Community Benefit Insight - Tax-exempt hospital

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Mclaren Port Huron

Mclaren Port Huron

1221 Pine Grove Avenue
Port Huron, MI 48060

Bed count	163	Medicare provider number	230216	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 381369611

Display data for year:

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

1.75%

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	$ 809,253 0.34 %
Medicaid as % of operating expenses	$ 2,826,475 1.18 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 0 0 %
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.	$ 454,411 0.19 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 104,294 0.04 %
Community building* as % of operating expenses	$ 14,972 0.01 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
Number of activities or programs (optional)	153
Physical improvements and housing	0
Economic development	0
Community support	153
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	$ 14,972 0.01 %
Physical improvements and housing as % of community building expenses	$ 0 0 %
Economic development as % of community building expenses	$ 0 0 %
Community support as % of community building expenses	$ 14,972 100 %
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	$ 7,316,748 3.05 %
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 $ 169137778 including grants of $ 91800) (Revenue $ 237928571)
FOR FISCAL YEAR OCTOBER 1, 2021 TO SEPTEMBER 30, 2022, MCLAREN PORT HURON PROVIDED HEALTH CARE SERVICES TO THE POOR AND TO THE BROADER COMMUNITY FOR WHICH THE COST OF PROVIDING SUCH SERVICES EXCEEDED THE RELATED REVENUE. CHARITY CARE IN THE AMOUNT OF $8,077,202 WAS PROVIDED DURING THE YEAR. MCLAREN PORT HURON PROVIDED $493,909,231 IN THIRD PARTY DISCOUNTS. IN TOTAL, THIS REPRESENTS 67.35 PERCENT OF THE GROSS PATIENT REVENUE FOR THIS YEAR. MCLAREN PORT HURON ALSO PROVIDED THE COMMUNITY WITH OPPORTUNITIES TO PARTICIPATE IN NUMEROUS EDUCATIONAL, WELLNESS, SCREENING, AND SUPPORTIVE PROGRAMS AT EITHER NO COST OR AT A NOMINAL CHARGE. THE HOSPITAL PROVIDED A TOTAL OF 613 EVENTS/PROGRAMS TO APPROXIMATELY 3,203 PEOPLE OF THE COMMUNITY.

Facility Information

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

MCLAREN PORT HURON
PART V, SECTION B, LINE 3J: DATA THAT CONTRIBUTED TO OUR CORE AREAS OF FOCUS INCLUDED: LEADING CAUSES OF DEATH, TOP CANCER SITES, HOSPITAL DISCHARGES AND HEALTHY BEHAVIOR RANKINGS IN OUR TWO COUNTIES COMPARED TO STATEWIDE DATA AND LEADING US PERFORMERS.THE CHNA ALSO INCLUDED A LISTING OF COMMUNITY HEALTH ASSETS OTHER RESOURCES SUCH AS MCLAREN PORT HURON'S TODAY'S HEALTH TELEVISION PROGRAM THAT FOCUSES ON A VARIETY OF HEALTH EDUCATION AND PREVENTION PROGRAMS. ADDITIONALLY, THIS CHNA PROVIDES AN EVALUATION OF OUR PREVIOUS CHNA.

MCLAREN PORT HURON
PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS VIA COMMUNITY GROUPS, HEALTH PROVIDERS, KEY INFORMANT INTERVIEWS, AND FOCUS GROUPS. INDIVIDUALS WITH THE KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED. THESE INDIVIDUALS INCLUDED REPRESENTATIVES FROM THE LOCAL HEALTH DEPARTMENT, LOCAL HUMAN AND SOCIAL SERVICE AGENCIES AS WELL AS LEADERS, REPRESENTATIVES, OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. ADDITIONALLY, WHERE APPLICABLE, OTHER INDIVIDUALS WITH EXPERTISE OF LOCAL HEALTH NEEDS WERE CONSULTED. COMMUNITY INPUT ADDRESSING THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS ARE DISCUSSED AT COMMUNITY PROGRAMS, SUCH AS THE ST. CLAIR COUNTY COMMUNITY SERVICE COORDINATING BODY. AGENCIES INCLUDING THE ST. CLAIR COUNTY HEALTH DEPARTMENT, THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, COMMUNITY FIRST HEALTH CENTERS AND THE BLUE WATER COMMUNITY ACTION AGENCY PROVIDE UPDATES ON THEIR PROGRAMS THAT SERVE THE MINORITY POPULATIONS AS WELL AS PROVIDE INPUT ON INITIATIVES IN WHICH THE HOSPITAL CAN SUPPORT. A COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON THE HOSPITAL'S WEBSITE LOCATED AT HTTPS://WWW.MCLAREN.ORG/MAIN/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

MCLAREN PORT HURON
PART V, SECTION B, LINE 6A: LAKE HURON MEDICAL CENTER AND ASCENSION RIVER DISTRICT HOSPITAL.

