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A PROOF OF PURCHASE, SUCH AS A COPY OF A PAID INVOICE, IS REQUIRED TO BE ATTACHED TO THE \"TRANSFER OF FUNDS REQUEST FORM.\" THESE DOCUMENTS ARE REVIEWED BY THE CHIEF DEVELOPMENT DIRECTOR OR THE DIRECTOR OF DEVELOPMENT AT NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM WHO AUTHORIZE THE USE OF GRANT FUNDS BY SIGNING THE \"TRANSFER OF FUNDS REQUEST FORM.\" ALL DISBURSEMENTS OF GRANT FUNDS ARE TRACKED INTERNALLY AND REVIEWED MONTHLY BY THE OPERATIONS MANAGER AND REVIEWED QUARTERLY BY THE BOARD OF DIRECTORS."}],"grant_monitoring":{"claims_monitoring_procedures":true,"requires_financial_reports":true,"requires_narrative_reports":false,"conducts_site_visits":false,"conducts_field_audits":false,"requires_grant_agreements":false,"may_suspend_future_funding":false,"may_require_repayment":false,"monitoring_description":"SCHEDULE I, PART I, LINE 2: AN ORGANIZATION REQUESTING GRANT FUNDS IS REQUIRED TO COMPLETE A \"TRANSFER OF FUNDS REQUEST FORM\" AND SUBMIT IT TO NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM. A PROOF OF PURCHASE, SUCH AS A COPY OF A PAID INVOICE, IS REQUIRED TO BE ATTACHED TO THE \"TRANSFER OF FUNDS REQUEST FORM.\" THESE DOCUMENTS ARE REVIEWED BY THE CHIEF DEVELOPMENT DIRECTOR OR THE DIRECTOR OF DEVELOPMENT AT NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM WHO AUTHORIZE THE USE OF GRANT FUNDS BY SIGNING THE \"TRANSFER OF FUNDS REQUEST FORM.\" ALL DISBURSEMENTS OF GRANT FUNDS ARE TRACKED INTERNALLY AND REVIEWED MONTHLY BY THE OPERATIONS MANAGER AND REVIEWED QUARTERLY BY THE BOARD OF DIRECTORS.","form_and_line_reference":"PART I, LINE 2:"}},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"independent_consultant":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"CATHERINE DEVET","title":"TRUSTEE & PRESIDENT/CEO","base_compensation_filing_org":87246,"bonus_filing_org":94018,"bonus_related_orgs":108800,"compensation_based_on_related_orgs":258808,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":15844,"deferred_compensation_related_orgs":10613,"nontaxable_benefits_filing_org":1275,"nontaxable_benefits_related_orgs":4989,"other_compensation_filing_org":19217,"other_compensation_related_orgs":209170,"total_compensation_filing_org":217600,"total_compensation_related_orgs":592380,"name":"CATHERINE DEVET"},{"person_name":"PHILIP INCARNATI","title":"TRUSTEE","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":2813143,"compensation_based_on_related_orgs":1419750,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":2124184,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":12871,"other_compensation_filing_org":0,"other_compensation_related_orgs":2453993,"total_compensation_filing_org":0,"total_compensation_related_orgs":8823941,"name":"PHILIP INCARNATI"},{"person_name":"STEPHEN SCANNELL","title":"TREASURER & VP OF FINANCE/CFO - 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PAYOUTS WERE MADE DURING THE FISCAL YEAR IN ORDER TO TERMINATE THE PLAN. PAYOUTS WERE MADE IN THE FOLLOWING AMOUNTS: CATHERINE DEVET $18,076 EUGENE KAMINSKI $140,383 STEPHEN SCANNELL $0 MARY-ANNE PONTI $60,058 CAROLINE SEAGREN $26,521 ----------------------- MCLAREN HEALTHCARE CORPORATION 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. THE INDIVIDUALS LISTED IN PART VII WHO PARTICIPATED IN THE OLD SERP ARE: PHILIP INCARNATI. THE INDIVIDUALS LISTED IN PART VII WHO PARTICIPATED IN THE NEW SERP ARE: NONE. -----------------------"},{"form_and_line_reference":"PART III","explanation":"SCH J, PART I, LINE 3: A 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, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE."