Civic Intelligence

Mclaren Thumb Region

EIN 38-1474929 • 501(c)3 • Bad Axe, MI

Profile

Huron medical center is committed to providing excellence in healthcare to our communities in a caring, compassionate manner.

1100 S Van Dyke RoadBad Axe, MI 48413

www.mclaren.org/THUMBREGION

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

71st percentile

0.49x

Higher debt load relative to assets than 71% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

50th percentile

0.33x

Higher debt load relative to revenue than 50% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

46th percentile

3.1%

Higher net margin than 46% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

82nd percentile

20%

Faster asset growth than 82% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

50th percentile

7.2%

Faster revenue growth than 50% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Assets

Up

$36,045,846

Up $5,899,206 (+20%) from 2023

Liabilities

Up

$17,564,941

Up $1,981,980 (+13%) from 2023

Net Assets

Up

$18,480,905

Up $3,917,226 (+27%) from 2023

Revenue

Up

$52,477,810

Up $3,503,298 (+7.2%) from 2023

Expenses

Up

$50,826,487

Up $3,018,911 (+6.3%) from 2023

Net Income

Up

$1,651,323

Up $484,387 (+42%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$60M$40M$20M$0Assets 2010: $36,014,534Liabilities 2010: $16,022,648Net Assets 2010: $19,991,8862010Assets 2011: $37,080,282Liabilities 2011: $15,574,034Net Assets 2011: $21,506,2482011Assets 2012: $40,280,132Liabilities 2012: $17,094,131Net Assets 2012: $23,186,0012012Assets 2013: $40,529,781Liabilities 2013: $16,805,429Net Assets 2013: $23,724,3522013Assets 2014: $40,402,128Liabilities 2014: $16,636,137Net Assets 2014: $23,765,9912014Assets 2015: $38,685,019Liabilities 2015: $16,370,518Net Assets 2015: $22,314,5012015Assets 2016: $37,349,662Liabilities 2016: $16,931,128Net Assets 2016: $20,418,5342016Assets 2017: $37,213,456Liabilities 2017: $17,424,486Net Assets 2017: $19,788,9702017Assets 2018: $31,436,450Liabilities 2018: $15,398,189Net Assets 2018: $16,038,2612018Assets 2019: $35,626,363Liabilities 2019: $13,648,631Net Assets 2019: $21,977,7322019Assets 2020: $35,980,815Liabilities 2020: $21,751,164Net Assets 2020: $14,229,6512020Assets 2021: $33,347,885Liabilities 2021: $18,835,306Net Assets 2021: $14,512,5792021Assets 2022: $30,731,014Liabilities 2022: $17,492,916Net Assets 2022: $13,238,0982022Assets 2023: $30,146,640Liabilities 2023: $15,582,961Net Assets 2023: $14,563,6792023Assets 2024: $36,045,846Liabilities 2024: $17,564,941Net Assets 2024: $18,480,9052024

Highlighted filing

2024

Assets$36,045,846
Liabilities$17,564,941
Net Assets$18,480,905

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$60M$40M$20M$0-$20MExpenses 2010: $35,526,6932010Expenses 2011: $35,363,5782011Expenses 2012: $41,721,8932012Revenue 2013: $45,373,520Expenses 2013: $45,835,812Net Income 2013: -$462,2922013Revenue 2014: $45,537,307Expenses 2014: $46,094,096Net Income 2014: -$556,7892014Revenue 2015: $43,289,341Expenses 2015: $44,075,060Net Income 2015: -$785,7192015Revenue 2016: $45,005,301Expenses 2016: $45,703,487Net Income 2016: -$698,1862016Revenue 2017: $44,133,932Expenses 2017: $44,883,577Net Income 2017: -$749,6452017Revenue 2018: $20,513,809Expenses 2018: $20,722,248Net Income 2018: -$208,4392018Revenue 2019: $50,811,503Expenses 2019: $47,013,748Net Income 2019: $3,797,7552019Revenue 2020: $40,567,551Expenses 2020: $42,358,773Net Income 2020: -$1,791,2222020Revenue 2021: $46,168,782Expenses 2021: $48,001,384Net Income 2021: -$1,832,6022021Revenue 2022: $50,646,045Expenses 2022: $51,818,183Net Income 2022: -$1,172,1382022Revenue 2023: $48,974,512Expenses 2023: $47,807,576Net Income 2023: $1,166,9362023Revenue 2024: $52,477,810Expenses 2024: $50,826,487Net Income 2024: $1,651,3232024

Highlighted filing

2024

Revenue$52,477,810
Expenses$50,826,487
Net Income$1,651,323

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$36.0$17.6$18.5$52.5$50.8$1.65
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$30.1$15.6$14.6$49.0$47.8$1.17
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$30.7$17.5$13.2$50.6$51.8$1.17
2021Import issue. A filing source exists for this year, but detailed import did not complete cleanly.$33.3$18.8$14.5$46.2$48.0$1.83
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$36.0$21.8$14.2$40.6$42.4$1.79
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$35.6$13.6$22.0$50.8$47.0$3.80
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$31.4$15.4$16.0$20.5$20.7$0.21
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$37.2$17.4$19.8$44.1$44.9$0.75
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$37.3$16.9$20.4$45.0$45.7$0.70
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$38.7$16.4$22.3$43.3$44.1$0.79
2014Detailed filing. Detailed filing data is available for this year.$40.4$16.6$23.8$45.5$46.1$0.56
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$40.5$16.8$23.7$45.4$45.8$0.46
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$40.3$17.1$23.2$41.7
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$37.1$15.6$21.5$35.4
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$36.0$16.0$20.0$35.5
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 5, 2025
Return Version
2023v6.0
Gross Receipts
$52,498,258
Mission and Program Overview

Mission

Huron medical center is committed to providing excellence in healthcare to our communities in a caring, compassionate manner.

