Community Benefit Insight - Tax-exempt hospital

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Mclaren Oakland

Mclaren Oakland

50 N Perry Street
Pontiac, MI 48342

Bed count	308	Medicare provider number	230207	Member of the Council of Teaching Hospitals	YES	Children's hospital	NO

EIN: 381428164

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

2.22%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 307,318 0.14 %
Medicaid as % of operating expenses	$ 0 0 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 4,624,513 2.07 %
Subsidized health services as % of operating expenses	$ 0 0 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 29,927 0.01 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 0 0 %
Community building* as % of operating expenses	$ 44,700 0.02 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 44,700 0.02 %
Physical improvements and housing as % of community building expenses	$ 0 0 %
Economic development as % of community building expenses	$ 44,700 100 %
Community support as % of community building expenses	$ 0 0 %
Environmental improvements as % of community building expenses	$ 0 0 %
Leadership development and training for community members as % of community building expenses	$ 0 0 %
Coalition building as % of community building expenses	$ 0 0 %
Community health improvement advocacy as % of community building expenses	$ 0 0 %
Workforce development as % of community building expenses	$ 0 0 %
Other as % of community building expenses	$ 0 0 %
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 6,027,291 2.69 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2022 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 0 0 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 217106395 including grants of $ 0) (Revenue $ 239463376)
MCLAREN OAKLAND PROVIDES PRIMARY AND SPECIALTY HEALTHCARE SERVICES TO THE GREATER PONTIAC AND OAKLAND COUNTY, 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 POPULATION. 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, OTOLARYNGOLOGY, PULMONARY DISEASE AND CRITICAL CARE MEDICINE, AND TRANSITIONAL YEAR, IN ADDITION TO A CPME ACCREDITED PODIATRY PROGRAM.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