MCLAREN PORT HURON
PART V, SECTION B, LINE 6B: BLUE WATER COMMUNITY ACTION AGENCY, COMMUNITY FIRST HEALTH CENTERS, ST. CLAIR COUNTY COMMUNITY MENTAL HEALTH, ST. CLAIR COUNTY HEALTH DEPARTMENT, AND THE UNITED WAY OF ST. CLAIR COUNTY.

MCLAREN PORT HURON
PART V, SECTION B, LINE 7D: COPIES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT ARE AVAILABLE UPON REQUEST, FREE OF CHARGE. ADDITIONALLY, MEMBERS OF THE COMMUNITY ARE ENCOURAGED TO OFFER SUGGESTIONS FOR FUTURE HEALTH PROGRAMS, SCREENINGS AND SEMINARS AND ARE ENCOURAGED TO VISIT OUR WEBSITE AT WWW.MCLAREN.ORG/PHCONTACT TO SEND COMMENTS TO MCLAREN PORT HURON COMMUNITY EDUCATION AND OUTREACH PERSONNEL.

MCLAREN PORT HURON
PART V, SECTION B, LINE 11: MCLAREN PORT HURON'S CHNA IMPLEMENTATION STRATEGY OUTLINES THE HOSPITAL'S APPROACH TO ADDRESS THE IDENTIFIED NEEDS OF THE COMMUNITY. IN ADDITION TO HOSPITAL DIRECTED STRATEGIES LISTED BELOW, WE WILL WORK IN PARTNERSHIP WITH PUBLIC AND COMMUNITY RESOURCES. THE OVERALL GOAL OF THE ACTION PLAN IS TO IMPROVE THE OVERALL HEALTH FACTORS AND BEHAVIORS OF ST. CLAIR AND SANILAC COUNTIES, LEADING TO IMPROVEMENTS IN HEALTH BEHAVIORS AND OUTCOMES.THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED TWO SIGNIFICANT HEALTH NEEDS. THESE INCLUDE PROMOTING HEALTHLY BEHAVIORS WHILE ADDRESSING CHRONIC DISEASE PREVENTION & MANAGEMENT, OBESITY & OVERWEIGHT, AND TRAUMA & INJURY PREVENTION; AND ACCESS TO HEALTH CARE WHILE ADDRESSING HEALTH INEQUITIES AND BUILDING TALENT PIPELINES. STRATEGIES INCLUDE: -PROVIDE EVIDENCE-BASED SCREENINGS FOR EARLY IDENTIFICATION.-PROVIDE PROGRAMS TO TEACH PATIENTS ABOUT CHRONIC DISEASE, HEALTHY BEHAVIOR CHANGES, MEDICATION ADHERENCE, SKILLS FOR SELF-MANAGEMENT AND SUPPORT.-PROVIDE EDUCATION ON THE IMPORTANCE OF OBESITY PREVENTION; INCLUDING PROGRAMS THAT ADDRESS HEALTHY EATING AND PHYSICAL ACTIVITY.-PROMOTE REFERRALS FOR OBESITY PREVENTION AND TREATMENT.-CONTINUE TO PROVIDE AND MONITOR THE BARIATRIC PROGRAM; INCLUDING NUTRITION COUNSELING, SUPPORT PROGRAMS, AND EVALUATING IMMERGING TRENDS IN WEIGHT MANAGEMENT.-PROVIDE FALL PREVENTION EDUCATION PROGRAMS AND SCREENINGS.-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).-CONTINUE TO FOCUS ON LGBTQ+ POPULATION, USING HEALTHCARE EQUALITY INDEX AS A ROADMAP TO IMPLEMENT BEST PRACTICES AND REDUCE DISPARITIES AMONG THE LGBTQ+ COMMUNITY.-PROVIDE AND PROMOTE LGBTQ+ EDUCATION TO HOSPITAL STAFF.-PROVIDE ANNUAL TRAINING FOR ALL MPH STAFF ON ACCESSING AND UTILIZING SERVICES (E.G., LEVI'S LINK PROGRAM, ALLY PROJECT, INTERPRETER SERVICES, ETC.)-COLLABORATE WITH LOCAL SCHOOLS AND COLLEGES TO EVALUATE CURRENT PROGRAMS AND EXPLORE OPPORTUNITIES TO EXPAND HEALTH CARE RELATED PROGRAMS.-WORK WITH SCHOOLS TO PROVIDE SUPERVISED INTERNSHIPS AND WORKFORCE TRAINING OPPORTUNITIES AT MCLAREN PORT HURON.-CONTINUE TO PARTNER WITH COLLEGES TO PROVIDE CLINICAL EXPERIENCES THROUGHOUT MCLAREN PORT HURON FOR A VARIETY OF HEALTH CARE DISCIPLINES.UNADDRESSED SIGNIFICANT HEALTH NEEDS AND RATIONALETHE 2021 ST. CLAIR COUNTY RFS INCLUDED THE HEALTH NEEDS THAT WILL NOT BE ADDRESSED BY THE MCLAREN PORT HURON CHNA AND IMPLEMENTATION STRATEGY REPORT. THESE INCLUDE:-THE COVID-19 PANDEMIC-MENTAL HEALTH & SUBSTANCE ABUSE-SDOH (AFFORDABLE HOUSING, ACCESS TO AFFORDABLE AND HEALTHY FOOR, AND SAFE SPACES)