Mclaren thumb region is committed to providing excellence in healthcare to our communities in a caring, compassionate manner.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$14,840,581$15,051,950▲ $211,369
Land, Buildings, and Equipment, Net$12,406,195$11,713,836▼ $692,359
Accounts Receivable$1,140,566$6,492,735▲ $5,352,169
Inventories for Sale or Use$600,623$766,981▲ $166,358
Prepaid Expenses and Deferred Charges$215,018$343,953▲ $128,935
Total Assets$30,146,640$36,045,846▲ $5,899,206
Other Assets Total$943,657$1,676,391▲ $732,734
Liabilities
Accounts Payable and Accrued Expenses$7,694,071$10,358,039▲ $2,663,968
Mortgage Notes Payable Secured by Investment Property$6,176,590$5,285,606▼ $890,984
Other Liabilities$1,712,300$1,921,296▲ $208,996
Total Liabilities$15,582,961$17,564,941▲ $1,981,980
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$14,563,679$18,480,905▲ $3,917,226
Total Net Assets Fund Balance$14,563,679$18,480,905▲ $3,917,226
Total Liabilities and Net Assets / Fund Balance$30,146,640$36,045,846▲ $5,899,206

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$3,432,239$9,050,933$12,483,172
Buildings$6,978,163$4,095,927$11,074,090
Leasehold Improvements$638,650$468,473$1,107,123
Land$416,653-$416,653
Other Land Buildings$248,131-$248,131
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Lindsey SraightChief of Staff/physician-$321,200$125,531$446,731
Avelina Oxholm DababnehPhysicianFT$206,445$215,130$421,575
Jody BovenschenCrnaFT$285,000$126,384$411,384
Joanna KalaPhysicianFT$309,250$34,754$344,004
Scott Shisler DoPhysicianFT$309,999$31,811$341,810
Tammy KingCrnaFT$136,581$50,342$186,923

Board Members and Trustees

NameTitle
John HuntChairperson
Connie KoutouzosPresident & CEO
Donald ClarkVice Chair
Doug BriningTrustee
Mary RapsonTrustee
Michael MurawskiTrustee
Chad GrantTrustee/ Mhcc COO
Kenneth BaranskiCFO - Started 2024
Shelley HerringtonSecretary/treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Northeast Surgical Group PCContracted Physicians17375 HALL RD, Macomb, MI 48044$812,500
Integrity Crna ServicesContracted Anesthetist6950 W GALWAY CIR, Dimondale, MI 48821$480,347
Tricity Lung & Sleep PllcContracted Physician3720 KATLIN CT STE 100, Bay City, MI 48706$468,960
American Healthcare Staffing Assoc LLCLocum StaffPO BOX 670529, Dallas, TX 75267-0529$379,092
Healogics Wound Care & HyperbaricsWound Care Mgmt & Staff5220 BELFORT RD STE 130, Jacksonville, FL 32256$342,960
Revenue and Support

Revenue Composition

Contributions and Grants
$939,552
Program Service Revenue
$50,335,760
Investment Income
$754,750
Other Revenue
$447,748
Change in Net Assets
$1,651,323
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$26,340,348
Other Expenses$24,486,139
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$15,135,044$6,359,221-$21,494,265
Fees for Services Other$3,677,615$1,652,262-$5,329,877
All Other Expenses$2,174,596$976,992-$3,151,588
Other Employee Benefits$1,698,812$763,235-$2,462,047
Depreciation Depletion$1,274,346$572,532-$1,846,878
Payroll Taxes$874,200$392,757-$1,266,957
Insurance$589,544$264,867-$854,411
Occupancy$574,097$257,928-$832,025
Pension Plan Contributions$466,783$209,714-$676,497
Other Expenses$538,545$257,928-$538,545
Current Officers, Directors, Trustees, and Key Employees-$440,582-$440,582
Fees for Services Management$265,831$119,431-$385,262
Information Technology$132,760$59,646-$192,406
Interest$109,677$49,275-$158,952
Travel$101,033$45,391-$146,424
Office Expenses$83,710$37,609-$121,319
Advertising$53,810$24,176-$77,986
Fees for Services Legal-$41,833-$41,833
Fees for Services Accounting-$29,742-$29,742
Conferences and Meetings$7,289$3,275-$10,564
Fees for Services Lobbying-$687-$687
Total Functional Expenses$35,751,824$15,074,663$0$50,826,487
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Familial Relationship With John HuntEmployee of Mclaren Thumb RegionNo$91,728
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Health Insurance$1,307,945
Accrued Professional and Other Liability Claims$613,351
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

Board members mimi herrington and shelly herrington have a family relationship.