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) IMPROVING HEALTHY HEART AND LIFESTYLES 2) IMPROVED CANCER RESOURCES 3) IMPROVEMENTS TO MENTAL HEALTH. HEALTHY HEART - HEART DISEASE IS THE LEADING CAUSE OF DEATH FOR BOTH MEN AND WOMEN IN MICHIGAN AND THE UNITED STATES. MCLAREN OAKLAND'S CARDIOLOGY PROGRAMS OFFER ADVANCED DIAGNOSTIC AND TREATMENT OPTIONS, INCLUDING MINIMALLY INVASIVE CARDIAC AND VASCULAR PROCEDURES, ADVANCED SURGERY PROCEDURES AS WELL AS CUTTING EDGE RESEARCH. MCLAREN OAKLAND PARTICIPATES IN SEVERAL HEALTH FAIRS WHICH INCLUDE FREE SCREENINGS AND EDUCATION TO SUPPORT HEALTHY HEART AND HEALTHY LIFESTYLES. SCREENING EVENTS INCLUDE FREE BLOOD PRESSURE, TOTAL CHOLESTEROL NUMBER, TOTAL GLUCOSE NUMBER AND BMI SCREENINGS. WE ALSO OFFER FREE ANNUAL SPORTS PHYSICALS AND NUTRITION DISPLAYS AS WELL AS FREE ""DINNER WITH A DOC"" PRESENTATIONS INCLUDING HEALTHY HEART PRESENTATIONS. WE PLAN TO CONTINUE OFFERING SUPPORT TO THE COMMUNITY THROUGH OUR FREE SCREENINGS, EDUCATION AND PRESENTATIONS TO IMPROVE THE LIFESTYLES AND HEALTH OF OUR COMMUNITY. MCLAREN OAKLAND SUPPORTS THE MICHIGAN HEALTH AND WELLNESS 4 X 4 WELLNESS PLAN. THE GOAL OF THIS PLAN IS TO REDUCE OBESITY AND OVERWEIGHT ADULTS AND CHILDREN, VIA: MAINTAINING A HEALTHY DIET, ENGAGING IN REGULAR EXERCISE, PARTICIPATING IN AN ANNUAL PHYSICAL EXAMINATION AND AVOIDING ALL TOBACCO USE. THE 4 HEALTHY GOALS OF THE MICHIGAN HEALTH AND WELLNESS 4 X 4 PLAN ARE: BODY MASS INDEX (BMI), BLOOD PRESSURE, CHOLESTEROL LEVEL AND BLOOD SUGAR LEVEL (GLUCOSE). CANCER RESOURCES CANCER PATIENTS WILL HAVE INCREASED ACCESS TO ADVANCED CANCER CARE IN THE PONTIAC AREA AND SURROUNDING COMMUNITIES THROUGH THE PARTNERSHIP OF MCLAREN HEALTHCARE AND KARMANOS. MCLAREN OAKLAND OPENED A WORLD-RENOWNED KARMANOS CANCER INSTITUTE INPATIENT ONCOLOGY PROGRAM IN AUGUST 2018. MCLAREN OAKLAND ALSO OFFERS OUTPATIENT SERVICES AT THE KARMANOS CANCER INSTITUTE IN CLARKSTON, BLOOMFIELD, LAPEER AND MACOMB. WE SUPPORT OUR PATIENTS THROUGH PREVENTION, DIAGNOSIS, TREATMENT, RECOVERY AND SURVIVORSHIP. WE ALSO HAVE PROGRAMS FOR PATIENTS WHO QUALIFY WITH FINANCIAL ASSISTANCE TO COVER DEDUCTIBLE AND CO-PAYMENTS ON MEDICAL BILLS, HOUSEHOLD COSTS, CAREGIVER BILLS AND THE COSTS FOR BREAST SCREENINGS THOUGH THE MCLAREN OAKLAND FOUNDATION. OUR SOCIAL WORKERS AND NAVIGATORS WILL CONTINUE TO ASSIST PATIENTS WHO HAVE DEMONSTRATED A FINANCIAL NEED AND ENSURE THESE PATIENTS WILL BE SUPPORTED AND RECEIVE THE CARE THAT THEY NEED. WE WILL CONTINUE TO PROVIDE FREE MAMMOGRAMS TO WOMEN WHO DEMONSTRATE FINANCIAL NEED THROUGH OUR SISTER & SISTER PROGRAM. MENTAL HEALTH IN RESPONSE TO A SIGNIFICANT NEED FOR INTENSIVE MENTAL HEALTH CARE IN THE COMMUNITY AND THROUGHOUT THE STATE OF MICHIGAN, MCLAREN OAKLAND PROVIDES INPATIENT PSYCHIATRIC SERVICES SPECIFICALLY DESIGNED FOR THE OLDER ADULT POPULATION. AFTERCARE PLANNING BEGINS AT THE TIME OF ADMISSION AND COMMUNICATION WITH THE NEXT LEVEL OF CARE IS A KEY FACTOR TO THE PROGRAM'S SUCCESS. MOST INSURANCES ARE ACCEPTED AND THE PROGRAM CONTRACTS WITH OAKLAND COMMUNITY HEALTH NETWORK TO ENSURE INDIVIDUALS WHO HAVE MEDICAID OR ARE INDIGENT ARE ABLE TO RECEIVE CARE. IN MAY 2019, MCLAREN OAKLAND OPENED AN ADDITIONAL 13 BED SPECIAL POPULATION GERIATRIC PSYCHIATRY UNIT AS PART OF THE SENIOR BEHAVIORAL HEALTH PROGRAM. THIS UNIT IS ADJACENT TO THE EXISTING 27 BED SERVICE AND SPECIFICALLY DESIGNED TO MEET THE NEEDS AND COMFORT OF PERSONS OVER THE AGE OF 65 WITH MENTAL HEALTH PROBLEMS. IN ADDITION, MCLAREN OAKLAND IS COMMITTED TO SEVERAL FREE EDUCATIONAL PRESENTATIONS IN THE COMMUNITY ON HEALTH INCLUDING STRESS MANAGEMENT. WE OFFER FREE ""DINNER WITH THE DOC"" EVENTS INCLUDING STRESS MANAGEMENT. WE WILL CONTINUE TO OFFER THESE FREE EDUCATIONAL EVENTS IN EFFORTS TO IMPROVE THE MENTAL HEALTH OF OUR COMMUNITY."

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.

Supplemental Information

Schedule H (Form 990) Part VI

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.

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 $6,027,291.

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:
OUR PROCESS INCLUDES SELF AND PRIVATE PAY PATIENT ACTIVITY IS SENT TO A VENDOR FOR ASSISTANCE. SELF PAY PATIENTS REQUESTING FINANCIAL ASSISTANCE AT REGISTRATION ARE GIVEN A FINANCIAL ASSISTANCE APPLICATION WHICH IS EVALUATED TO DETERMINE IF CHARITY CARE IS APPLICABLE AND AN ATTEMPT IS ALSO MADE TO ASSESS PATIENTS FOR MEDICAID ELIGIBILITY.

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 7, REPORTS FILED WITH STATES
MI

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.

Operating expenses	$ 223,712,613
Total amount spent on community benefits as % of operating expenses	$ 4,961,758 2.22 %