MCLAREN PORT HURON
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.

MCLAREN PORT HURON
PART V, SECTION B, LINE 15E: FINANCIAL ASSISTANCE INFORMATION AND APPLICATION ARE ON MCLAREN'S PUBLIC WEBSITE. AT THE POINT OF REGISTRATION, IN OUR EMERGENCY DEPARTMENT, OR IN ANY OF OUR FINANCIAL COUNSELOR OR CASHIER OFFICES.

MCLAREN PORT HURON
PART V, SECTION B, LINE 16J: PAMPHLETS ARE DISPLAYED AND AVAILABLE IN EMERGENCY ROOM

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 UPON 400% OF THE 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:
A COST TO CHARGE RATIO WAS USED TO COMPLETE THE CHARITY CARE (LINE 7A) AND MEANS-TESTED GOVERNMENT PROGRAMS (LINE 7B). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 THAT ACCOMPANIES THE INSTRUCTIONS TO THIS SCHEDULE. THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO COMPLETE THE COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS AND CASH CONTRIBUTIONS (LINES 7E AND 7I).

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 PERCENTAGE IN THIS COLUMN IS $7,316,748.

PART II, COMMUNITY BUILDING ACTIVITIES:
"THE PORT HURON COMMUNITY HAS ALWAYS HOSTED A VIBRANT DISCUSSION ON COMMUNITY-BUILDING AND ITS INFLUENCE ON COMMUNITY HEALTH. MCLAREN PORT HURON, WITH OTHER COMMUNITY AGENCIES SUCH AS THE COMMUNITY FOUNDATION, THE HEALTH DEPARTMENT, COMMUNITY MENTAL HEALTH, PUBLIC SAFETY, CLERGY AND OTHER COMMUNITY HOSPITALS REGULARLY COME TOGETHER AROUND COMMON INTERESTS. COLLECTIVELY, THERE IS A CONSENSUS AMONG THESE GROUPS- AND OTHERS- THAT A COMMUNITY'S ""HEALTH"" IS DEFINED BY MUCH BROADER MEASUREMENTS THAN TRADITIONAL VITAL HEALTH STATISTICS. OBESITY, DEPRESSION, DIABETES, TEEN PREGNANCY ARE ISSUES THAT HAVE GARNERED OUR COLLECTIVE ACTION, BUT OTHER ISSUES SUCH AS UNEMPLOYMENT, IMPROVED ACCESS TO PARKS, AVAILABILITY OF FRESH PRODUCE, YOUTH MENTORING ALSO GAIN OUR ATTENTION. MCLAREN PORT HURON, IN PARTICULAR, INFLUENCES, INFORMS AND DRAWS FROM THESE CONVERSATIONS. OUR MANAGEMENT TEAM, COMPRISED OF ABOUT 50 INDIVIDUALS, IS INVOLVED IN (AND OFTEN PROVIDES LEADERSHIP TO) OVER 50 COMMUNITY SERVICE AGENCIES SUCH AS ROTARY CLUBS, CHAMBERS OF COMMERCE, THE YMCA, THE COMMUNITY COLLEGE, SCHOOL AND CHURCH BOARDS, CHILD ADVOCACY GROUPS, THE UNITED WAY, COUNCILS ON AGING, HUMAN SERVICES COORDINATING COUNCILS, ECONOMIC DEVELOPMENT, AND AREA MUSEUMS. THESE RELATIONSHIPS- AND THEIR LEADERS- REGULARLY INFORM A LESS FORMAL, BUT MORE MEANINGFUL, COMMUNITY NEEDS ASSESSMENT. THE LEADERSHIP AT MCLAREN PORT HURON CLEARLY COMMUNICATES ITS EXPECTATION THAT EVERY MANAGER IS COMMITTED TO AT LEAST ONE SUCH COMMUNITY SERVICE GROUP AND THE HOSPITAL, IN TURN, SUPPORTS THOSE MANAGERS IN THEIR ROLES. ADDITIONALLY, MCLAREN PORT HURON TAKES PRIDE IN ITS SUPPORT OF OTHER AGENCIES' FUNDRAISING AND COMMUNITY-BUILDING ACTIVITIES SUCH AS THE MARCH OF DIMES' JAIL-N-BAIL, WALK FOR SUMMER READING, AMERICAN HEART WALK, UNITED WAY, BACKPACK/SCHOOL SUPPLIES GIVEAWAYS AND THE CHILD ABUSE AND NEGLECT ROOFSIT. THESE EVENTS PROMOTE WELLNESS AND HEALTHIER LIFESTYLES, OFFER HEALTH SCREENINGS AND RAISE FUNDS FOR AGENCIES WHOSE MISSIONS ARE ALIGNED WITH THE HOSPITAL'S."