Form 990, Part VI, Section A, Line 4

Name change amendment to articles of incoporation.

Form 990, Part VI, Section A, Line 6

The sole member of this organization is mclaren health care corporation.

Form 990, Part VI, Section A, Line 7A

The member shall have the exclusive right to elect or appoint the directors of the corporation.

Form 990, Part VI, Section A, Line 7B

In addition to the powers reserved to the member as the sole member of the corporation by michigan law and any reserved powers in the corporation's bylaws, the following actions (the "reserved powers") taken by the corporation's board of directors (the "board") will not become effective without the advance approval of the member: a. Any amendment, modification, or repeal of the corporation's articles of incorporation or bylaws; b. The election of individuals to serve on the corporation's board, as nominated by the corporation's board; c. The acquisition or creation of all wholly-owned or controlled entities and any merger, consolidation or affiliation of the corporation with another entity; d. Any voluntary dissolution .of the corporation; e. The admission of new or additional members to the membership of the corporation; f. Any change in the voting powers of the member as the sole member of the corporation; g. Any sale, lease or other transfer of all or substantially all of the assets of the corporation other than in the ordinary course of business; h. The discontinuance or material modification of a major activity, program, or service of the corporation; i. The strategic and long-range plans and the annual operating and capital expenditure budgets of the corporation, as developed by the management of the corporation, which approval will not be unreasonably denied by the member, or the incurrence of unbudgeted capital expenditures in excess of $200,000 in the annual aggregate; and j. The creation of any long-term obligation of the corporation, the principal amount of which exceeds 25% of the value of the net assets (total assets minus total liabilities) of the corporation, or the issuance of any bond, note or other evidence of indebtedness; provided, however, approval of the member as the sole corporate member of the corporation will not be required for any such obligation incurred in the ordinary course of business that is payable on demand or matures within 12 months from the date of its creation.

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 15

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 2024.

Form 990, Part VI, Section C, Line 19

The governing documents, conflict of interest policy, and financial statements are not available to the general public. They are provided upon request.

Filing and Contact Details

Filer

Filer Name
Mclaren Thumb Region
EIN
38-1474929
Phone
9892699521
Address
1100 S VAN DYKE ROAD, BAD AXE, MI 48413
Doing Business As
Huron Memorial Hospital

Signing Officer

Name
Connie Koutouzos
Title
President & CEO
Phone
9892699521
Signed
2025-08-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Connie Koutouzos
Formed
1906
Legal Domicile
Mi
Voting Board Members
9
Independent Board Members
6
Employees
339
Volunteers
20

Preparer

Firm
Plante & Moran Pllc
Address
3000 TOWN CENTER SUITE 100, SOUTHFIELD, MI 48075
Preparer
Amy Ciminello
Phone
2483522500
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Physician professional fees: program service expenses 1,764,683. Management and general expenses 792,828. Fundraising expenses 0. Total expenses 2,557,511. Non physician professional fees: program service expenses 733,344. Management and general expenses 329,474. Fundraising expenses 0. Total expenses 1,062,818. Purchased services: program service expenses 1,179,588. Management and general expenses 529,960. Fundraising expenses 0. Total expenses 1,709,548.

FORM 990, PART XI, LINE 9:

Transfers from related organizations 2,262,557.

Form 990, Part XII, Line 2C

This process has not changed from the prior year.

Raw XML AppendixShowing 400 of 1,705 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990/AccountantCompileOrReviewInd00
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IRS990/AccountsPayableAccrExpnssGrp/EOYAmt010358039
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IRS990/AccountsReceivableGrp/EOYAmt06492735
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0MCLAREN THUMB REGION IS COMMITTED TO PROVIDING EXCELLENCE IN HEALTHCARE TO OUR COMMUNITIES IN A CARING, COMPASSIONATE MANNER.
IRS990/AdvertisingGrp/ManagementAndGeneralAmt024176
IRS990/AdvertisingGrp/ProgramServicesAmt053810
IRS990/AdvertisingGrp/TotalAmt077986
IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt0976992
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IRS990/BooksInCareOfDetail/USAddress/CityNm0BAD AXE
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IRS990/Desc0MCLAREN THUMB REGION IS A FULLY LICENSED ACUTE CARE HOSPITAL, WE PROVIDE WOUND CARE SERVICES, OBSTETRICS SERVICES, LOCATED IN A RURAL AREA AND PROVIDES QUALITY HEALTHCARE TO AREA RESIDENTS CLOSE TO HOME. PROVIDING PATIENT CARE: TOTAL PATIENT DAYS = 4,040 AND TOTAL OUTPATIENT REGISTRATIONS = 76,161 FOR ADDITIONAL INFORMATION VISIT WWW.MCLAREN.ORG/THUMBREGION.
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IRS990/Form990PartVIISectionAGrp/TitleTxt9CFO - STARTED 2024
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