}]},"ScheduleL":{"business_transactions_involving_interested_persons":[{"business_name_line1":"ANTHELIO","relationship":"BOARD MEMBER PHILIP INCARNATI IS A BOARD MEMBER OF ANTHELIO.","description":"NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM USED ANTHELIO FOR IT SERVICES DURING THE YEAR.","amount":385696,"sharing_of_revenues":false,"name":"ANTHELIO"}]},"ScheduleN":{"termination_or_liquidation":{"assets_distributed":true,"liabilities_paid":true,"bonds_outstanding":false,"required_to_notify_attorney_general":true,"attorney_general_notified":true},"successor_relationships":{"director_of_successor":true,"employee_of_successor":true,"owner_of_successor":false},"liquidations":[{"business_name_line1":"MCLAREN NORTHERN MICHIGAN","ein":382146751,"irc_section":"501(C)(3)","distribution_date":"2012-12-31T00:00:00","description":"CASH","fair_market_value":-3033198,"method_of_fmv_determination":"CASH","address_line1":"416 CONNABLE AVENUE","city":"PETOSKEY","state":"MI","zip":"49770","name":"MCLAREN NORTHERN MICHIGAN","address":"416 CONNABLE AVENUE, PETOSKEY, MI, 49770"},{"business_name_line1":"MCLAREN NORTHERN MICHIGAN","ein":382146751,"irc_section":"501(C)(3)","distribution_date":"2012-12-31T00:00:00","description":"ACCOUNTS 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49770"}],"supplemental_information":[{"explanation":"PART I, LINE 2E: CATHERINE DEVET, MARY-ANNE PONTI, STEPHEN SCANNELL AND EUGENE KAMINSKI."},{"explanation":"PART I, LINE 2E: THE INDIVIDUALS LISTED ARE ALSO BOARD MEMBERS AND/OR KEY EMPLOYEES WITH MCLAREN NORTHERN MICHIGAN, THE RELATED ORGANIZATION OF WHICH THE ASSETS WERE TRANSFERRED TO."},{"explanation":"PART I, LINE 7C: QUESTION 6B: NOT APPLICABLE - THE ORGANIZATION DID NOT HAVE ANY TAX-EXEMPT BOND LIABILITIES."}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":382156534,"business_name_line1":"BAY MEDICAL FOUNDATION","primary_activities":"FOUNDATION","exempt_code_section":"501(C)(3)","public_charity_status":"LINE 11A, I","controlled_organization":true,"legal_domicile_state":"MI","direct_controlling_business_name_line1":"BAY REGIONAL MEDICAL CENTER","address_line1":"1900 COLUMBUS AVE","city":"BAY CITY","state":"MI","zip":"48708","name":"BAY MEDICAL FOUNDATION","address":"1900 COLUMBUS AVE, BAY CITY, MI, 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MANAGEMENT BELIEVES THE CORPORATION IS NOT SUBJECT TO TAX EXAMINATIONS FOR YEARS PRIOR TO SEPTEMBER 30, 2010."}]},"ScheduleI":{"grant_records_maintained":true,"reported_domestic_org_grants":29279,"reported_domestic_org_grants_program_services":29279,"total_501c3_and_government_organizations":2,"total_other_organizations":0,"grants":[{"ein":382445611,"irc_section":"501(C)(3)","cash":25110,"purpose":"HOME OFFICE EXPENSE","address_line1":"360 CONNABLE AVENUE","city":"PETOSKEY","state":"MI","zip":"49770","name":"NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM FOUNDATION","address":"360 CONNABLE AVENUE, PETOSKEY, MI, 49770"},{"ein":203675817,"irc_section":"501(C)(3)","cash":4169,"purpose":"HOME OFFICE EXPENSE","address_line1":"416 CONNABLE AVENUE","city":"PETOSKEY","state":"MI","zip":"49770","name":"PETOSKEY COMMUNITY FREE CLINIC","address":"416 CONNABLE AVENUE, PETOSKEY, MI, 