PART III, LINE 2:
THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2, IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX.

PART III, LINE 4:
ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF THE CORPORATION'S FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE CORPORATION'S ABILITY TO COLLECT OUTSTANDING AMOUNTS.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE CORPORATION RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.

PART III, LINE 8:
MCLAREN PORT HURON APPLIES THE COST TO CHARGE RATIO METHODOLOGY AS REQUIRED. ALL OF THE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT DUE TO THE ELDERLY POPULATION IN THE HOSPITAL'S SERVICE AREA.

PART III, LINE 9B:
IF A PATIENT PARTICIPATES IN THE CHARITY CARE PROCESS, THE ACCOUNT IS WRITTEN OFF THE CHARITY AS PER THE CHARITY CARE PROCESS. HOWEVER, IF THE PATIENT IS NON-PARTICIPATIVE IN THE CHARITY CARE PROCESS, THE NORMAL COLLECTION PROCESS WILL ENSUE.

PART VI, LINE 2:
"IN ADDITION TO THOSE METHODS DESCRIBED IN PART II AND PART V, THE HOSPITAL UTILIZES MANY MORE METHODS TO ASSESS - AND ADDRESS - THE HEALTH CARE NEEDS OF OUR COMMUNITY. VARIOUS ONGOING AND AD-HOC EFFORTS INCLUDE: - PARTICIPATION IN VARIOUS FORMAL COUNTY-WIDE NEEDS ASSESSMENTS WITH THE ST.CLAIR COUNTY HEALTH DEPARTMENT (INCLUDING EMERGENCY MANAGEMENT) - WITH THE MICHIGAN INPATIENT DATABASE, AN ANNUAL GAP ANALYSIS FOR COMMUNITY OUTMIGRATION FOR HEALTHCARE SERVICES NOT OFFERED IN COUNTY (WHICH TO AN ANALYSIS AND COMMITMENT TO INVESTMENT IN INCREASED CANCER TREATMENT SERVICES) - PERIODIC CONSUMER PERCEPTION AND PREFERENCE SURVEYS (SUCH AS EPIC MRA, PRESS GANEY) - A COMMUNITY ADVISORY BOARD THAT PROVIDES THE HOSPITAL WITH DIRECTION AND TIMELY FEEDBACK REGARDING WOMEN'S HEALTH NEEDS (RECENTLY DIRECTED THE HOSPITAL TO INVEST IN DIGITAL MAMMOGRAPHY TECHNOLOGY) - AN ANNUAL STRATEGIC PLANNING PROCESS THAT INCORPORATES INPUT FROM THE COMMUNITY, MANAGERS, PHYSICIANS, TRUSTEES AND PATIENTS FEEDBACK - FEEDBACK AND DIRECTION FROM THE HOSPITAL'S ""55-PLUS"" MEMBERSHIP GROUP, WHICH DIRECTED THE HOSPITAL'S ATTENTION TO SCREENINGS AND SUPPORT GROUPS THAT ARE NOT TYPICALLY PAID FOR BY HEALTH PLANS - KEY COMMUNITY CONSTITUENTS - WHO HAVE SUPPORTED THE HOSPITAL'S EDUCATION AND OUTREACH MISSION - ULTIMATELY RESULTING IN CLASSROOMS PROMINENTLY POSITIONED IN THE HOSPITAL'S MAIN LOBBY, THAT PROVIDE EDUCATIONAL RESOURCES, SUPPORT AND INSTRUCTION TO COMMUNITY GROUPS, PHYSICIANS, HOSPITAL STAFF - ""TODAY'S HEALTH"" - A WEEKLY HEALTH INFORMATION TELEVISION AND CABLE SHOW - PROVIDES EDUCATIONAL CONTENT THAT IS ALIGNED WITH COMMUNITY NEED - HEALTH ACCESS - A MEDIUM THROUGH WHICH