2025-01-15T09:24:38-06:00 2023-09-30 331498605 PLANTE & MORAN PLLC 3000 TOWN CENTER SUITE 100 SOUTHFIELD MI 48075 990 2022-10-01 383038683 CHARLEVOIX NURSING HOME CORPORATION CHAR 2314874094 14676 WEST UPRIGHT CHARLEVOIX MI 49720 DAVID MAZURKIEWICZ SENIOR VICE PRESIDENT & CFO 2314874094 2025-01-14 1 0 AMY CIMINELLO P00796388 2483522500 2025-01-14 2022 2024-10-15 13:58:12Z X BOULDER PARK TERRACE GARFIELD ATCHISON 416 CONNABLE AVENUE PETOSKEY MI 49770 8948781 0 X WWW.MCLAREN.ORG/NORTHERNMICHIGAN/ X 1990 MI TO PROVIDE HEALTHCARE AS WE EXPECT FOR OUR OWN FAMILY. 6 3 127 10 0 0 197021 64769 7384836 8008938 138946 205827 556179 661002 8276982 8940536 0 0 0 0 5398473 6223634 0 0 0 2656461 2322165 8054934 8545799 222048 394737 10615212 9516778 2371600 676079 8243612 8840699 TO PROVIDE HEALTHCARE AS WE EXPECT FOR OUR OWN FAMILY. 0 0 6093238 8008938 TO PROVIDE APPROPRIATE ROOM & BOARD AND CARE FOR RESIDENTS OF A SKILLED NURSING FACILITY INCLUDING THOSE PATIENTS EXPERIENCING A HIP/KNEE REPLACEMENT, STROKE SURVIVORS, AMPUTEES, THOSE RECOVERING FROM BROKEN BONES, THOSE RECONDITIONED FROM ACUTE OR PROLONGED ILLNESS, AND THOSE UNABLE TO SUCCESSFULLY CARE FOR THEMSELVES AT HOME INDEPENDENTLY. THE FACILITY HAS 72 BEDS AND ACCEPTS MOST FORMS OF PAYMENT INCLUDING MEDICAID AND MEDICARE. (22,912 RESIDENT DAYS). 6093238 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 16 0 1 127 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 3 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 1 0 MI X MICHAEL PRUSAITIS 2314874094 416 CONNABLE AVENUE PETOSKEY MI 49770 X ANDREA NAYLOR DIRECTOR 1.00 39.00 X 0 249525 31447 DEBBIE SAUR-MACKENZIE ADMINISTRATOR 40.00 0.00 X X 185247 0 24195 DOUGLAS PETERS SECRETARY/TREASURER 1.00 0.00 X X 0 0 0 JOANNE SCHROEDER CHAIRMAN 1.00 0.00 X X 0 0 0 TODD BURCH VICE CHAIRMAN/PRESIDENT & CEO 1.00 49.00 X X 0 630578 137289 RICHARD SEGUIN DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL PRUSAITIS VP OF FINANCE/CFO 1.00 44.00 X 0 321171 25234 ANDREW MCDONAGH VP- CMO 1.00 44.00 X 0 428982 34731 LAURA DANIEL VP PATIENT SVCS - PART YEAR 1.00 44.00 X 0 218636 16959 JULIE JAREMA VP PHILANTHROPY 1.00 44.00 X 0 193268 25410 SHARI A SCHULT VP OF OPERATIONS 1.00 44.00 X 0 250702 12349 BRETT MALLEK VP HR - STARTED 2023 1.00 44.00 X 0 0 0 ROBERT STOUT PHYSICAL THERAPIST 40.00 0.00 X 107819 0 20141 JENNIFER WOODS VP CHIEF NURSE EXECUTIVE - FORMER 1.00 44.00 X 0 299425 17341 DEBBIE ROSENBURG VP HR - FORMER 1.00 44.00 X 0 256532 11386 293066 2848819 356482 2 1 1 0 0 64769 64769 PATIENT SERVICES 623000 5830288 5830288 RESIDENT SERVICES 623000 2178650 2178650 8008938 214072 214072 8245 -8245 -8245 -8245 COVID TESTING STATE OF 621990 459299 459299 STATE OF MI SNF WAGE R 621990 199539 199539 2164 2164 661002 8940536 8008938 0 866829 209441 209441 4526159 3680240 845919 1296242 952521 343721 191792 174014 17778 321194 96021 225173 8943 8943 33748 33748 11752 5014 6738 164483 164483 527 527 4382 2020 2362 174717 174717 7752 7752 MEDICAL SUPPLIES & DRUG 942402 942402 QAAP TAX 530132 530132 