49770"}],"total_domestic_grants":29279,"total_domestic_program_services":29279,"detail_org_grants_total":29279,"detail_domestic_grants_total":29279,"supplemental_information":[{"identifier":"PROCEDURE FOR MONITORING GRANTS IN THE U.S.:","form_and_line_reference":"PART I, LINE 2:","explanation":"SCHEDULE I, PART I, LINE 2: AN ORGANIZATION REQUESTING GRANT FUNDS IS REQUIRED TO COMPLETE A \"TRANSFER OF FUNDS REQUEST FORM\" AND SUBMIT IT TO NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM. A PROOF OF PURCHASE, SUCH AS A COPY OF A PAID INVOICE, IS REQUIRED TO BE ATTACHED TO THE \"TRANSFER OF FUNDS REQUEST FORM.\" THESE DOCUMENTS ARE REVIEWED BY THE CHIEF DEVELOPMENT DIRECTOR OR THE DIRECTOR OF DEVELOPMENT AT NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM WHO AUTHORIZE THE USE OF GRANT FUNDS BY SIGNING THE \"TRANSFER OF FUNDS REQUEST FORM.\" ALL DISBURSEMENTS OF GRANT FUNDS ARE TRACKED INTERNALLY AND REVIEWED MONTHLY BY THE OPERATIONS MANAGER AND REVIEWED QUARTERLY BY THE BOARD OF DIRECTORS."}],"grant_monitoring":{"claims_monitoring_procedures":true,"requires_financial_reports":true,"requires_narrative_reports":false,"conducts_site_visits":false,"conducts_field_audits":false,"requires_grant_agreements":false,"may_suspend_future_funding":false,"may_require_repayment":false,"monitoring_description":"SCHEDULE I, PART I, LINE 2: AN ORGANIZATION REQUESTING GRANT FUNDS IS REQUIRED TO COMPLETE A \"TRANSFER OF FUNDS REQUEST FORM\" AND SUBMIT IT TO NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM. A PROOF OF PURCHASE, SUCH AS A COPY OF A PAID INVOICE, IS REQUIRED TO BE ATTACHED TO THE \"TRANSFER OF FUNDS REQUEST FORM.\" THESE DOCUMENTS ARE REVIEWED BY THE CHIEF DEVELOPMENT DIRECTOR OR THE DIRECTOR OF DEVELOPMENT AT NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM WHO AUTHORIZE THE USE OF GRANT FUNDS BY SIGNING THE \"TRANSFER OF FUNDS REQUEST FORM.\" ALL DISBURSEMENTS OF GRANT FUNDS ARE TRACKED INTERNALLY AND REVIEWED MONTHLY BY THE OPERATIONS MANAGER AND REVIEWED QUARTERLY BY THE BOARD OF DIRECTORS.","form_and_line_reference":"PART I, LINE 2:"}},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"independent_consultant":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"CATHERINE DEVET","title":"TRUSTEE & PRESIDENT/CEO","base_compensation_filing_org":87246,"bonus_filing_org":94018,"bonus_related_orgs":108800,"compensation_based_on_related_orgs":258808,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":15844,"deferred_compensation_related_orgs":10613,"nontaxable_benefits_filing_org":1275,"nontaxable_benefits_related_orgs":4989,"other_compensation_filing_org":19217,"other_compensation_related_orgs":209170,"total_compensation_filing_org":217600,"total_compensation_related_orgs":592380,"name":"CATHERINE DEVET"},{"person_name":"PHILIP INCARNATI","title":"TRUSTEE","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":2813143,"compensation_based_on_related_orgs":1419750,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":2124184,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":12871,"other_compensation_filing_org":0,"other_compensation_related_orgs":2453993,"total_compensation_filing_org":0,"total_compensation_related_orgs":8823941,"name":"PHILIP INCARNATI"},{"person_name":"STEPHEN SCANNELL","title":"TREASURER & VP OF FINANCE/CFO - 