THE HOSPITAL IS ABLE TO ANSWER SPECIFIC EDUCATIONAL INTERESTS, PROVIDE EMERGENCY DIRECTION, PROMOTE THE AVAILABILITY OF HEALTH OUTREACH RESOURCES AND FACILITATE CLASS ENROLLMENT - COUNTY EMERGENCY MANAGEMENT, ""REGION 2"" HOMELAND SECURITY, LOCAL PUBLIC SAFETY - THESE AGENCIES ROUTINELY ADVISE THE HOSPITAL ON NEEDED PREPARATIONS FOR SPECIFIC EMERGENCY PLANNING THAT IS IN THE COMMUNITY'S INTEREST. IN ADDITION TO ACTUAL EVENTS AND EXERCISES FOR FIRE, TORNADO AND HAZARDOUS MATERIALS EXPOSURES, THESE AGENCIES ASSISTED THE HOSPITAL IN TESTING ITS ABILITY TO CARE FOR AN H1N1 EPIDEMIC, MANAGE AN ""ACTIVE SHOOTER"" SCENARIO AND CONDUCTING AN INFANT ABDUCTION DRILL. FINALLY, THE HOSPITAL'S HISTORY OF PUBLIC ACCOUNTABILITY FACILITATES A REGULAR DIALOG WITH THE COMMUNITY REGARDING THE HOSPITAL'S COMMITMENT TO COMMUNITY BENEFIT. EACH YEAR, THE HOSPITAL PUBLISHES AND DISTRIBUTES AN ANNUAL REPORT, WHICH IS SHARED WITH TRUSTEES AND OTHER COMMUNITY REPRESENTATIVES. MORE CONCURRENTLY, THE HOSPITAL REPORTS ON NUMEROUS COMMUNITY BENEFIT RESOURCES IN A HALF-PAGE AD THAT IS PUBLISHED MONTHLY IN THE LOCAL NEWSPAPER UNDER A ""YOUR PARTNER IN HEALTH"" SERIES."

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. FINANCIAL AND APPLICATION FORMS ARE AVAILABLE AT ALL INPATIENT AND OUTPATIENT REGISTRATION POINTS-OF-SERVICE, INCLUDING PROVIDING ASSISTANCE IN COMPLETING THE APPLICATION. ORGANIZATION AND ITS SUBSIDIARIES/AFFILIATES ALSO PROVIDE SPECIFICALLY-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:
FOR THE PURPOSE OF THIS ASSESSMENT, COMMUNITY IS DEFINED AS PRIMARY AND SECONDARY SERVICES AREAS, INCLUDING ST. CLAIR AND SANILAC COUNTIES. THE TARGET POPULATION OF THE ASSESSMENT REFLECTS AN OVERALL REPRESENTATION OF THE COMMUNITIES SERVED BY MCLAREN PORT HURON. MCLAREN PORT HURON IS LOCATED IN NORTH-EAST ST. CLAIR COUNTY. MARKET SHARE ANALYSIS INDICATES THE LARGEST AREA SURROUNDING PORT HURON AND HEADING WEST AND NORTH INTO SANILAC COUNTY. DATA ON POPULATION, AGE, RACE AND POVERTY LEVELS PROVIDED ADDITIONAL INFORMATION ABOUT OUR SERVICE AREA AND THE PEOPLE WE SERVE. IN JULY 2019, THE TOTAL POPULATION BETWEEN THE TWO COUNTIES WAS 200,298. IN TERMS OF RACE AND ETHNICITY, 95.2% ARE WHITE IN ST. CLAIR COUNTY AND 97.9% ARE WHITE IN SANILAC COUNTY. THE MEDIAN HOUSEHOLD INCOME IS $53,641 IN ST. CLAIR COUNTY AND $44,417 IN SANILAC COUNTY.

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.

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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

Operating expenses	$ 239,910,059
Total amount spent on community benefits as % of operating expenses	$ 4,194,433 1.75 %