REPAIRS AND MAINTENANCE 60650 10383 50267 PROVISION FOR BAD DEBTS 49999 49999 11484 5907 5577 8545799 6093238 2452561 0 1000 3858492 3423436 820442 1109094 4523563 1436842 3188126 3086721 1583329 1820740 1163823 76787 10615212 9516778 680699 599292 1690901 76787 2371600 676079 X 8243612 8840699 0 0 0 0 8243612 8840699 10615212 9516778 394737 202350 0 X X 0 1 X 1 1 1 X 50000 124452 1277290 197021 64769 1713532 6943935 6795003 7178198 7384836 8008938 36310910 6993935 6919455 8455488 7581857 8073707 38024442 0 298011 395682 343317 479742 408554 1925306 298011 395682 343317 479742 408554 1925306 36099136 49424 46980 33993 66052 214072 410521 49424 46980 33993 66052 214072 410521 5389 125 4031 556179 661002 1226726 7048748 6966560 8493512 8204088 8948781 39661689 0.91020 0.94260 0.01040 0.00630 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 600000 600000 2903875 906592 1997283 48454 16985 31469 673992 285948 388044 297242 227317 69925 3086721 DEFERRED COMPENSATION 76787 76787 1 1 0 0 0 0 0 0 0 TODD BURCH VICE CHAIRMAN/PRESIDENT & CEO 0 450972 0 139606 0 40000 0 101536 0 35753 0 767867 0 0 ANDREW MCDONAGH VP- CMO 0 356201 0 69217 0 3564 0 15250 0 19481 0 463713 0 0 MICHAEL PRUSAITIS VP OF FINANCE/CFO 0 290088 0 28761 0 2322 0 9556 0 15678 0 346405 0 0 JENNIFER WOODS VP CHIEF NURSE EXECUTIVE - FORMER 0 262958 0 35898 0 569 0 4574 0 12767 0 316766 0 0 ANDREA NAYLOR DIRECTOR 0 230245 0 0 0 19280 0 12097 0 19350 0 280972 0 0 DEBBIE ROSENBURG VP HR - FORMER 0 169799 0 0 0 86733 0 218 0 11168 0 267918 0 0 SHARI A SCHULT VP OF OPERATIONS 0 214669 0 33711 0 2322 0 11030 0 1319 0 263051 0 0 LAURA DANIEL VP PATIENT SVCS - PART YEAR 0 184938 0 30134 0 3564 0 4420 0 12539 0 235595 0 0 JULIE JAREMA VP PHILANTHROPY 0 163135 0 26578 0 3555 0 9328 0 16082 0 218678 0 0 DEBBIE SAUR-MACKENZIE ADMINISTRATOR 132759 0 28544 0 23944 0 8148 0 16047 0 209442 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, LINES 4A-B SEVERANCE PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSONS IN PART VII: - JENNIFER WOODS: 158,284 - DEBBIE ROSENBURG: 75,000 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 THE PARTICIPANT'S ACCOUNT BALANCE, AND THE BENEFIT IS PAID IN A SINGLE SUM SERPS ARE PROVIDED ON A TAX-NEUTRAL BASIS. BOTH SERPS ARE DESIGNED TO OR DEBITED TO THEIR ACCOUNTS. THE BENEFIT UNDER THE NEW SERP IS EQUAL TO WITHIN 60 DAYS OF THE PARTICIPANT'S TERMINATION DATE. BENEFITS UNDER BOTH 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, BOX J WEBSITE: CONTINUATION OF WEBSITE ADDRESS - HTTPS://WWW.MCLAREN.ORG/MAIN/LOCATIONS/BOULDER-PARK-TERRACE-280 FORM 990, PART VI, SECTION A, LINE 6 THE ENTITY HAS TWO SHAREHOLDERS: - MCLAREN NORTHERN MICHIGAN, A MICHIGAN NONPROFIT CORPORATION - MUNSON HEALTHCARE CHARLEVOIX HOSPITAL, A MICHIGAN NONPROFIT CORPORATION FORM 990, PART VI, SECTION A, LINE 7A THE ANNUAL MEETING OF THE SHAREHOLDERS OF THE CORPORATION SHALL BE FOR THE PURPOSE OF ELECTING THE BOARD OF DIRECTORS AND TRANSACTING SUCH OTHER BUSINESS AS MAY PROPERLY COME BEFORE THE MEETING. MCLAREN NORTHERN MICHIGAN HAS ONE MORE VOTE THAN THE OTHER SHAREHOLDER. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS MAY BE TAKEN ONLY BY THE SHAREHOLDERS OF THE CORPORATION, AND SHALL BE AUTHORIZED ONLY UPON RECEIVING THE UNANIMOUS APPROVAL OF THE SHAREHOLDERS: [A] THE ISSUANCE OF ADDITIONAL STOCK OF THE CORPORATION AND THE ESTABLISHMENT OF THE CONSIDERATION UPON WHICH ADDITIONAL STOCK OF THE CORPORATION MAY BE ISSUED; [B] THE ESTABLISHMENT OF ALL OPERATING OR CAPITAL EXPENDITURE BUDGETS FOR THE CORPORATION; [C] THE BORROWING OR LENDING OF MONEY IN AN AMOUNT EXCEEDING $10,000 PER LOAN, OR EXCEEDING $25,000 IN THE AGGREGATE IN ANY FISCAL YEAR, RESPECTIVELY; [D] THE ADOPTION, AMENDMENT OR REPEAL OF THE ARTICLES OF INCORPORATION OR THE BYLAWS; [E] THE ADOPTION, EXECUTION, REVOCATION OR ABANDONMENT OF A PLAN OF MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION OR OTHER MAJOR CORPORATE CHANGE; [F] THE PURCHASE, LEASE OR OTHER ACQUISITION OF REAL OR PERSONAL PROPERTY WITH A VALUE IN EXCESS OF $25,000 PER TRANSACTION OR SERIES OF RELATED TRANSACTIONS, OTHER THAN THE PURCHASE, LEASE OR OTHER ACQUISITION OF INVENTORY IN THE ORDINARY COURSE OF BUSINESS; [G]THE SALE, LEASE, EXCHANGE, ENCUMBRANCE OR OTHER DISPOSITION OF ANY OF THE PROPERTY OR ASSETS (INCLUDING WITHOUT LIMITATION ANY CONTRACT RIGHTS) OF THE CORPORATION WITH A VALUE IN EXCESS OF $25,000 PER TRANSACTION OR SERIES OF RELATED TRANSACTIONS, OTHER THAN THE SALE, LEASE, EXCHANGE, ENCUMBRANCE OR OTHER DISPOSITION OF INVENTORY IN THE ORDINARY COURSE OF BUSINESS; [H] THE ACQUISITION OR SALE OF ANY ENTITY OR BUSINESS; AND [I] ALL NON-BUDGETED EXPENDITURES IN EXCESS OF $25,000 AND EACH SERIES OF RELATED NON-BUDGETED EXPENDITURES IN EXCESS OF $25,000. IN ADDITION, THE MNM BOARD OF TRUSTEES AND EACH MNM SUBSIDIARY OR AFFILIATE WILL NOT DO THE FOLLOWING WITHOUT MCLAREN (ACTING THROUGH ITS BOARD) APPROVAL: [J] ISSUE NOTES, BONDS OR OTHER EVIDENCE OF INDEBTEDNESS [K] SELL,COVEY, ASSIGN, TRANSFER, ALIENATE, PLEDGE OR ENCUMBER REAL PROPERTY WITH AN ANNUAL AGGREGATE VALUE IN EXCESS OF $250,000 [L] PURCHASE OR ACQUIRE ADDITIONAL REAL PROPERTY WITH AN ANNUAL AGGREGATE VALUE IN EXCESS OF $250,000 [M] APPROVE UNBUDGETED CAPITAL EXPENDITURES IN EXCESS OF $250,000 IN THE ANNUAL AGGREGATE 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 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. PART VII AND SCHEDULE J THIS FY 2023 RETURN IS BEING AMENDED TO PROPERLY CATEGORIZE COMPENSATION ON PART VII AND SCHEDULE J. 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 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) 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 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 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 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 - 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 WATERVILLE MEDICAL CENTER LLC 5901 MONCLOVA ROAD MAUMEE OH 43537 320160784 RENTAL REAL ESTATE OH N/A 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1