 0 61298 0 18240 0 596512 0 0 TIMOTHY KASPRZAK MD VP AND CMO - PART YEAR 446425 0 0 0 810 0 13304 0 5723 0 466262 0 0 0 LAURA GIBBARD VP HUMAN RESOURCES 0 268859 0 13118 0 2322 0 27000 0 19558 0 330857 0 0 LYNN MARCOTTE VP AND CFO 251951 0 0 0 1242 0 46935 0 8158 0 308286 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. COMPLETE TEXTILE SERVICES HUSBAND OF LAURA GIBBARD, OFFICER, OWNS >35% OF COMPLETE TEXTILE SERVICES 275193 MCLAREN OAKLAND DOES BUSINESS WITH COMPLETE TEXTILE SERVICES, A DISTRIBUTION COMPANY. 0 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 THE CORPORATE DIRECTOR OF BUDGET, THE CORPORATE SENIOR VICE PRESIDENT AND CFO OF MCLAREN HEALTH CARE CORPORATION (MHCC). COPIES OF THE RETURNS ARE MADE AVAILABLE TO THE MHCC BOARD MEMBERS, WHO SERVE AS THE OVERALL GOVERNING BOARD. RETURNS ARE AVAILABLE FOR ALL CORPORATIONS OF WHICH MHCC IS THE SOLE MEMBER AS WELL AS OTHER RELATED ENTITIES OF THOSE CORPORATIONS FOR REVIEW RATHER THAN HAVING THE LOCAL BOARDS REVIEW THE RETURNS. THE BOARD OF MHCC IS THE ULTIMATE ACCOUNTABLE ORGANIZATION FOR THE SYSTEM; AS SUCH IT IS THE OVERALL GOVERNING BOARD OF OUR SYSTEM WHOSE RESPONSIBILITIES INCLUDES BUT ARE NOT LIMITED TO: APPROVING ALL SUBSIDIARY BOARD MEMBERS, FINANCIAL BUDGETS, AND ISSUANCE OF DEBT. FORM 990, PART VI, 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: PENSION ADJUSTMENT -409,848. TRANSFERS TO CORPORATE/MMG -2,266,154. ASSETS RELEASED FOR CAPITAL 31,659. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MCLAREN BAY MEDICAL FOUNDATION 1900 COLUMBUS AVE BAY CITY MI 48708 382156534 FOUNDATION MI 501(C)(3) 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 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