1ST","base_compensation_filing_org":199519,"bonus_filing_org":50985,"bonus_related_orgs":0,"compensation_based_on_related_orgs":55894,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":8713,"deferred_compensation_related_orgs":2568,"nontaxable_benefits_filing_org":14291,"nontaxable_benefits_related_orgs":2300,"other_compensation_filing_org":17670,"other_compensation_related_orgs":82678,"total_compensation_filing_org":291178,"total_compensation_related_orgs":143440,"name":"STEPHEN SCANNELL"},{"person_name":"EUGENE KAMINSKI","title":"VP OF HUMAN RESOURCES","base_compensation_filing_org":174766,"bonus_filing_org":35524,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":37831,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":8558,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":161739,"other_compensation_related_orgs":0,"total_compensation_filing_org":418418,"total_compensation_related_orgs":0,"name":"EUGENE KAMINSKI"},{"person_name":"MARY-ANNE PONTI","title":"SECRETARY & COO","base_compensation_filing_org":230670,"bonus_filing_org":45439,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":9975,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":31953,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":78206,"other_compensation_related_orgs":0,"total_compensation_filing_org":396243,"total_compensation_related_orgs":0,"name":"MARY-ANNE PONTI"},{"person_name":"CAROLINE SEAGREN","title":"CHIEF DEV OFFICER","base_compensation_filing_org":96513,"bonus_filing_org":32947,"bonus_related_orgs":0,"compensation_based_on_related_orgs":57905,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":14365,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":25001,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":44255,"other_compensation_related_orgs":0,"total_compensation_filing_org":213081,"total_compensation_related_orgs":57905,"name":"CAROLINE SEAGREN"},{"person_name":"HUGH DEERY","title":"INTERIM VP CMO","base_compensation_filing_org":30360,"bonus_filing_org":0,"bonus_related_orgs":40000,"compensation_based_on_related_orgs":257454,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":20000,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":8147,"other_compensation_filing_org":0,"other_compensation_related_orgs":3810,"total_compensation_filing_org":30360,"total_compensation_related_orgs":329411,"name":"HUGH DEERY"},{"person_name":"BARBARA BERRY","title":"SR DIRECTOR PLANNING & MAR","base_compensation_filing_org":140093,"bonus_filing_org":17806,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":11779,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":2242,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":4071,"other_compensation_related_orgs":0,"total_compensation_filing_org":175991,"total_compensation_related_orgs":0,"name":"BARBARA BERRY"}],"supplemental_information":[{"form_and_line_reference":"PART I, LINE 4B","explanation":"THE FOLLOWING INDIVIDUALS LISTED IN PART VII WHO PARTICIPATED IN THE NONQUALIFIED 457(F) RETIREMENT PLAN ARE: CATHERINE DEVET, EUGENE KAMINSKI, STEPHEN SCANNELL, MARY-ANNE PONTI, AND CAROLINE SEAGREN. PAYOUTS WERE MADE DURING THE FISCAL YEAR IN ORDER TO TERMINATE THE PLAN. PAYOUTS WERE MADE IN THE FOLLOWING AMOUNTS: CATHERINE DEVET $18,076 EUGENE KAMINSKI $140,383 STEPHEN SCANNELL $0 MARY-ANNE PONTI $60,058 CAROLINE SEAGREN $26,521 ----------------------- MCLAREN HEALTHCARE CORPORATION 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. THE INDIVIDUALS LISTED IN PART VII WHO PARTICIPATED IN THE OLD SERP ARE: PHILIP INCARNATI. THE INDIVIDUALS LISTED IN PART VII WHO PARTICIPATED IN THE NEW SERP ARE: NONE. -----------------------"},{"form_and_line_reference":"PART III","explanation":"SCH J, PART I, LINE 3: A 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, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE."}]},"ScheduleL":{"business_transactions_involving_interested_persons":[{"business_name_line1":"ANTHELIO","relationship":"BOARD MEMBER PHILIP INCARNATI IS A BOARD MEMBER OF ANTHELIO.","description":"NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM USED ANTHELIO FOR IT SERVICES DURING THE YEAR.","amount":385696,"sharing_of_revenues":false,"name":"ANTHELIO"}]},"ScheduleN":{"termination_or_liquidation":{"assets_distributed":true,"liabilities_paid":true,"bonds_outstanding":false,"required_to_notify_attorney_general":true,"attorney_general_notified":true},"successor_relationships":{"director_of_successor":true,"employee_of_successor":true,"owner_of_successor":false},"liquidations":[{"business_name_line1":"MCLAREN NORTHERN MICHIGAN","ein":382146751,"irc_section":"501(C)(3)","distribution_date":"2012-12-31T00:00:00","description":"CASH","fair_market_value":-3033198,"method_of_fmv_determination":"CASH","address_line1":"416 CONNABLE AVENUE","city":"PETOSKEY","state":"MI","zip":"49770","name":"MCLAREN NORTHERN MICHIGAN","address":"416 CONNABLE AVENUE, PETOSKEY, MI, 49770"},{"business_name_line1":"MCLAREN NORTHERN MICHIGAN","ein":382146751,"irc_section":"501(C)(3)","distribution_date":"2012-12-31T00:00:00","description":"ACCOUNTS RECEIVABLE","fair_market_value":2671888,"method_of_fmv_determination":"COST","address_line1":"416 CONNABLE AVENUE","city":"PETOSKEY","state":"MI","zip":"49770","name":"MCLAREN NORTHERN MICHIGAN","address":"416 CONNABLE AVENUE, PETOSKEY, MI, 49770"},{"business_name_line1":"MCLAREN NORTHERN MICHIGAN","ein":382146751,"irc_section":"501(C)(3)","distribution_date":"2012-12-31T00:00:00","description":"PREPAID EXPENSES","fair_market_value":598857,"method_of_fmv_determination":"COST","address_line1":"416 CONNABLE AVENUE","city":"PETOSKEY","state":"MI","zip":"49770","name":"MCLAREN NORTHERN MICHIGAN","address":"416 CONNABLE AVENUE, PETOSKEY, MI, 49770"},{"business_name_line1":"MCLAREN NORTHERN MICHIGAN","ein":382146751,"irc_section":"501(C)(3)","distribution_date":"2012-12-31T00:00:00","description":"DUE FROM AFFILIATES","fair_market_value":43654206,"method_of_fmv_determination":"COST","address_line1":"416 CONNABLE AVENUE","city":"PETOSKEY","state":"MI","zip":"49770","name":"MCLAREN NORTHERN 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49770"}],"supplemental_information":[{"explanation":"PART I, LINE 2E: CATHERINE DEVET, MARY-ANNE PONTI, STEPHEN SCANNELL AND EUGENE KAMINSKI."},{"explanation":"PART I, LINE 2E: THE INDIVIDUALS LISTED ARE ALSO BOARD MEMBERS AND/OR KEY EMPLOYEES WITH MCLAREN NORTHERN MICHIGAN, THE RELATED ORGANIZATION OF WHICH THE ASSETS WERE TRANSFERRED TO."},{"explanation":"PART I, LINE 7C: QUESTION 6B: NOT APPLICABLE - THE ORGANIZATION DID NOT HAVE ANY TAX-EXEMPT BOND LIABILITIES."}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":382156534,"business_name_line1":"BAY MEDICAL FOUNDATION","primary_activities":"FOUNDATION","exempt_code_section":"501(C)(3)","public_charity_status":"LINE 11A, I","controlled_organization":true,"legal_domicile_state":"MI","direct_controlling_business_name_line1":"BAY REGIONAL MEDICAL CENTER","address_line1":"1900 COLUMBUS AVE","city":"BAY CITY","state":"MI","zip":"48708","name":"BAY MEDICAL FOUNDATION","address":"1900 COLUMBUS AVE, BAY CITY, MI, 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